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

Locations

Office Hours

Our Regular Schedule

Monday:

3/16: 9:00am

7:00pm

Tuesday:

3/17: 9:00am

1:00pm

Wednesday:

3/18: 2:00pm

9:00pm

Thursday:

3/19: 9:00am

1:00pm

Friday:

3/20: 9:00am

7:00pm

Saturday:

3/21: 9:00am

12:00pm

Sunday:

3/22: CLOSED

CLOSED

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Doug is definitely the best chiropractor I ever went to in my life. I usually tense up when it comes time to cracking my neck, but I was so at ease with Dr. Doug, he cracked it effortlessly.

    He really takes his time with you and is a very caring, personable doctor. He got me out of my pain and I slept like a baby.

    I'd also have to add how nice and clean the office is. The magazines are organized better than a library. They play great music in the reception area. And the office manager, Emily, is a sweetheart. She's very friendly; and fast and efficient when it comes to checking your insurance.

    I'm so happy I found this place!"
    Maryanne Christiano-Mistretta / Facebook Reviews
  • "The entire staff is friendly, efficient, helpful, accommodating. Dr. Torrisi is possibly the most patient doctor on the planet. At the risk of sounding too dramatic, his treatment has been life changing. Perhaps the LEAST remarkable thing he has done is cure 20 years of chronic migraines, but there has been a steady decrease in pain and an increase in mobility under his care. Truly amazingly positive results."
    Laura Schiffenhaus / Facebook Reviews