June 13, 2024
From podcast: https://bengreenfieldlife.com/podcast/chidozie-ojobor/
[00:00:00] Introduction
[00:01:12] Who is Dr. Chidozie Ojobor?
[00:03:31] How Dr. Chidozie takes care of his gut
[00:06:47] The advantages of the hunter-gatherer style of diet
[00:08:39] Are probiotics better than fermented foods?
[00:10:24] Do we need supplements for a healthy gut
[00:11:35] What Vitract test can tell you about gut health
[00:14:34] How does Vitract differ from other gut tests
[00:17:01] What does the Vitract test say about Ben's gut health
[00:18:01] Gut health and diversity score
[00:20:23] Health and disease-associated bacteria
[00:33:22] Pathobionts
[00:38:57] Metabolites, neurotransmitters, and vitamin producers
[00:43:28] Recommendations for Ben's gut health
[00:48:13] Clinical studies related to 16S sequencing
[00:50:48] The logistics and interpretation of the Vitract test?
[00:54:42] Closing the Podcast
[00:56:33] End of Podcast
[00:57:34] Legal Disclaimer
Ben: My name is Ben Greenfield. And, on this episode of the Ben Greenfield Life podcast.
Chidozie: The Vitract test, it's a 16S-based test where we basically identify the distribution of the different bacteria and archaea that is in your gut. But, what the test gives you at insight into is it gives you an insight into your gut diversity. And, when we talk about gut diversity, we're talking more about the richness of your guts. That is the total number of species that is in your gut but how evenly spread out they are as well.
Another thing that the test does for you is we give you insights into the metabolites that they might be producing. So here, we're not primarily measuring the metabolites themselves because you cannot do that with the 16Ss, but we can give you insight into the metabolite that your gut profile may be produced and based off on your result.
Ben: Fitness, nutrition, biohacking, longevity, life optimization, spirituality and a whole lot more. Welcome to the Ben Greenfield Life show. Are you ready to hack your life? Let's do this.
Well, it's no secret I like to poop into random hot dog trays and tubes and toilet paper and swabs and send my results off to a lab to see what's going on inside my gut. So, I'm constantly trying out the latest and greatest tests in a selfless sacrificial act of self-experimentation to let you know good ways to figure out what's going on with your gut and how you can improve your gut health. You've, of course, probably heard podcasts I've done on the gut metabolism axis and the gut-brain axis and the gut immune axis. And, it's no doubt that the gut is important, but testing it is an ever-expanding field.
So, one of the recent tests that I did was called a Vitract, V-I-T-R-A-C-T. I'll link to it if you want to check it out for yourself if you go to BenGreenfieldLife.com/VitractPodcast. That's V-I-T-R-A-C-T podcast. But basically, they do this whole profile of the gut. And, I'm going to let my guest on today's show explain to you its difference in terms of what they test for, the sensitivity of it, and what you can find out from testing your gut.
So, my guest on the show is Dr. Chidozie Ojobor. I do not know if I pronounce that 100% correct but I'm just going to roll with it. He's a scientist. He's got over 15 years of research experience in bacterial genetics. He's got a Bachelor's in microbiology, a PhD in molecular genetics. So obviously, a pretty smart cookie when it comes to decoding the gut. He's now spent a decade developing antimicrobial entities that target disease-causing bacteria in ecosystems like the gut. And, he's even won a Global Citizen Award for combating drug-resistant bacteria related to cystic fibrosis.
So, in his lab, he studies everything from phase therapy, to CRISPR technology, to gastroenteritis and beyond. And today, we're going to talk all things gut. So, Dr. Ojobor, what do you want me to call you for the show? Chidozie, Ojobor, do you care?
Chidozie: No, no. I don't care. You can call me Chidozie or Dozie for short. Either ways is fine.
Ben: Okay. I like Dozie. Is that an actual nickname that you have?
Chidozie: Yeah. A few of my friends actually call me that.
Ben: Oh, yeah. Sounds a little bit sleepy, maybe.
But, I should probably ask you before we even dive into all things gut. What are some of the things that you do based on what you know as far as your diet or your supplement or your lifestyle regimen to take care of your gut? I'm just curious to hear from the expert what you do knowing what you know.
Chidozie: Yeah. I mean, first of all, thank you for having me on your show, Ben. It's good to be here. And, to your question, yeah, I do very simple things like stay hydrated. I think that's one really easy thing everybody can do. Water, we know, plays a huge role in digestion, allows your body harvest nutrients from food properly. It also enhances gut motility, which is a very key component of your gut health. Avoids constipation and enhances the consistency of the mucus lining of your gut epithelium. So, I stay hydrated.
Ben: Can I can I ask you a quick question about hydration? Because I've kind of always wonder this. I don't know if you have the answer, but of course, hydration is important but then you also hear the age-old advice to, I think, it's the 3-2-1 rule, quit eating heavy meals three hours before bed, quit drinking a lot of fluids two hours before bed, and then quit use of technology and stressful business activities and bright light an hour before bed, which makes pretty good sense. But, the water piece, I've always wondered how much does water leading up to bedtime influence your ability to have a nice hydrated slippery easy bowel movement the next morning or is it just kind of how well you stayed hydrated the entire day before that next morning's poop. Does that make sense?
Chidozie: Yes, it does. I think it's the latter. I think it's how well you actually stay hydrated through the day going into the next day versus how much water that you actually drink prior to going to bed.
Ben: Yeah, that makes sense. I guess a lot of these ayurvedic colon cleansing blends and magnesium oxide and triphala, they all tell you to drink 8 to 16 ounces of water when you take them for your bowel cleansing the next morning. But then, it's a catch-22 because you wake up at midnight and 2:00 a.m. and 4:00 a.m. to pee.
Chidozie: Oh, yeah. Yeah. The approach I've always taken to is I think for gut health generally is to do things in a way that is spread out versus actually doing things at specific time points and water is one of them.
Ben: Got it. So, what else besides hydration?
