Myth check

Common beliefs about the gut, briefly put into context. Each card links to the chapter with the evidence.

  • False

    “A urine mycotoxin test shows whether I have mould poisoning.”

    Mycotoxins are also found in the urine of healthy people because they come from food. There are no levels above which they make you ill. The US CDC warns against these tests.

    Evidence in the chapter: Mould: mycotoxins in food and damp in the home

  • False

    “A probiotic is a probiotic; what matters is lots of bacteria.”

    The effect depends on the strain. In IBS, individual strains helped in meta-analyses, other strains of the same species did not. Many products only name the species.

    Evidence in the chapter: Spore-forming bacteria: Bacillus and co. as probiotics

  • False

    “A low DAO value in the blood proves histamine intolerance.”

    In studies the blood test does not reliably separate affected people from healthy ones. A food diary, a low-histamine trial phase and ruling out other causes tell you more.

    Evidence in the chapter: Histamine intolerance: much searched, little proven

  • False

    “Fasting detoxes the gut, and symptoms during fasting show that toxins are being eliminated.”

    False. Fasting markedly changes the gut microbiota and metabolism, but there is no evidence of “detoxification”. Headache, dizziness or nausea during fasting usually have simple causes such as lack of fluid and salt, caffeine withdrawal or low blood sugar.

    Evidence in the chapter: Longer fasting: water fasting, therapeutic fasting and fasting-mimicking

  • False

    “A liver and gallbladder flush with olive oil washes out gallstones.”

    False. The greenish “stones” afterwards consist of fatty acids, a kind of soap made from the oil itself. Real gallstones are not flushed out this way, and if stones are present, the cleanse can trigger a colic.

    Evidence in the chapter: Pressure under the right ribs: bile, liver and gallstones

  • False

    “If an all-meat diet ends the bloating, the gut is healed.”

    False. Without carbohydrates and fibre, gut bacteria have less to ferment, so less gas is produced. At the same time, butyrate producers decline. This is symptom control by starving the bacteria, not healing, and long-term data are missing.

    Evidence in the chapter: Carnivore and keto: less gas, but at what cost?

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