Latest / Talking Science / The Microbiome – The Trillions Living Inside You
Transcript
- 0:00Welcome to this deep dive into some and our mission
- 0:02today is to separate the actual mind -blowing
- 0:05science of this ecosystem from the grocery store
- 0:09marketing hype because this ecosystem is running
- 0:11your digestion your immune system and Maybe even
- 0:16your mood. Yeah, we are talking about the human
- 0:18microbiome This is the vast community of microscopic
- 0:21passengers that you carry with you every single
- 0:24second of the day And for a long time the scientific
- 0:26community sort of thought of these bacteria as
- 0:29just, I don't know, passive hitchhikers. Pretty
- 0:31much. The assumption was that they were just
- 0:33along for the ride. You know, maybe feeding off
- 0:36the scraps. But the major revelation of the last
- 0:39two decades is that they were doing critical,
- 0:41essential work that literally keeps you alive.
- 0:44I definitely want to get into the actual mechanics
- 0:46of that work. But first, we have to talk about
- 0:48the sheer scale of this. We are talking about
- 0:50somewhere in the order of 30 to 40 trillion bacteria
- 0:53living on and inside you right now. Mostly in
- 0:56the gut, yeah. Mostly in the gut, right. But
- 0:58the sources highlight that these numbers actually
- 0:59went through a major scientific correction a
- 1:02few years ago. They did. If you look at articles
- 1:05published about the microbiome from, say, a decade
- 1:08ago, you will constantly see one specific statistic
- 1:11repeated everywhere. Oh, I know the one. Yeah,
- 1:15the claim that microbes outnumber human cells
- 1:1710 to 1. Yes, I remember hearing that exact phrase.
- 1:20It was in every magazine, every health documentary,
- 1:2410 to 1. It kind of makes you feel like you're
- 1:26just a meat vehicle for a bacterial army. Well,
- 1:29it certainly paints a picture. But that 10 to
- 1:321 figure actually originated from a very rough
- 1:35back -of -the -envelope calculation done way
- 1:37back in the 1970s. Wait, really? The 1970s? Yeah.
- 1:41A researcher estimated the number of bacteria
- 1:43in a single gram of feces and then essentially
- 1:46multiplied that by the volume of the entire human
- 1:48digestive tract. Oh, wow. It assumed the whole
- 1:51digestive system was as densely packed as the
- 1:53colon, which it absolutely is not. But that rough
- 1:55guess just got repeated so often in academic
- 1:58papers and mainstream articles that hardened
- 2:00into a scientific fact. OK, let's unpack this
- 2:03for a second, because how does the entire global
- 2:05scientific community just accept a napkin math
- 2:07equation for 40 years? It happens more than you'd
- 2:10think. Scientific literature is vulnerable to
- 2:14the game of telephone, just like anything else.
- 2:17It feels like a massive census error that got
- 2:19repeated so often it just became local lore.
- 2:22Like everyone in town assumes someone else had
- 2:24actually counted the population, but no one actually
- 2:26had. That's a great way to put it. Yeah. It wasn't
- 2:29until around 2016 that a team of researchers
- 2:32in Israel actually sat down and rigorously redid
- 2:36the math. And what did they find? Well, they
- 2:38looked at the latest cell volume data and they
- 2:40realized that red blood cells account for the
- 2:43vast majority of human cells by number. When
- 2:46they properly balanced that against the actual
- 2:48density of bacteria throughout the body, the
- 2:51ratio turned out to be closer to one -to -one.
- 2:53So it's a tie. It's a tie, yeah. But, I mean,
- 2:55a one -to -one ratio is still staggering. You're
- 2:57telling me half the cells in my body belong to
- 2:59something else? Exactly. Keeping the real number
- 3:02straight is step one in taking this science seriously.
- 3:06The microbiome field is so genuinely exciting
- 3:09that it naturally attracts a lot of overstatement.