Chidozie: Yeah, eating a diverse diet. I prioritize fresh vegetables and fruits and nut seeds. I particularly prioritize whole foods. I grew up eating–I grew up in Nigeria, so we are very familiar with actually doing direct farm-to-table. And, that's the approach I take in my household today. So, eating diverse food like that. We know that fresh fruits and vegetables are high in fiber. And, those particularly enrich the beneficial organisms in your gut and also promote gut diversity. So, I do that.
Ben: What do you think about people who are eating an all-meat diet now, like this carnivore diet cruise?
Chidozie: So, the way I think about that is as far as diet is concerned, I like to promote more a hunter-gatherer style of eating versus strict carnivores or strict vegan. And, that's because we've seen that the people that actually have the best gut diversity are people that have a well-rounded kind of diet. So, they're eating vegetables, fruits, eggs, meat here and there, but it's actually pretty much well-rounded versus just strict carnivore diet.
But, as far as what the literature says, there are interesting studies actually that have separated people into groups where you have a group eating a primarily animal-based diet, which is what the carnivores' diet is mostly made up of today versus the other people eating, another cohort eating a well-rounded diet. Some interesting things actually they saw in that study in four days, they saw an enrichment of certain bacteria such as bacteroides, alistipes, and biliphila. And, these are organisms that are bile resistant. And, it make sense because your bile acids will be produced for the metabolism of lipid. But, the consequence of an overgrowth of organisms like that is we know that the build-up of those kind of organisms can actually potentially lead to an over-accumulation of gases like hydrogen sulfide.
Ben: Wait, you saw that build-up in the carnivore or the omnivore diet?
Chidozie: The carnivore.
Ben: Okay.
Chidozie: Yeah, the carnivore. But, there are different sides to this story. But primarily, in terms of the gut health, moving towards the plant-rich diet is what we know favors your gut health.
Ben: Now, when you're doing plants yourself, and you're talking about the wide variety, how much emphasis do you place on fermented plants like kimchi or sauerkraut or even yogurts or kefir or things like that?
Chidozie: Yeah, huge emphasis. I think one of the fantastic, a very fantastic group that I respect, the group of Dr. Justin and Erica Sonnenberg of Stanford, they've done this fantastic study on the role of fermented foods on the gut microbiome. But, this is an age-old knowledge actually. Fermented foods play a very, very key role in promoting your gut diversity. I think I personally can do more of that. I think I used to do more fermented foods when I was back home in Nigeria. Now, I do more of just including dietary fibers. But, fermented foods play a huge role in promoting gut diversity.
Ben: Can a probiotic even come close if you're using a probiotic? Does it do as good a job as a wide variety of fermented foods if it's a well-formulated probiotic?
Chidozie: That's a very good question. So, it depends on the scenario. So, in situations where you actually have zero amount of the particular strain of probiotic that you want in your gut, then it makes sense to seed fest with probiotics. But, the approach that actually works best is for you to feed your resident gut bacteria with essential prebiotics to allow them bloom. But, like I said, if you have zero amount of those organisms, then you have to start by seeding them first with the probiotics and then grow them with prebiotics later.
Ben: Yeah, that makes sense. When we talk more about testing, obviously we can delve into what some of this might look like from a customization and personalization standpoint.
Chidozie: Right.
Ben: But, before we start talking about the testing, one other question about your own setup. Are you using any kind of additional supplementation or any of these popular products for the gut? Whether it'd be magnesium for better bowel movements or a lot of people are using an akkermansia probiotic now for blood sugar. Are you on board with any of these supplements?
Chidozie: Yeah. I think some of these supplements are great personally. I don't use any of them just because I personally don't have need for them. I do my gut microbiome test quite regularly. And, it looks like things are evenly and well-spread out there. But, absolutely. I mean, there is the Pendulum akkermansia probiotic now which they call the GLP-1 probiotic that is there. I do have a few friends who are using those and the outcome that they seeing there is great. So yeah, for some people, it makes sense to supplement. But, I would always go with arming your resident bacteria with the capacity to produce those metabolites versus just supplementing.
Ben: Okay, got it.
Tell me about this test. Am I pronounce that correctly? The Vitract or is it Vitract?
Chidozie: Vitract.
Ben: Vitract. Okay. Tell me about it.
Chidozie: Yeah. So, the Vitract test, it's a 16S-based test where we basically identify the distribution of the different bacteria and archaea that is in your gut. And, I say that it's 16S, what I mean by that is every single bacteria in your gut has what we call the 16S gene. But, these 16S genes have variable regions that is unique to every bacteria. So, by sequencing the 16S gene, we are able to identify a bacteria and then assign a particular name to that bacteria when we compare them to what we have on the reference database. So, it's a 16S test. It identifies bacteria and archaea. But, what it has gives you an insight into is it gives you an insight into your gut diversity. And, when we talk about gut diversity, we're talking more about the richness of your guts. That is the total number of species that is in your guts but how evenly spread out they are as well.
Another thing that does for you is we give you insights into the metabolites that they might be producing. So here, we're not primarily measuring the metabolites themselves because you cannot do that with the 16Ss. But, we can give you insight into the metabolites that your gut profile may be produced based off on your result.
And, an interesting thing that will also give insight to different biomarkers if you're thinking about a dysbiosis test, then the Vitract test is a test you should be using. Because when you talk about dysbiosis, you're talking about the total composition of what's in your gut. You want to have a sense of the total composition of what's in your gut. You want to have a sense of their relative abundance and how spread out they are. And, that's one of the things that this test caters to.
Ben: So, if you're not actually measuring metabolites that the bacteria in the gut are producing, how do you actually know what metabolites you're seeing on a test?
Chidozie: Yeah. It's a good question. So, what we are reporting on the test is not the metabolite, but we're reporting the metabolite producers. And so, take short-chain fatty acid, for example. The way to actually measure short-chain fatty acids is if you were using metabolomics techniques where mass spectrometry where you can particularly identify that metabolites that has been produced and then quantify them. But, what we are doing is upstream of that. We are giving you a sense of the potential amount of the metabolite that may be produced in your gut based off on the abundance of the organisms that we know in academic literature actually produces those metabolites.
Ben: Okay, got it. Yeah. So, it's kind of like you know what these bacteria are going to produce. So, once you know what the bacteria are, you know what metabolites someone could be produced.
Chidozie: Exactly, exactly.
