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  • Writer's pictureDr. Jessica

The Gut-Brain-Fertility Connection

Yes, it's true. Your gut is considered your "second brain." There is no denying it anymore. And because of the new scientific discoveries about the Vagus nerve, the enteric nervous system, and the amazing influence your gut microbes can have, it's no wonder what you eat feeds not only your body but can directly affect your brain and your fertility...including sperm health.

What exactly is the "gut-brain connection”?

Well, it’s very complex, and to be honest, we’re still learning lots about it!

There seems to be multiple things working together. Things like:

● The Vagus nerve that links the gut directly to the brain;

● The massive number of neurotransmitters produced by the gut.

● The huge part of the immune system that is in the gut but can travel throughout the body.

● The interactions and messages sent by the gut microbes.

● The “enteric nervous system” (A.K.A. “second brain) that helps the complex intricacies of digestion

flow with little to no involvement from the actual brain.

I’ll briefly touch on these areas and end off with a delicious recipe to start feeding your gut-brain connection.

Vagus Nerve

This nerve runs directly from the gut to the brain. And after reading this so far, you’ll probably get a sense of which direction 90% of the transmission is…not from your brain to your gut (which is what we used to think), but from your gut up to your brain! Stress has been shown to impact the proper functioning of the Vagus nerve and it is associated with inflammatory conditions of the intestinal tract such as IBS. Stimulation of the vagal nerve has been shown in some studies to help with depression, when pharmaceutical therapy did not provide relief.

~ for the geeks: PMID: 29692707, PMID: 29163522

The Enteric Nervous System and Neurotransmitters

Would you believe me if I told you that the gut has more nerves than your spinal cord? I knew you would! And that's why it's referred to as the "second brain." If you think about it, controlling the complex process of digestion (i.e. digestive enzymes, absorption of nutrients, the flow of food, etc.) should probably be done pretty "smartly"...don't you think? And guess how these nerves speak to each other, and to other cells? By chemical messengers called "neurotransmitters." In fact, many of the neurotransmitters that have a strong effect on our mood are made in the gut! e.g. a whopping 95% of serotonin is made in your gut, not in your brain!

~ PMID: 28487547

The Immune System of the Gut

Because eating and drinking is a huge portal where disease-causing critters can get into your body, it makes total sense that much of our defense system would be located there too, right? Seventy-five percent of our immune system is in our gut! And you know that the immune cells can move throughout the entire body and cause inflammation just about anywhere, right? Well, if they’re “activated” by something in the gut, they can potentially wreak havoc anywhere in the body. Including the potential to cause inflammation in the brain. I will often run food sensitivity testing for my patients to identify specific foods that contribute to inflammation. This can be an important part of the puzzle when working with fertility and preconception care. It doesn't matter how many supplements you take if you are consuming an inflammatory diet.

Gut Microbes - Brain and Sperm Health

Your friendly neighborhood gut residents. You have billions of those little guys happily living in your gut. And they do amazing things like help you digest certain foods, make certain vitamins, and even help regulate inflammation! But more and more evidence is showing that changes in your gut microbiota can impact your mood, and even other, more serious, mental health issues.

~ PMID: 31010014

New research done in 2021 has shown that Lactobacillus appears to protect sperm quality. This is an important consideration when thinking about fertility and preconception health. 50% of infertility can be attributed to men.

~PMID: 32794312

How do these all work together for brain health?

The honest answer to how these things all work together is that we really don't know just yet. More and more studies are being done to learn more. But one thing is becoming clear. A healthy gut goes hand-in-hand with not just a healthy brain but also with any couples interested in improving their preconception health or those struggling with infertility.

So, how do we feed our gut microbiome?

Of course, a variety of minimally processed, nutrient-dense, whole foods is required, because no nutrients work alone. Two things that you may consider eating more of are fiber and omega-3 fats. Fiber (in fruits, veggies, nuts & seeds) help to feed your awesome gut microbes. And omega-3 fats (in fatty fish, walnuts, algae, and seeds like flax, chia, and hemp) are well-known inflammation-lowering brain boosters.

Recipe: Blueberry Hemp Overnight Oats (Serves 2)

1 cup blueberries (fresh or frozen)

1 cup oats (gluten-free)

1 cup almond milk

1 tablespoon chia seeds

2 tablespoons hemp seeds

½ teaspoon cinnamon

1 banana, sliced

¼ cup chopped walnuts

1. Blend blueberries in the food processor until smooth.

2. Mix blueberries, oats, almond milk, chia seeds, hemp seeds in a bowl with a lid.

Let set in fridge overnight.

3. Split into two bowls and top with cinnamon, banana, and walnuts.

Tip: Your gut microbes love to eat the fiber in the blueberries, oats, seeds, and nuts. Meanwhile, your brain loves the omega-3 fats in the seeds and nuts.

Clinically, I see the health of a persons gut important for fertility, energy, immunity and mood. One way to investigate if your gut might be impacting your health is to consider identifying and removing food sensitivities. One of the ways I do this with patients is to run a food sensitivity panel.

Curious what food sensitivity test results look like?


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