- 3:12You aren't made of 10 times more bacterial cells,
- 3:15but you are still carrying around tens of trillions
- 3:17of microbes. But here's where the source material
- 3:20gets truly wild, though. Because while the physical
- 3:23cell count might be a one -to -one tie, when
- 3:26we look at the genetics, the microbes absolutely
- 3:28dwarf us. Oh, without a doubt. It is an incredibly
- 3:31lopsided genetic imbalance. Walk us through that,
- 3:34because it sounds crazy. So the genetics explain
- 3:37how this whole system functions. If you isolate
- 3:39your own human genome, you have Roughly 20 ,000
- 3:43genes. 20 ,000. Got it. That is the complete
- 3:46instruction manual for building and running a
- 3:48human being. The collective genome of your gut
- 3:51microbes, however, if you pool all their genetic
- 3:53material together, contains something like 2
- 3:56to 20 million genes. 2 to 20 million. So it's
- 3:59like we're trying to build a massive skyscraper
- 4:01with a toy hammer. So we have to hire a giant
- 4:04contracting firm with a 2 million piece toolkit
- 4:06to actually do the heavy lifting. That is a perfect
- 4:09analogy. We are entirely outsourcing the heavy
- 4:12chemistry. That massive microbial toolkit allows
- 4:16these bacteria to perform complex chemical reactions
- 4:19that our human cells simply evolved without.
- 4:23Because we just don't have the code for it. Right.
- 4:25Our bodies literally lack the genetic code to
- 4:28build the enzymes required for certain jobs.
- 4:31And the most obvious example of this contracting
- 4:33firm at work is when we eat, right? Absolutely.
- 4:36Digestion is where they shine. So let's say I'm
- 4:39eating a huge bowl of broccoli. My human cells
- 4:42don't have the tools to fully break it down.
- 4:44What is that microbial toolkit actually doing
- 4:47to the food in my stomach? Well, first, we have
- 4:49to follow the broccoli down into the large intestine.
- 4:52Vegetables, whole grains, legumes, these are
- 4:54packed with dietary fiber. These are basically
- 4:56highly complex carbohydrates, right? Yes, exactly.
- 4:59And your human digestive enzymes are completely
- 5:02blind to them. If you didn't have a microbiome,
- 5:04all of that dense, healthy fiber would pass straight
- 5:07through your digestive tract completely unaltered.
- 5:10You'd get zero energy from it. It would just
- 5:12be roughage that sweeps the pipes. Exactly. But
- 5:15you do have a massive microbial workforce in
- 5:18your large intestine waiting for that delivery.
- 5:21They possess the millions of genetic tools required
- 5:24to dismantle those complex carbohydrates. They
- 5:27ferment the fiber. They do. During that fermentation
- 5:29process, they break the molecular bonds and produce
- 5:32new, smaller molecules called short -chain fatty
- 5:35acids. And the sources specifically focus on
- 5:38one of those fatty acids called butyrate. Why
- 5:41is butyrate so important? Butyrate is the primary
- 5:44fuel source for the cells lining your colon.
- 5:46Your human gut cells actually absorb this bacterial
- 5:49byproduct. and burn it for energy. Wait, so without
- 5:52that butyrate, those human cells would just starve?
- 5:55They would literally starve, yes. Furthermore,
- 5:57that energy allows your gut lining to stay tight
- 6:00and intact, preventing dangerous pathogens from
- 6:02leaking into your bloodstream. That is wild.
- 6:05So a huge chunk of the actual nutritional value
- 6:07and the physical maintenance of your organs is
- 6:10delivered by microbes doing the digesting on
- 6:12your behalf. We are quietly running an entire
- 6:15massive fermentation industry inside our bodies
- 6:18that we never even think about. We feed them
- 6:20the broccoli, they manufacture the fuel that
- 6:22keeps our own walls from collapsing. And they
- 6:24manufacture vitamins for you on that same factory
- 6:27floor. A significant portion of your vitamin
- 6:29K, which is essential for blood clotting, and
- 6:33several of your B vitamins are synthesized by
- 6:35your gut bacteria. Okay, but if this massive
- 6:38fermentation factory is operating right up against
- 6:41our internal tissue, how does the body know not
- 6:43to attack it? That is the million -dollar question.