Ben: Now, how is this any different, it's kind of confusing to people honestly, from other gut tests out there? Because, for example, I've recommended a lot the Genova Diagnostics three-day stool panel, Viome is another very popular company, Thorne. I know they're doing at-home gut test. It used to be, I think, longevity. I think now it's just called Thorne. But, how is Vitract any different?
Chidozie: Yeah, good question. If you are interested in gut dysbiosis versus just looking at the pathogenic deep dive, then you should be doing a Vitract test. I'll take an example from one of the companies that you mentioned, Genova or GI-Map. Those are great tests too, but those tests primarily cater to if you're interested in a pathogenic deep dive. And, that's because they use quantitative PCR to identify the bacteria in your gut.
Ben: You said PCR. So, they're not using 16S sequencing, they're using–what's PCR stand for again?
Chidozie: Yeah, polymerase chain reaction.
Ben: Yeah, polymerase chain reaction. So, it's a different form of sequencing. And, what you're saying is they're looking at yeast and bacteria and fungus and things like that. But, when it comes to dysbiosis not so accurate a look at the actual bacterial balances.
Chidozie: Yes, that's because PCR by itself is limited in that you have to design primers to identify every single bacteria. But, the way we've gotten around that is to identify bacteria by their 16S gene instead, which gives us a sense of the totality of the organism that is in your gut. That is how you get a better sense of these viruses versus just looking out for specific bacteria pre-selected bacteria.
Ben: How would you compare to something like Viome?
Chidozie: Yeah. So, what shows you, so when you look at Vitract, which that does a 16S test, and Thorne that does a metagenomics test, what will give you a sense of is your taxonomic profile. That is the composition of your bacteria, and for Thorne, other life forms like fungi and viruses. But, for Viome, they're doing metatranscriptomics. Now, metatranscriptomics is it goes away from giving you a sense of the taxonomic profile that is who is there to potentially what they may be doing. So, they give you information at the RNA level.
All of these different techniques of profiling the gut have, of course, their own pros and cons. So, it just depends on what you're looking for.
Ben: Okay. So, back to Vitract test. I think what would be kind of interesting would be to actually go through my results and use that for illustrative purposes. And, as we go through that, I think you'll be able to break down what key markers you're actually testing for and what they mean. So, I'll defer to you as far as the order in which you want to go in. So, if you're watching the video version, we got the gut microbiome analysis from Vitract with my results and hopefully none of my personal details or credit card information showing right there on the screen. So, go ahead. Let's go through this, Dozie.
Chidozie: Yeah, absolutely. Yeah. So, what you're looking at is Ben's test. And, I must say that it was really interesting looking at this just because everybody knows who Ben is. His attitude to health and all that. So, what I'm going to show you here is what the Vitract report looks like when you take one.
So, this report is stratified into four different sections. The Section 1 basically gives you a sense of two values here, your gut health score and your diversity score. Now, before I go into that, we say that if you're between 0 and 49, it represent poor. If you're between 50 and 79, needs work. And then, 80 to 100 means satisfactory. But, what is your gut health score? So here, everybody starts at 100%. Now, for every single organism that is outside of what we consider the optimal range, which is the range that healthy people who have taken the test actually fall in between. Anything that falls outside that would reduce your points accordingly.
Ben: Right. Dozie points every time you find some bad bacteria or an imbalance or something like that.
Chidozie: Exactly.
Ben: It looks my point total is a 78 out of 100.
Chidozie: Yes, 78 over 100.
Ben: For overall gut health, okay.
Chidozie: Yes. And then, we're going to also get into why that is shortly.
Ben: Okay, got it.
Chidozie: And, for your diversity score. For diversity, we use the Shannon-Wiener Index. So, this is pretty much one of the academic indexes for calculating your gut diversity score. It takes into consideration two things. One is the richness of your gut, which accounts for the total number of species that were found in your gut ecosystem by looking at your sample. But secondly, it also takes into consideration how evenly spread out your species are. So, what we mean by that evenness is say, for example, you and I took a gut microbiome test, Ben, and we both have 500 species. But, if two species out of the 500 in your own ecosystem makes up 90% of that of your gut ecosystem, we would not say that that is actually evenly spread out. So, that impacts on your score negative.
Ben: Alright. So, you don't just want a wide range of bacteria, but you don't want one or two or a few specific strains to be overcrowding or overpopulating relative to the others.
Chidozie: That is correct.
Ben: About 87 on diversity score. So, that's a little better.
Chidozie: Yes. Ben scores 87 here on diversity score. Meaning that he's in the satisfactory range.
Ben: Okay.
Chidozie: Okay. So, the Section 2 of the test here is where we report selected bacteria out of all of the organisms that we have found in your test report. But, we have about 30 to 31 organisms here that we select and show on the test reports because there's only so much you can show on the test report.
Another thing you're going to get aside the test report here is actually a full profile of every single bacteria that we found in your gut ecosystem. But, why did we select these specific organisms? Selected them because we know so much about them from academic literature on how they contribute to health and disease.
Now, in this section, we stratified these bacteria into health-associated bacteria and then the disease-associated bacteria. So, we'll start with organisms that are the health-associated bacteria. The first group of those organisms are called the probiotic bacteria. Now, what you're looking at here are the names of the organisms and then you see the percentage abundance of those organisms in your gut ecosystem and then you see the implication of whether or not you're low. You see the implication of that and the implication of high levels of those organisms.
The first one here is akkermansia. So, for Ben had about 0.1% of your gut made up of akkermansia, the ranges that we recommend here is between 1 and 5%.
Ben: Okay. So, my akkermansia score is low. I actually don't think I was taking, that one you mentioned, the Pendulum probiotic at this time. But, is that common for someone to have a very low akkermansia count?
Chidozie: Yes. Actually, more than 90% of the people who take the test are actually less than 1% on akkermansia.
Ben: And, what do you recommend to people who have a low akkermansia count?
Chidozie: Yeah. So, we know that there's a lot of dietary fibers that actually increase akkermansia levels. We also have akkermansia probiotics. So, for people that actually have low levels of akkermansia, the first thing we recommend to them is take [00:22:27] _____ gut with akkermansia probiotics and then you can further feed them with prebiotics that are known to increase the amount of akkermansia.
