QC: What Role Does The Gut Microbiome and Probiotics Play in Endometriosis?

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to

Meet Dietitian Sarah Ray

Speaker 1
0:37

connect
.

Today

we're

joined

by

Sarah

Ray

from

Pacific

Northwest

Endometriosis

Nutrition
.

She's

a

registered

dietitian

specializing

in

endometriosis

and

fertility

nutrition
.

She's

here

to

cut

through

the

noise

and

share

real
,

evidence-based

strategies

to

help

you

fuel

your

body

without

the

confusion
.

Let's

dive

in
.

What

role

does

the

gut

microbiome

and

probiotics

play

in

managing

endometriosis

and

its

symptoms

Gut Microbiome's Impact on Endometriosis

Speaker 1
1:08

?

Speaker 2
1:08

Yeah
.

So

gut

health

is

something

that

I

focus

on

a

lot

with

endometriosis

care
,

because

when

we're

living

in

a

chronically

inflamed

state
,

or

maybe

we've

been

treated

for

a

lot

of

UTIs

when

we

haven't

been

diagnosed

with

endometriosis

yet
,

or

we're

getting

constant

infections

from

weak

immune

system
,

that

can

really

throw

off

our

gut

balance
.

So

we

have

this

direct

connection

between

our

brain

and

our

gut

and

we

know

that

when

our

gut

microbiome

is

off
,

we

can

have

more

anxiety
,

we

can

have

more

stress
,

we

can

have

more

depression

and

we

might

just

feel

more

pain
.

So

maybe

somebody

who

eats

an

apple

with

endometriosis

may

experience

severe
,

painful

bloating

and

their

partner

may

have

the

same

thing

and

they

might

have

the

same

amount

of

gas
,

but

they

don't

feel

that

pain

in

the

same

way

because

their

gut

is

not

so

inflamed

like

we

have

with

an

endometriosis
.

Speaker 2
2:00

Patient

Probiotics

are

the

evidence

is

still

really

mixed

Truth About Probiotics & Supplements

Speaker 2
2:04

for

them
.

Patient

Probiotics

are

the

evidence

is

still

really

mixed

for

them

and

we're

going

to

get

the

most

benefit

from

a

probiotic

if

we

do

something

like

GI

mapping
,

where

they

actually

take

a

stool

sample

and

they

look

at

what

is

out

of

balance

and

then

we

add

that

probiotic

in
.

As

with

a

lot

of

things
.

It's

something

that's

not

generally

covered

by

interns

or

not

accessible

for

a

lot

of

people
.

So

there

are

certain

strains

of

probiotics

that

are

helpful

for

constipation
,

specifically

if

that's

what

you're

struggling

with
,

or

helpful

for

if

you're

having

diarrhea
,

and

so

working

with

a

professional

who

understands

probiotics

is

going

to

have

the

most

benefit

if

you

want

to

take

it

as

a

supplement
,

because

if

it's

not

that

strain

of

bacteria

that

you

need
,

it's

really

not

going

to

do

anything

or

change

your

symptoms
,

right
?

There's

also

the

issue

of

you

know
,

are

we

actually

getting

the

probiotics
?

So

are

they

living

through

our

stomach

acid

and

things

like

that
?

Speaker 2
2:55

So

the

most

benefit

we're

going

to

get

from

probiotics

and

everybody

can

do

is

eat

probiotic

rich

foods
.

So

that

is

things

that

are

fermented
,

like

tempeh
,

if

you're

eating

soy
.

Miso

is

another

one
.

We

can

have

things

like

kombucha

yogurts
.

Cottage

cheese

has

a

little

bit

of

probiotics

in

it
.

Apple

cider

vinegar

has

live

cultures
.

So

there's

a

lot

of

different

things

that

we

can

eat

and

include

in

our

diet

on

a

regular

basis

Natural Sources & Feeding Good Bacteria

Speaker 2
3:23

.

Speaker 2
3:23

Kefir

that

is

going

to

help

keep

those

good

bacteria

populated
,

and

you

don't

have

to

pay

a

lot

for

a

supplement
,

right
?

The

other

thing

is

the

good

guys
,

the

good

gut

bacteria

love

to

feed

on

fruits

and

vegetables

and

lean

proteins

of

those

healthy

foods

and

those

bad

bacteria

that

can

kind

of

overtake
.

So
,

especially

if

we

see

things

like

small

intestinal

bacterial

overgrowth
,

sibo

they

will

feed

off

of

anything
.

So

they're

the

people

that

will

come

to

the

party

and

eat

pizza

and

soda

and

they

don't

care
,

they're

just

going

to

stay
.

And

if

they

eat

vegetables

they

don't

care
.

But

the

good

bacteria
,

if

they're

not

getting

fed
,

they

are

going

to

leave
,

so

they'll

leave

in

your

stool
.

So

if

you

are

having

probiotics

or

you're

working

on

probiotic

rich

foods
,

it's

also

really

important

that

you're

getting

that

variety

of

fiber

the

prebiotic

fiber

is

what

we

call

it

to

help

keep

the

good

guys

there

and

keep

that

balance

in

check
.

Speaker 1
4:18

That's

a

wrap

for

this

Quick

Episode Closing & Contact Information

Speaker 1
4:20

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.

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