- 6:46Right. I mean, anatomically, the gut is basically
- 6:48a giant border crossing. It's this massive surface
- 6:51area where everything we swallow meets our bloodstream,
- 6:54and it's harboring trillions of foreign bodies.
- 6:57The immune system's relationship with these microbes
- 7:00is arguably the most fascinating part of the
- 7:02whole ecosystem. Roughly 70 % of your body's
- 7:05entire immune tissue sits directly in and around
- 7:08your gut. 70%. Yeah. So the vast majority of
- 7:11our internal defense force is permanently stationed
- 7:13at the border. Because it is the most vulnerable
- 7:15surface area we have. From the moment you are
- 7:18born, your immune system and your gut microbes
- 7:21are locked in a constant complex dialogue. They're
- 7:24literally training each other. Training each
- 7:26other how, though? If an immune cell's job is
- 7:29to destroy foreign bacteria, why doesn't it just
- 7:32wipe out the microbiome entirely? Well, the immune
- 7:35cells constantly send out specialized scouts,
- 7:37called dendritic cells, to sample the environment
- 7:40in the gut. Now remember those byproducts we
- 7:42talked about, like butyrate? Right, the short
- 7:44-chain fatty acids. Exactly. The beneficial microbes
- 7:47release specific metabolites that act almost
- 7:50like biochemical ID badges. When the patrolling
- 7:53immune cells detect these harmless signals, it
- 7:56acts like a stand -down order. Oh, so they recognize
- 7:59them as friendly. Yes. The microbes teach the
- 8:02immune system to build a tolerance to stay calm.
- 8:04They calibrate the immune response so it doesn't
- 8:06launch a massive inflammatory attack against
- 8:09harmless food or helpful bacteria while still
- 8:12staying vigilant for true pathogens. And beyond
- 8:14that biochemical training, the sources mentioned
- 8:17that just having this thriving city of microbes
- 8:20is a physical defense in itself, right? It is.
- 8:23It's a numbers game called competitive exclusion.
- 8:26The beneficial microbes occupy every millimeter
- 8:29of physical real estate along the gut lining,
- 8:32and they greedily consume all the available nutrients.
- 8:35So if a dangerous newcomer... a pathogen manages
- 8:39to survive the stomach acid and arrive in the
- 8:41gut, it simply cannot gain a foothold. Exactly.
- 8:44There is no space and there is no food. Because
- 8:47there's simply no room left at the inn, which
- 8:49paints a very vivid and somewhat alarming picture
- 8:52of what happens when we take antibiotics. The
- 8:55sources heavily emphasize how disruptive they
- 8:57can be. Antibiotics are a blunt instrument. They
- 9:00kill bacteria indiscriminately. They cannot tell
- 9:02the difference between the pathogen causing your
- 9:04sinus infection and the beneficial bacteria keeping
- 9:07your gut lining intact. So taking a broad -spectrum
- 9:10antibiotic is basically like dropping a bomb
- 9:12on your garden to get rid of a single weed. That's
- 9:14exactly what it is. You clear the lawn, but you
- 9:16also destroy your prized tomatoes and the entire
- 9:19root structure holding the dirt together. You
- 9:22leave the soil completely barren and vulnerable
- 9:24to whatever blows in next. And opportunistic
- 9:27weeds can and do. move into that barren soil
- 9:32incredibly fast. Which makes me wonder how we
- 9:34ever established this garden in the first place.
- 9:37I mean, we aren't born with this massive toolkit
- 9:39already installed, are we? No, a baby in the
- 9:41womb is essentially sterile. The acquisition
- 9:44of this community happens rapidly. During a vaginal
- 9:47birth, a baby is coated in their mother's microbes,
- 9:49providing the first massive dose of colonizers.