Bifidobacterium here is low. We recommend that you should be between 2 to 2.5%. Ben is at about 0.1%. This is also another organism that we tend to see to be low in most people who have taken the test. Blautia faecalibacterium, these are very important short-chain fatty acid producers. Faecalibacterium, for example, is known to be the largest butyrate producer in the gut. It's an obligate anaerobe that is to say that it does not grow in the presence of oxygen, but it has a huge metabolic freedom to produce butyrate. That is to say that it can produce butyrate from different diet resources and has different pathways to actually produce butyrate.
We've also seen that this actually makes up, is part of the organisms that make up the largest component of people's gut ecosystem. Ben has it as high as 8% here, which is great. We encourage that you can actually increase it a little bit more in the excess of 10%. But, 8% is great and we should also remember that even if you don't have as high as 10% or more of faecalibacterium, we should remember that there are other organisms that are also producing this short-chain fatty acids. So, you can actually have an enrichment of those other organisms that are producing the short-chain fatty acids.
Ben: And, it looks like it's pretty low as far as my scores go across the probiotic range. Is it possible that even if someone were say eating a wide variety of fermented foods, which I do, that other factors could be present that would be causing those levels to be low?
Chidozie: Yes, absolutely. I mean, there's a lot of things that can impact the gut. Diet is definitely a modifiable factor. But, other factors like antibiotic intakes, stress, your sleep-wake cycle, exercise, all of these things or even if you're sick or you just have a condition, all of these things can actually impact the gut–
Ben: Or travel. I took this test after about two weeks of hefty international travel, which I know can impact the gut as well. I even saw one study that kind of equivalated that to the use of antibiotics as far as the amount of dysbiosis hefty amounts of travel across multiple time zones can cause.
Chidozie: Yes, absolutely. And, this is also what we tend to see in actually my brother's report who travels a lot. We tend to see that his numbers go back and forth. And, when he is more stable in his primary location over a longer period of time, we tend to see that things stabilize. So, yes. To your point, travel is something that can actually impact things like this, consistent travel.
Ben: Okay, interesting. Got it.
Chidozie: Yeah. Okay. And, I'm going to show that shortly, but I think that what is happening for your report particularly, Ben, is that you're actually feeding another set of organisms, which I'm going to show shortly that produce a lot of short-chain fatty acids.
Ben: That's all piece of the puzzle. Okay, cool.
Chidozie: Yeah, yeah. Okay. Roseburia are also another short-chain fatty acid. Okay. So here, it looks like we need to increase the amount of short-chain fatty acid producers in Ben's gut ecosystem. So, that's the first piece of the report, which is the probiotic section.
So, let's look at the common cells. So, these gut common cells are actually these bacteria that coexist within your GIT without causing any harm. You can actually have large amounts of these common cells, but they play very, very important roles. They help to create that homeostasis within your intestinal tract. They also contribute to anti-inflammatory state. And, many of them also produce very beneficial metabolites. It's not just short-chain fatty acids, they produce things like neurotransmitters and B vitamins like B12, vitamin K2. This is where most of the organisms that produce them actually fall under.
Ben: So, would it be fair to say then that a probiotic bacteria is one that naturally resides in the gut and a commensal would be something like, I don't know, an immigrant or even a beneficial invader who might not be there normally but who's not doing harm and may actually be helping out with the gut economy or there of all gut health.
Chidozie: Actually, the common cells, they're pretty much like the probiotic. They're known to be part of your intestinal flora.
Ben: Why do you break them out into two separate categories then?
Chidozie: Yeah, that's a good question. So, we break them into two categories because–so, these probiotic bacteria are also common cells except that the common cells are the ones that we know are found in large amounts in the gut.
Ben: Okay, got it.
Chidozie: They're known to be found in large amounts in the gut. And then, for the probiotic also, some of them are bacteria that we can actually buy specific probiotics for. An example would be Bifidobacterium adolescentis.
Ben: Okay. Whereas you couldn't go out and buy over-the-counter commensal and take that as a probiotic.
Chidozie: Like alistipes.
Ben: Okay, got it.
Chidozie: Yeah. Okay. So here, we're seeing that Ben is actually optimal on pretty much most of them. So, I was talking about what I think is happening with your test result, Ben. I said that I think that you're just enriching another organism that is a very well-known short-chain fatty acid, and that's coprococcus here.
Ben: What did you call it again?
Chidozie: It's coprococcus.
Ben: Coprococcus. Okay.
Chidozie: Coprococcus. Yeah. So, there's three to five different species of coprococcus that are known to have huge metabolic freedom to produce short-chain fatty acids. Butyrate, acetates and propionate. And, as you can see, I think this is the largest that we've seen in our data set.
Ben: I'm off the charts high on that. What would cause something like that to be so elevated?
Chidozie: I think it's just your style of diet. I predict here, and I'm going to show you one of the reasons why I predict that also, that you prioritize plant-based food mostly. So, when you look at your common cells, you can also actually predict the long-term style of eating or of diet that someone is actually.
Ben: So, you're basically based on what you've seen so far in the bacterial balance, in particular, this one that's overcrowding the rest, you're supposing that not knowing about my diet that I eat a largely plant-based diet.
Chidozie: This is one organism that allows us actually learn that. It's called the prevotella here.
Ben: Okay.
Chidozie: So, you have 28% of that. Now, the gut microbiome from what we know can actually be stratified into three main enterotypes: the bacteroides, prevotella, and the ruminococcus. These enterotypes basically are, they give us a sense of, for example, for prevotella, we know that people that actually have prevotella to be enriched in their gut ecosystem are people that are prioritizing plant rich foods and carbohydrates. Whereas, people that actually have bacteroides to be enriched in their gut are people that are prioritizing mostly animal-based diet.
So, for individuals, for example, who are mostly doing carnivorous diet, it would be super unsurprising for you to see high levels of bacteroides or high levels of alistipes because we know that these organisms are high and rich in the presence of high-fat foods.
