Your Fellow Travelers

It has long been known that over evolutionary time the human organism developed in tandem with a vast host of microbial fellow travelers. The 100 trillion microorganisms inhabiting our gastrointestinal tracts assist in numerous physiological processes critical to our health and well being. The intestinal microbiome (commensal microorganisms) helps maintain the integrity and function of the lining of the small intestine, helps us digest our food properly, and assists in training our immune systems to appropriately recognize friends and foes.1,2 Alterations in composition of the intestinal microbiome (dysbiosis) lead to many disorders and diseases, including celiac disease, osteoporosis, autoimmune diseases such as rheumatoid arthritis, and diabetes. Thus, dysbiosis needs to be considered in the evaluation and treatment of many common conditions. Fortunately, many forms of conservative management are available for dysbiosis, including use of probiotics and prebiotics.

Probiotics are formulations of live microorganisms that contain large numbers of colony-forming units, primarily lactobacilli and bifidobacteria.3 Taken as dietary supplements, probiotics persist in the gastrointestinal tract for several days and compete successfully with resident microorganisms. Probiotic bacteria help repair damaged linings of the small intestine, enhance nutrition, and suppress inflammatory intestinal reactions. Importantly, probiotic bacteria ferment undigested carbohydrates in the large intestine and produce nutrients for "good" microorganisms, helping restore the normal composition of commensal microorganisms.

Prebiotics are selectively fermented ingredients (foods) that target specific microorganisms and help restore balance in the intestinal microbiome. The primary targets are bifidobacteria and lactobacilli. By providing dietary substrates, prebiotics stimulate growth of specific bacteria and act to restore a more healthful composition of the intestinal microbiome. Many prebiotics are found naturally in foods such as garlic, onions, asparagus, and leeks. However, an effective means of obtaining prebiotics is to add prebiotic ingredients to bread, yoghurt, and drinks. In order to obtain full benefit, prebiotics and probiotics must be consumed regularly.

Dysbiosis is frequently the result of intolerance to gluten, a class of proteins found in wheat, barley, and rye. Chronic immune and inflammatory reactions to gluten peptides often lead to disturbances in intestinal microorganism homeostasis. Other conditions such as acute intestinal infection disrupt the intestinal epithelial barrier and lead to dysbiosis. The good news is that alterations in composition of the intestinal microbiome are usually correctable by supplementation with probiotics and prebiotics. The key to effective management is knowledge and awareness of the possibility of dysbiosis and access to appropriate methods of natural supplementation.

1Chistiakov DA, et al: Role of gut microbiota in the modulation of atherosclerosis-associated immune response. Front Microbiol 2015 Jun 30;6:671. doi: 10.3389/fmicb.2015.00671. eCollection 2015

2Purchiaroni F, et al: The role of intestinal microbiota and the immune system. Eur Rev Med Pharmacol Sci 17(3):323-333, 2013

3Hajela N, et al: Gut microbiome, gut function, and probiotics: Implications for health. Indian J Gastroenterol 34(2):93-107, 2015

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Office Hours

Our Regular Schedule

Loudonville Office

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-12:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-12:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Danville Office

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Granville Office

Monday:

Closed

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "When I first came to see Dr. Nathan Stinemetz, I had excruciating pain in my shoulder and lower back. Now, I feel like an energetic person again. Dr. Stinemetz, explained his procedure and what to expect after each treatment. With his gentle technique and simple instructions to follow between treatments, I've had excellent results and have my life back. He always made me feel comfortable and spoke to me as a concerned friend. Thank you Dr. Nathan!"
    Julie P.
  • "When I first visited Dr. Nathan Stinemetz, I did not inted to leave my previous chiropractor, but after that first visit, I knew Dr. Stinemetz possessed a unique ability to diagnose and treat my condition. He has the touch and utilizes a variety of techniques to tailor the adjustment to my current situation. His adjustment lasts three times longer than those of any other chiropractor I've visited, and I have never felt healthier."
    Jo S.
  • "After my stroke 8 years ago, I endured pain because the doctors discouraged seeing a chiropractor. Recently, my neck and back were really painfull and nothing helped, then I decided to see Dr. Nathan Stinemetz to try to get some relief. From my first appointment, I enjoyed relief. I'm continuing to get relief and I am able to enjoy life more day by day. Dr. Stinemetz treats me as a person, not a number with a time limit. Thanks Dr. Stinemetz!"
    Judy B.