- 9:52Oh, wow. And following that, early feeding drives
- 9:55the development. Breast milk, for example, contains
- 9:58complex sugars called human milk oligosaccharides.
- 10:01And let me guess, human babies can't actually
- 10:03digest those sugars either. You guessed it. The
- 10:06human infant cannot digest them at all. The mother
- 10:09is literally expending massive amounts of metabolic
- 10:12energy to produce sugars that the baby cannot
- 10:14use. That is unbelievable. But specific beneficial
- 10:18gut bacteria thrive on those exact sugars. Mother
- 10:22Nature evolved breast milk not just to feed the
- 10:25baby, but to feed the baby's newly forming microbiome.
- 10:28We are biologically engineered to cultivate the
- 10:31contracting firm from day one. We really are.
- 10:33And over the first few years of life, this community
- 10:36assembles and settles into a stable pattern that
- 10:39the sources say is incredibly personal. It's
- 10:41essentially a microbial fingerprint. It is. Your
- 10:45personal ecosystem is shaped by your early delivery,
- 10:48your childhood diet, the pets you grew up with,
- 10:50the geography of where you live, and your medical
- 10:53history. No two microbiomes on Earth are exactly
- 10:56alike. Okay, so we've established that the gut
- 10:58is basically a massive sensory organ. It's gathering
- 11:02all this chemical data from our food, and it's
- 11:04physically intertwined with our immune system.
- 11:06Right. How does it report all that data back
- 11:08to the brain? Which brings us to the most attention
- 11:11-grabbing frontier in this whole field, the gut
- 11:13-brain axis. Yes. And we need to tread very carefully
- 11:17here because the gut -brain connection is simultaneously
- 11:20a very real, scientifically validated phenomenon
- 11:23and the subject of wild commercial overhype.
- 11:27Let's start strictly with the biology then. How
- 11:29do they communicate? There is a massive physical
- 11:32superhighway connecting the two. It is called
- 11:35the vagus nerve, and it runs directly from your
- 11:38gut into the base of your brain, carrying electrical
- 11:40signals in both directions. Okay, so a direct
- 11:43wire. Yes. The gut is constantly updating the
- 11:46brain on the state of your digestion and your
- 11:48immune system. Furthermore, gut microbes actively
- 11:51stimulate the production of chemical messengers.
- 11:54For instance, a remarkably large share of your
- 11:56body's serotonin, upward of 90%, is actually
- 11:59manufactured in the gut. Wait, serotonin, the
- 12:02neurotransmitter we constantly associate with
- 12:04mood regulation and happiness? The very same.
- 12:07Specialized cells in the gut lining called enterochromaffin
- 12:10cells produce it, and they are heavily influenced
- 12:12by the chemical byproducts of your microbes.
- 12:15So our mood is controlled by our stomach. Well,
- 12:17most of that gut -derived serotonin is actually
- 12:20used locally to regulate bowel movements and
- 12:22digestion. But the microbes also heavily shape
- 12:26systemic inflammation. And we know definitively
- 12:29that chronic inflammation profoundly affects
- 12:32the brain, influencing everything from brain
- 12:34fog to depression. The sources mention animal
- 12:37studies that show this connection in action.
- 12:39What happens when you manipulate the microbes
- 12:41in a lab? Researchers use specially bred, germ
- 12:45-free mice, mice raised in sterile bubbles with
- 12:48absolutely zero microbiome. These mice exhibit
- 12:52dramatic behavioral differences. Like what? Their
- 12:55stress responses are exaggerated, they show altered
- 12:57social behaviors, and they exhibit different
- 12:59levels of anxiety compared to normal mice. And
- 13:02when researchers introduce certain bacterial
- 13:04strains into these sterile mice, some of those
- 13:06abnormal behaviors resolve. Okay, I need to stop
- 13:09you there and push back on behalf of the listener.