Ben: Yeah. And, by the way, I'll just come right out and tell you right now. I'm pretty much omnivorous. I eat a lot of meat, red meat, poultry, fish, pork, organ meats, and a wide diversity of plants, sprouts, microgreens, ferments, et cetera. So, I would not categorize myself as a largely plant-based individual.
Chidozie: Yeah. I think, for your results, actually it also kind of suggests to us that you're rounded up because you have high levels of bacteroides. So, what we tend to see is people who or on the extreme of maybe carnivores, we tend to see just super high levels of bacteroides, and then people who are primarily just vegan will see super high levels of prevotella. But, what we are seeing here for your result, you have about 5% of your gut made up of bacteroides and about 28% of that made up of prevotella. So, that's pretty much balanced in terms of just looking at your gut microbiome profile.
Ben: But, that one that's super high that you said you tend to see super high people are eating a lot of plants. Do you think that's potentially detrimental or something I should be paying attention to or doing something about?
Chidozie: No. Actually, we know that these organisms have what we call the start utilization system, which is a group of pathways and enzymes that allows them break any kind of carbohydrates. So, this is actually a good biomarker versus not. So, you're okay.
Ben: Okay. And, one quick question before we keep going. How much does this fluctuate? If I do one test on a Monday, another test next Tuesday, another test a month later, does it vary quite a bit?
Chidozie: Yeah. So, it depends. The microbiome actually fluctuates across two different time scales. I don't think the word I should use there is fluctuate. So, it fluctuates on a short-term scale. There are certain organisms that can fluctuate on a short-term scale. But, on a long-term scale, the organisms that actually are most stable are these organisms we've been talking about, the prevotella and the bacteroides. They are enriched based off on your long-term diet. But, on the short term, you're definitely going to see some small changes in the distribution of your gut microbiome.
Ben: Okay.
Chidozie: Yeah. But, it's not anything huge when you're looking at bacteroides and prevotella, which are the main enterotypes.
Ben: Okay, got it.
Chidozie: Okay. So, it looks like you're optimal for every single bacteria that is on the common cell section, which is [00:33:02] _____.
Ben: Yeah, I was pleased to see that. Those are pretty well-balanced.
Chidozie: Yes, which is great. That suggests that you're keeping an anti-inflammatory state. Your gut bacteria are producing beneficial compounds and metabolites like your vitamins, your neurotransmitters, et cetera.
Okay. The third section is what we call the pathobionts. So, these pathobionts are organisms that when they're in your gut in small amount, you're completely fine or when they absent, you're fine. But, they tend to pose a problem to your gut health when they overgrow. And, this overgrowth might be as a result of intestinal dysbiosis or a long round of antibiotics regimen that potentially just wipes out the beneficial organisms in the interim that can actually lead to the bloom of this pathobionts, especially the ones that are antibiotic resistant. Alright.
Ben: And, those are extreme but you didn't pick up that term. It's pathobiont, P-A-T-H-O-B-I-O-N-T. These are the ones that you don't want to overgrow.
Chidozie: You don't want them to overgrow. So, if you have them in small amount, you're fine. Or, if you don't have them at all, you're fine. And here, you're actually optimal in almost all of them except for proteobacteria.
Now, this is also borderline high because we recommend 0 to 4% here, and you have 5% here. And here, we know that this proteobacteria pretty much gram-negative bacteria that if you look at the outer covering of this bacteria, they have what we call the lipopolysaccharides. And, these lipopolysaccharides is made up of lipid and polysaccharides. And, we've known for over three to four decades that these components of the bacteria are highly, highly pro-inflammatory. So, this becomes a problem when you have an increased intestinal permeability.
For people that have a leaky gut, what happens is that, and when they have high levels of proteobacteria, those bacteria tend to translocate from places like the gut lumen across to the epithelium. And then, they can actually insight complex immunological reactions, which sets the stage for inflammation.
Ben: So, a high pathobiont count, in that case, could be indicative of the presence of leaky gut or a permeable gut lining.
Chidozie: Yes, it could be indicative of that.
Ben: So, I should be checking out my bowel movements to see if I have any spinach or corn or carrots or seeds and nuts in there to see if stuff's going through or not, right?
Chidozie: Yeah. But, I think also the most important thing there is think about the gut as an ecosystem where all of these organisms are competing for everything, resources space, inclusive. So, what we tend to see is that when you increase the amount of your probiotic bacteria, which some of which you're deficient in, you automatically see a reduction in this proteobacteria. And, how does that happen? A lot of these probiotic bacteria produce things like butyrate. And, we've seen academic literature that butyrate actually plays a huge role in sequestering lipopolysaccharides. So, that's actually one smart way of driving down levels of proteobacteria. It is by increasing the amount of your beneficial organism such as your probiotic bacteria.
Ben: Okay. Yeah. And, that's achieved through I know a wide variety of fiber-containing foods, elevate that butyrate count. Okay.
Chidozie: Exactly, exactly. Yeah. And then, for other things like hydrogen sulfide producers, we have organisms like Bilophila wadsworthia, desulfovibrio. These are pretty much sulfate-reducing bacteria. And Bilophila, the name gives it away. It's a bilophila bacteria. It degrades bile to produce hydrogen sulfide. Desulfovibrio is also a hydrogen sulfide producer.
One of the things that we encourage here is when you have high levels, we encourage that you want to keep this almost non-existent or super low because an overproduction, an overaccumulation of these organisms can actually lead to an accumulation of hydrogen sulfide.
Ben: Right. So, you get almost small intestine bacterial overgrowth-like symptoms like SIBO, gas bloating, things like that if those were elevated.
Chidozie: If those are elevated. More they cause an impact in your large bowel, which can of course then impact your upper bowel. In which case, you're talking about your SIBO. Yes.
Ben: Well, I'm glad mine aren't elevated then.
Chidozie: Zero. Completely zero.
Ben: Okay, cool. It's good.
Chidozie: Methanobacteria is another one. You have zero. These are methane producers. We actually see this with people who are dealing with chronic constipation. And, we've also seen this in people who have constipation-predominant IBS. And, when you think about it, that makes sense because methanobacteria, a very popular species of it is Methanobrevibacter smithii produces methane. And, we know that methane actually contributes to the slowing of the transit time of food across your gastrointestinal tract.
