I tried a test that let me peek inside my microbiome, the 'forgotten organ' that scientists say is the future of medicine - and what I learned shocked me
Jessica Richman founded uBiome as a citizen science project in 2012. Since then, her company has quietly risen to prominence. Investors think uBiome's data could be used to design new drugs for everything from autoimmune diseases to cancer.
So far, uBiome has collected microbiome samples from 250,000 customers, Richman told Business Insider in September. She aims to reach 1 million samples by 2019, she said.
I got a free uBiome test kit at an event organized by Silicon Valley venture firm Rock Health. At $89, it's the most basic version of the 3 tests uBiome offers. The other tests require a physician's sign-off.
Having experienced mild digestive issues for years, I was excited to learn more about how the bacteria in my gut were faring. Would I learn more about what was causing my occasional bloating, cramps, and indigestion, or simply walk away from the test more confused than before?
Called the "Explorer," my test included a set of clear instructions to take my gut sample. The process wasn't as easy as merely spitting in a tube, however.
Instead, I had to take a sample from a bowel movement. That involved using the bathroom, rolling one of the swabs included in the kit over my used toilet paper, and spinning the swab around in a small plastic tube.
Once the sampling was done, I sealed up my tube, placed it in the mail, and registered my kit at uBiome's website.
Next I answered some questions about my diet and lifestyle. The questions would help uBiome's researchers assemble the right health recommendations for me based on my results.
One question asked about the foods I'd eaten in the past 24 hours. It included some common items thought to affect the makeup of your microbiome, such as red meat, fish, gluten (found in bread, pasta, and baked goods), artificial sweeteners (often found in diet soda, some toothpastes and protein powders), dairy, and sugar.
As someone who generally eats anything (with the exception of red meat, which I avoid for environmental reasons), I found myself simply checking off all the boxes on some of the questions.
When I got my results via email several weeks later, one finding in particular shocked me.
The rest of my results seemed pretty normal, though. I learned I had a healthy portion of the bacteria that help us maintain a healthy weight, for example.
A variety of bacteria have been linked with helping us maintain a healthy weight, including Akkermansia muciniphila, Bifidobacterium, Coprococcus, and Roseburia.
"Research suggests that people who have higher levels of these bacteria are less likely to be overweight or obese," my uBiome report read.
My sample indicated that I had slightly higher-than-average levels of all of these bacteria compared with others in the uBiome database — good news for me.
My report also said I had higher-than-average levels of beneficial or probiotic bacteria in my gut, such as the kinds found in yogurt and probiotic supplements.
Several years ago, I saw a gastroenterologist about my digestive symptoms. At her recommendation, I started taking a daily probiotic supplement and upped my intake of probiotic foods like yogurt, so this part of my uBiome report didn't surprise me.
I also learned that I have a pretty diverse microbiome that's rich in different kinds of healthy bacteria. This is a good indication that my gut is doing well overall.
But the last result shocked me. It said I had 0.00% of the bacteria that help our bodies break down gluten — the ingredient found in everything from bread and baked goods to pasta and even some sauces.
Concerned, I called Rusha Modi, a gastroenterologist at the University of Southern California, to help walk me through the findings. I'd already been tested for celiac disease — a rare and painful genetic disorder that makes people intolerant to gluten — and come up negative. What did this mean?
One important thing to keep in mind about the uBiome results, Modi told me, is that they are comparative, meaning they look at how your gut microbes compare to the rest of the samples they've gotten.
Compared to the hundreds of thousands of other samples in uBiome's database, my sample lacked all five of the strains of bacteria known to help digest gluten. That means that while I may not have celiac disease, I could experience negative side effects from eating gluten that other people don't, such as bloating, gas, and cramps, he said.
My results are limited by another significant factor as well, Modi said: They only showcase what my gut looked like at a single point in time.
It would be like taking a photo of your garden and sending it to a friend to get her input on how well the garden was doing year-round, Modi said. Everything from seasons to the weather that day (did it rain? was there a drought?) could influence how the garden appeared in the picture.
To get a more complete picture of what was really going on in my gut, I'd either need multiple snapshots from many different points in time or a full workup from a specialist, Modi said.
In essence, although my test couldn't be used as a diagnosis, it could be part of a larger series of steps I take to learn more about my gut, Modi said.
With that in mind, Modi had a recommendation for others who want to take these kinds of tests.
"If they're part of a process that encourages you to learn which parts of your lifestyle may or may not be assisting your health, then by all means — as long as you understand that the science of these tests is still emerging — then I think they're great," he said.
But "if you have an expectation that you might get some particular answer about a problem, then you’re probably going to be disappointed."
I'll keep my finding in mind the next time I choose between a sandwich and a salad. And if I continue to experience issues — especially if they start to interfere with my normal activities — I'll return to a specialist.
In the meantime, I'm excited to contribute to a wealth of data that uBiome is assembling on the microbiome. And hopefully in several years, we'll have enough of that information to start to reveal meaningful and significant datapoints that can have real-world applications.
"That’s the hope," Modi said.
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