- 13:11Sure, go ahead. Because here is where it gets
- 13:13incredibly confusing. I walk into a grocery store
- 13:16or I open social media and I am bombarded with
- 13:19ads for probiotics, for mood or gut health supplements
- 13:23for anxiety. Are you telling me that these companies
- 13:26are basing their entire product line on sterile
- 13:29mice? I am saying that leaping from a controlled
- 13:32observation in a sterile mouse to the claim that
- 13:36eating a specific brand of encapsulated powder
- 13:39will cure human anxiety is a massive unsupported
- 13:42jump. Human brains, human social lives, and human
- 13:46diets are enormously complicated. So the marketing
- 13:49has totally outpaced the microscopes. By miles.
- 13:52The clinical studies in human beings are still
- 13:54in their infancy. They're often very small. And
- 13:57in media headlines, Correlation is doing almost
- 13:59all of the heavy lifting. Just because they are
- 14:01linked doesn't mean one causes the other. Exactly.
- 14:04Just because people with depression might have
- 14:05an altered microbiome doesn't automatically mean
- 14:07the microbiome caused the depression. Diet changes,
- 14:11sleep disruptions, and the medications used to
- 14:13treat depression all alter the gut flora. It's
- 14:15a chicken and egg problem. It really is. It may
- 14:18well turn out a decade from now that we can map
- 14:21specific bacterial strains to specific human
- 14:24psychological outcomes. But the current scientific
- 14:27consensus is that you cannot reliably treat a
- 14:29mental health condition by buying an over -the
- 14:32-counter probiotic supplement today. So if we
- 14:34strip away the marketing, what does this all
- 14:36actually mean for the listener? Since we can't
- 14:38just reliably buy a magical mood -boosting capsule
- 14:41in aisle four, how do we actually maintain this
- 14:44internal garden? What is the defensible, actionable
- 14:47science here? The most robust, scientifically
- 14:50validated advice is usually the least glamorous.
- 14:53You have to feed the ecosystem you already have.
- 14:56Okay, how? Beneficial microbes thrive on complex
- 14:59carbohydrates. That means eating a diverse, wide
- 15:01-ranging diet of plants and dietary fiber. Right,
- 15:04feed the contracting firm the raw materials they
- 15:06need to make the butyrate. Exactly. Provide the
- 15:09structural components they require to do the
- 15:11heavy lifting. Secondly, introducing fermented
- 15:13foods, things like sauerkraut, kimchi, kefir,
- 15:16traditional yogurt. Because those have live cultures.
- 15:19Yes, they actually carry live cultures of bacteria
- 15:22into your digestive tract. And large -scale studies
- 15:26are increasingly showing that regular consumption
- 15:28of fermented foods helps increase microbial diversity
- 15:32and lower overall inflammation. And on the defensive
- 15:35side, we circle back to the bomb in the garden,
- 15:37antibiotics. Yes. Do not take antibiotics for
- 15:41a viral cold. They do absolutely nothing to viruses,
- 15:43but they will decimate your microbiome. That
- 15:46makes sense. However, and I cannot stress this
- 15:48caveat enough. If a doctor diagnoses you with
- 15:51a serious bacterial infection, you take the prescribed
- 15:53antibiotics. An aggressive, untreated bacterial
- 15:57infection is far more dangerous to your life
- 15:59than a temporarily disrupted microbiome. Right.
- 16:02You can't let the entire garden get overrun by
- 16:04a dangerous predator just to save the topsoil.
- 16:07Exactly. But what happens when that soil is completely
- 16:09ruined? The sources dive into a scenario where
- 16:11the microbiome ecosystem completely collapses,
- 16:14and modern medicine is doing some truly astonishing
- 16:16things to rebuild it. We are looking at a genuine
- 16:18medical revolution when it comes to treating
- 16:21a specific, very nasty gut infection called Clostridioids
- 16:25difficile, commonly known as C. diff. And this
- 16:28usually strikes after someone has been hospitalized
- 16:31and put on heavy, prolonged courses of antibiotics,
- 16:34right? Yes. Think back to our competitive exclusion
- 16:36principle. The heavy antibiotics wipe out the
- 16:39normal, healthy microbes. The defensive wall...