Ben: Alright, good. I'm not producing a lot of methane. I'm not a cow. Great. I actually don't really fart that much. So, that's a clue. Alright.
Chidozie: Okay. enterococcus E. coli is zero, zero, which is great.
Ben: Good. No E. coli.
Chidozie: Okay. Now, exogenous pathogen. So, exogenous pathogens are bacteria that are not — these are not part of your normal flora. If you find them there, especially in high amounts, it means that you've actually picked them up from the surrounding. An example is Campylobacter. That is very highly, highly implicated in food poisoning. Shigella contributes to dysenteriae. Salmonella staphylococcus, vibrio, yersinia, all of them, you have them at zero. So, that's fantastic.
Ben: Great.
Chidozie: Okay. So, that's Section 2. Section 3, here, we're giving you insights into metabolites that are produced. So here, again, we are not measuring the metabolite. 16S cannot measure metabolite. But, we are basically just showing you the proportion of organisms that we know produce these metabolites.
Here, we start by showing you short-chain fatty acid producers, butyrate, acetate, and propionate. So, for butyrate and acetate, it makes sense because if you look at the previous result that we went through now, we saw short-chain fatty acid producers to be low. That's why your score here is 41 and 48. And, just to elaborate, what you see are the metabolites, what you see are your percentage score, pretty much how you compare to other people who have taken the test. And here, you're seeing the associated impact.
Ben: So, still showing an elevated need to get the short-chain fatty acids in the gut elevated.
Chidozie: That's correct.
Ben: Got it.
Chidozie: For neurotransmitters, everything checks out. Organisms that produce dopamine, GABA could be higher. I think this is important. This is also to say that if your values are low here, it doesn't necessarily mean that you're actually deficient in GABA and dopamine. We're just looking at the microbiota contribution.
Ben: Right. But, it's a good glimpse into a predictive analysis of the gut-brain axis as far as the neurotransmitters that are potentially being created as metabolites in the gut.
Chidozie: Yes, it is. And so, we show neurotransmitter producers. For vitamin producers, you actually check out outstandingly on all of them. Vitamin B1 down to K2. You're all in the satisfactory range in the 70s and 80s. Here, we have the toxin producers. Here, you want your values to be less or closer to zero. So, for your hydrogen sulfite, that makes a lot of sense because you don't have those organisms that produce hydrogen sulfide as we saw.
Ammonia, 57. Here, we are basically looking at organisms that are known to metabolize proteinous foods to produce ammonia. And, you're 57 there, that shows need work. Methane, you're good. You're actually in the first percentile. That's wonderful. LPS, that makes sense because we've seen that your proteobacteria, you actually have about 5% of your gut in the proteobacteria.
Ben: Okay, got it. Quick question, the ammonia piece. You see that elevated. You said, for example, with the metabolizing of meat, is there or maybe you're getting to this on your recommendations. If so, you could just shut me down and save it for later. But, is there a way to actually modulate or lower that value?
Chidozie: Yeah. One way that we tend to reduce that is we tell people to go down a little bit on animal-based diet.
Ben: Okay.
Chidozie: Okay. So, detoxification markers, great, and longevity factors. So here, we are basically just looking at the organisms. For example, we're looking at myrosinase. We know that there are certain bacteria that actually have the myrosinase enzyme that helps to break things like glucosinolates to isothiocyanate, which have anti-inflammatory properties and anti-cancer properties.
Ben: Right. Those are the ones you'd find in high amounts like sulforaphane and broccoli sprouts and things like that.
Chidozie: Exactly, and cruciferous vegetables. Exactly.
Ben: And, you said mine were a little bit low or I could increase my intake of things like cruciferous?
Chidozie: Yes. Yeah, that's a good point. You could increase that. That could help to enrich the organisms that break that down.
Ben: Okay, got it.
Chidozie: Yes. Yeah.
Ben: And, by the way, real quick back to the ammonia piece, just something I was thinking about after you said that about meat. Is part of it improper digestion of meat? Could it be related to low pancreatic enzyme production or poor meat digestion versus overall meat intake? Because again, I don't eat a ton of meat. It's part of my diet, but I'm not nowhere near my carnivore friend's intake.
Chidozie: No, absolutely. Yeah. It could be that. Unfortunately, we can't just account for that using a test like this.
Ben: Yeah. Okay, got it.
Chidozie: Yeah. Okay. So, that is the Section 3. And, the last piece is the Section 4, which is where we basically show you recommendations. So, based off on what we saw, what should you be eating and what shouldn't you be eating. And, these recommendations, I must say that they're purely based off on what we know in academic literature.
And so, here, we're seeing things and we stratify the recommendations into foods probiotics, prebiotics, supplements, and lifestyle changes. So here, we see that Ben should be taking cranberry. Why? Cranberry, rye, and cherry, but why should he be taking those? Because those three recommendations increase akkermansia.
Ben: Cranberry, rye, and what was the other one you said?
Chidozie: Cherry.
Ben: Cranberry, rye, and cherry. Okay. So, if you're going to take an akkermansia supplement, if you included cranberry not just on Thanksgiving, folks, rye. I'm assuming like rye bread, rye crackers and things like that, and cherry. I love tart cherry before bed, by the way. It helps with sleep. That would increase akkermansia.
Chidozie: Akkermansia, yes.
Ben: Okay, that's interesting.
Chidozie: And, we show all the scientific evidence that actually back that up.
Ben: Yeah, you've got all the studies listed there. Okay, got it.
Chidozie: Yeah, exactly. And, we do the same. So, that's the approach. So, we start out by just showing the things that are low and high, and then all these recommendations just attend to them.
Ben: Yeah. Okay, that's super helpful. What are some of the highlights on the recommendations that you think are the most critical or important based on what you saw on my test?
Chidozie: I think some of the most critical things here are we want to get akkermansia up. One is we've shown how cranberry, rye, and things like cherry can increase akkermansia. But also, probiotics that can increase akkermansia that are not akkermansia probiotics or Enterococcus faecium, Lactobacillus kefiri. We've seen that in academic literature that by supplementing with those probiotics, you can actually indirectly increase the levels of your akkermansia.
Ben: Did you call it Lactobacillus kefiri? Like, what you'd find in kefir?