- 16:42Oh, and the C. diff takes over. Right, because
- 16:45C. diff is incredibly resilient. It forms spores
- 16:48that survive the antibiotic bomb. When the coast
- 16:51is clear, it blooms, aggressively taking over
- 16:54the barren gut and producing toxins that destroy
- 16:56the colon lining. That sounds awful. It is stubborn,
- 16:59it recurs frequently, and it can be fatal. For
- 17:02decades, the standard medical response was just
- 17:04to try stronger, different antibiotics. Like
- 17:06dropping bigger bombs on an already ruined garden.
- 17:08Exactly. But the clinical shift came with a treatment
- 17:11called a fecal microbiota transplant, or FMT.
- 17:15Okay, my reaction to this is a mix of deep biological
- 17:18awe and intense squeamishness. But just so we
- 17:22are completely clear, a fecal transplant is exactly
- 17:24what it sounds like. It is. Doctors take a stool
- 17:27sample from a thoroughly screened, healthy donor.
- 17:29They process it, and then they physically transfer
- 17:32that liquid suspension of the donor's microbial
- 17:35community directly into the gut of the patient
- 17:38suffering from C. diff. From a medical engineering
- 17:41standpoint, that is a massive paradigm shift.
- 17:43Instead of isolating a single sterile chemical
- 17:46molecule in a pharmaceutical lab to fight a disease,
- 17:50doctors are literally transplanting an entire
- 17:52living ecosystem from one human to another. It's
- 17:55incredible. The success rates have been staggering,
- 17:58often curing recurrent infections in days. The
- 18:01transplanted ecosystem rapidly establishes itself.
- 18:03Because it just outcompetes the infection. Right.
- 18:05The trillions of new bacteria occupy the space,
- 18:08consume the resources, and physically outcompete
- 18:11the C. diff. It proves that sometimes the necessary
- 18:14medical intervention isn't a targeted chemical
- 18:17weapon. The treatment is a robust, diverse community.
- 18:21It changes the entire definition of what medicine
- 18:23can be. So as we wrap up this deep dive, we want
- 18:27you, the listener, to carry this core realization
- 18:30with you. You are a habitat. Trillions of organisms
- 18:34are living their entire lives inside you right
- 18:37now. It's a lot to take in. It is. They are digesting
- 18:40your food. They are constantly checking the ID
- 18:43badges of your immune system. And they are murmuring
- 18:46to your brain along the vagus nerve. And the
- 18:49biological reality of that relationship is one
- 18:52of the most complex, beautiful stories in modern
- 18:54science. It doesn't need the exaggeration of
- 18:57the supplement aisle. The real mechanisms keeping
- 18:59you alive are remarkable all on their own. Which
- 19:02leaves us with a provocative thought to end on.
- 19:04We talked about how your microbiome is completely
- 19:06unique to you, and we know it fundamentally dictates
- 19:08how you process chemical compounds. If our internal
- 19:11ecosystems are the gatekeepers that process everything
- 19:14we swallow, we might be approaching a future
- 19:17where doctors can't just prescribe a standard
- 19:19one -size -fits -all pill. I mean, if your specific
- 19:22microbes aggressively break down a medication
- 19:25before it even reaches your bloodstream. The
- 19:27future of health care might require doctors to
- 19:29prescribe a completely separate treatment just
- 19:32to temporarily prep your microbiome. That's a
- 19:35fascinating thought. Right. Essentially asking
- 19:37your internal ecosystem for permission before
- 19:39they can even attempt to heal your human cells.
- 19:42The X -ray might look clean and binary, but you
- 19:44are a complex living world. Thank you for taking
- 19:48this deep dive with us and we'll see you next
- 19:49time.