Chidozie: Yes.
Ben: Oh, interesting. Okay.
Chidozie: Yeah.
Ben: Well, I know how to make that. I usually use as a meat marinade, but I can start drinking more of it. So, that's good to know. Okay, got it.
Chidozie: Yup. And then, for supplements, you see things like sulforaphane, which makes sense because we were just talking about the bacteria that harbor myrosinase enzymes. We know that myrosinase helps actually to break down things like glucosinolate to sulforaphane. So here, you can actually supplement with sulforaphane. And, we know that by supplementing with that, you can reduce bacteroidetes because you're already high in bacteroidetes. So, anything that you see here to be reduced I think you're already high.
Ben: Well, my wife and I have really been getting into making sprouts a lot. We actually weren't that into it prior to when I had taken this test when we just got some new sprouting kits from the sprouting company. And, I've actually already increased my sulforaphane intake pretty significantly just by having sprouts with just about everything except maybe breakfast.
Chidozie: Yeah. That's actually something that we started in this house literally last week.
Ben: Yeah. So easy and so cheap compared to buying from the grocery store.
Chidozie: Yes, exactly. Yes.
Okay. And, lifestyle changes. We see these are some of the things that we recommend. High fiber diet: fruits, legume fiber, and we show why you should be including those.
Ben: I mean, would you ever not recommend that? Would you ever see something where you'd say, hey, back off the fiber or don't eat as many plants? I mean, it seems that's just generally a broad recommendation. I mean, besides an autoimmune issue or an elimination diet, for example, which you're no doubt familiar with. That's why some people will follow the carnivore for a short-term stint to manage some autoimmunity flare-ups. But, for the most part, I'm assuming you're recommending that to just about everybody, the plant and fiber intake.
Chidozie: Yeah. Yeah, it's a good point. It's one of the things that we have consistently seen to actually have more. It impacts more health benefits than not.
Ben: Yeah. Okay, got it.
Chidozie: Yeah. Okay. Yeah. So then, this is what your test result is. And, for people who are interested in digging a little bit more, they want to look at all the references where the recommendations are coming from. We also show them those in [00:48:12] _____.
Ben: Okay, cool. I have a few follow-up questions. The first is, and I've been asked this before by people I think related to 16S sequencing. Is there evidence that when you implement these recommendations that you can actually shift this profile significantly? Do you take a group of people do the 16S sequencing implement the results, come back, do the sequencing again, and see actual change?
Chidozie: Yeah, absolutely. There are actually studies. And, the way these studies have been set up is you pretty much have two groups of people. You test them prior to when they actually start the interventions. And then, after they do the interventions for eight weeks or 10 weeks or thereabout, you then test them again. And, there are lots of studies that actually show dramatic changes between those two time points.
Ben: Okay.
Chidozie: So, yes. And, we work with clinicians who are already using this test. This is the way they use it. It's more like they use it longitudinally. They test their patients prior to giving them the interventions. And, after three months, they test again.
Ben: Okay. And then, as far as the butyrate and the short-chain fatty acids, let's say someone were eating a low fiber diet because they have gut issues or they have FODMAP sensitivities or maybe some type of autoimmune issue. Is there something to be said for the use of butyric acid supplementation or some other approach that wouldn't be so hefty in fiber to increase short-chain fatty acids?
Chidozie: Yes, absolutely. Absolutely. So, in that case, supplementation with butyrate supplement makes sense like BHB and the rest. Because we know that people who are dealing with IBS issues can't withstand high FODMAP foods.
Ben: And, I could be misremembering this, but does coconut oil or coconut products, do they have an impact on short-chain fatty acids?
Chidozie: Yeah, they do.
Ben: Okay. So, if you were, I don't know, let's say you're eating a carnivore diet, you could include things like butyric acid supplementation or coconut oil and elevate levels of short-chain fatty acids higher than what they might be on a non-fiber diet?
Chidozie: Yeah, yeah. But, that's the thing. The goal is, yes, you can do that, but the bigger goal is to actually want to arm your resident bacteria to be able to produce these things rather than doing a complement continuous supplementation. But, when you need to in situations like this, yes, it makes total sense to supplement.
Ben: Okay, got it.
The next question kind of a logistical one. I test so much. I don't remember. Is this just a tissue swab on the butt after you poop or was this the one where you got to fill up a bunch of tubes? Remind me the logistics of the test.
Chidozie: Yeah. So, we send you the kit home and then you basically collect your sample on a tissue paper and then you take a swab stick to just pick a sample.
Ben: So, it's a very small amount compared to the Genova Diagnostics GI-MAP test where you're filling out, I don't know, four to six tubes if I remember properly.
Chidozie: Yeah. That's because for Genova, for example, they're also kind of processing part of the samples using different other techniques. So, they need a large sample size.
Ben: Yeah. So, way less performance anxiety, folks. You just got to wipe and have to hover over the toilet and try to fill up everything. So, that's good.
And then, another question about this. If someone tests in terms of their results, obviously they get a PDF. I don't want to give people the impression you're going to hop on the phone for an hour with everybody who gets results back in, but how do you guys approach the process of interpreting or walking people through their results?
Chidozie: Yeah, that's a very good question. So, we actually have about 50 active clinics now that are using the test. So, one of the services that we also provide is when people take the test and they're interested in working with a practitioner, we can actually link you up with one of our practitioners who can help you walk through the results and give you more insight into your profile.
Ben: Yeah, the PDF is pretty helpful but I know some people might want a deeper dive walkthrough like we're doing right now. And then, as far as the cost of this test, how does it compare to other gut tests in terms of the investment?
Chidozie: Oh, yeah. So, the test currently goes for $150. For people in Canada, it's C$210. And, one of the reasons why is that we have prioritized affordability because just coming into this space, we've seen that that's a major pain point. These tests are out of pocket and people, you get better value from this test when you can actually retest after trying out the interventions. So, $150 USD, 210 Canadian dollars.
Ben: Okay, got it. And, when you were going through the vitamins and the metabolites related to vitamin production, have you ever yourself seen someone go out and get a blood test and see, for example, for I don't know, vitamin D or something like that that the results correlate? Like, if you have low vitamin D metabolites that you'd also have low 1-hydroxy-vitamin D levels in the blood or something like that.
Chidozie: That's a really good question. For vitamins, no, but we've seen that with short-chain fatty acids. We've seen that with people who have done the test, the super low on short-chain fatty acid producers. And then, they do another metabolomics test that actually measures and quantify the actual metabolites in their fecal sample. And, that correlated with the lower levels that they saw our test.
Ben: Now, in your lab with everything you know about gut and gut testing technology, are there any up-and-coming technologies or tests or research that you're particularly excited about?
Chidozie: Oh, yeah. That's a good question. Yeah, I'm excited about where the gut microbiome is going. I think that all of these different techniques that we're using now is telling us part of the story, which is great. But, in my opinion, I think that where we are actually going to get a full appreciation, especially in the context of dysbiosis is when we can merge whole genome sequencing and metabolomics. But, the problem now is cost. So, as there is more adoption, what we envisaging is that in the near future, the cost will really go down and then we can actually combine those kind of two powerful techniques to really understand the gut microbiome.
Ben: Okay, got it.
So, let's summarize. There's four different sections of the test. You're looking at the probiotic bacteria, the commensals, the pathobionts, and then the, what was the last ones?
Chidozie: The recommendation section.
Ben: Yeah, the recommendation section where you see which foods to eat, which lifestyle factors to adjust. And then, in terms of, for example, for a guy like me, you're seeing despite me eating a widely varied omnivorous diet, inclusive of fermented foods that travel might have had an impact on the gut biome that I personally need more akkermansia and more short-chain fatty acids. I may want to look into my enzyme production to see how good a job I'm doing breaking down the meat that I'm consuming. And, I should increase my sulforaphane intake from cruciferi broccoli, sprouts, et cetera. And then, for the akkermansia piece, in addition to looking into something like an akkermansia probiotic, cherry, rye, and cranberry.
Chidozie: Right. That's correct. That's a wonderful summary, actually.
Ben: Yeah, it helps me a lot to be able to just summarize things in 30 seconds. So, I don't have to go up to the refrigerator and Instacart and Amazon and order a hundred different things I don't need. So, this is super helpful.
Well, I'm going to include a link to Vitract in the shownotes. I believe we have a discount as well on the testing. And so, you can go to BenGreenfieldLife.com/VitractPodcast, V-I-T-R-A-C-T podcast. You can leave your questions, your comments, your feedback there if you have your own gut questions or more questions about how this test works, how it compares to others. Just go there and leave them all. And Dozie, thanks so much for doing this, man. It's been super interesting and insightful.
Chidozie: Thank you very much, Ben. Thank you for having me on your podcast as well. It was a good talk.
Ben: Yeah, absolutely. It's my pleasure. Alright, folks. Well, I'm Ben Greenfield along with Dozie from Vitract signing out from BenGreenfieldLife.com. Have an amazing week.
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Reading Time: 6 minutes
What I Discuss with Chidozie Ojobor
-Who is Dr. Chidozie Ojobor? – 05:38
-How does Dr. Chidozie take care of his gut? – 08:03
-What are the advantages of the hunter-gatherer style of diet? – 11:13
-Are probiotics better than fermented foods? – 13:04
-Do you need supplements for a healthy gut? – 14:56
-What Vitract test can tell you about gut health? – 16:01
-How does Vitract differ from other gut tests? – 19:00
-What does the Vitract test say about Ben’s gut health? – 21:27
-Gut health and diversity score – 22:27
-Health and disease-associated bacteria – 24:51
-Pathobionts – 41:22
-Metabolites, neurotransmitters, and vitamin producers – 46:59
-What are Dr. Chidozie's recommendations for Ben’s gut health? – 51:28
-Clinical studies related to 16s sequencing – 56:13
-What are the logistics and interpretation of the Vitract test? – 58:46
-And much more…
My guest on today's show, Dr. Chidozie Ojobor, has devoted his entire career to unraveling the complexities of biological systems, particularly the gut microbiome.
In this episode, you'll dive deep into the Vitract gut microbiome test with Dr. Chidozie and I. He'll dissect my personal Vitract results, giving you a firsthand look at what this test can reveal. You'll also explore how 16s sequencing technology identifies the diverse bacteria living in your gut, what the test can tell you about your gut diversity, the balance between beneficial and harmful bacteria, the production of microbial metabolites, and signs of gut dysbiosis. Plus, you'll discover how these results can be used to create personalized recommendations for your diet, probiotics, and lifestyle changes.
Dr. Ojobor is a scientist with over 15 years of research experience in bacterial genetics. He has a bachelor's degree in microbiology and obtained his Ph.D. in molecular genetics from the University of Toronto. Dr. Ojobor has spent a decade developing novel antimicrobial entities that target disease-causing bacteria in complex biological ecosystems such as the gut. In 2019, he won the Global Citizen Award for combating drug-resistant bacteria implicated in exacerbating cystic fibrosis. Dr. Ojobor’s previous research experience includes phage therapy, CRISPR technology, and gastroenteritis of viral origin in children.
Today, he and his team at Vitract are transforming that research expertise into developing comprehensive and accessible gut microbiome testing for clinicians who are keen on improving the gut health of their clients. Vitract (use code BEN10 to save 10%) combines molecular microbiology, complex math, and AI to transform the gut health of Canadians and Americans.
Their flagship 16s gut microbiome sequencing test, which I did and which Dr. Ojobor and I discuss on this show, has garnered widespread adoption and is now actively employed in numerous clinics.
Vitract's test stands out on two crucial fronts: accessibility and actionability. With an affordable price point, customers can now seamlessly incorporate gut testing into their health regimen, facilitating retesting to gauge progress over time. The test results and detailed reports that you receive with Vitract not only illuminate the composition of the gut microbiome but, more importantly, provide actionable insights on how to modify bacteria for optimal health. Dr. Ojobor and his team's commitment to making advanced gut health insights accessible and actionable marks a significant leap forward in personalized healthcare.
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– Gut Tests:
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- 16S rRNA gene sequencing and healthy reference ranges for 28 clinically relevant microbial taxa from the human gut microbiome
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