Dysbiosis describes an imbalance in the microorganisms that inhabit the gut and other parts of the body.
Nutritional therapists view this disturbance as an issue that can affect whole body health because of the microbiome’s influence on digestion, immunity, metabolic health and emotional wellbeing.
When the microbial community becomes disrupted, normal functions may falter, creating an environment that encourages inflammation and wider health problems.
Firstly, what is the gut microbiome?
It’s the vast community of trillions of microorganisms (bacteria, viruses, fungi, archaea) living in your digestive tract, acting like a vital "second organ" crucial for health, helping process food, produce vitamins, train the immune system, protect against pathogens, and even influencing mood via the gut-brain axis.
Therefore, dysbiosis refers to an imbalance or loss of diversity among gut microbes.
This may involve an excess of undesirable bacteria, an insufficiency of beneficial species, and can also include overgrowth of bacteria in places like the small intestine, weakening gut barrier function, and, as a result, modifys immune activity and influences nutrient absorption.
Over time, this can create a more porous intestinal lining that could allow inflammatory molecules to enter circulation, contributing to symptoms affecting almost anywhere in the body (1).
The immune system: A vast majority (around 70-80%) of the body's immune cells reside in the gut, which helps distinguish between harmful pathogens and beneficial bacteria (2).
Neurological networks: The "gut-brain axis" describes the bidirectional communication pathway between the central nervous system and the gut, influencing mood, stress response, and even cognitive functions.
And, it’s worth noting that approximately 90% of serotonin is produced in the gut through microbial activity (3).
Metabolic health: Gut bacteria aid in digesting food, producing essential vitamins, and regulating how the body stores fat and manages blood sugar levels.
So, with over 500–1000 bacterial species present, changes in diet, environment or medication can easily disrupt this delicate ecosystem (4).
When dysbiosis does develop, symptoms may include bloating, constipation, acne and brain fog, and long-term concerns may involve weakened immunity, autoimmune conditions, arthritis, mood changes and inflammatory bowel disorders such as Crohn’s Disease, Ulcerative Colitis and some cases of Inflammatory Bowel Disease (IBD). It’s also a significant factor in Irritable Bowel Syndrome (IBS) (5).
Signs and symptoms of dysbiosis may appear as fatigue, brain fog, joint discomfort and skin changes such as acne or eczema (6).
Emotional and cognitive symptoms may include anxiety, low mood or reduced concentration, due to gut–brain signalling (mentioned previously) (7) (8).
Nutritional consequences, including malabsorption, food sensitivities and weight changes, may also occur (9).
A number of lifestyle and environmental influences can disrupt the gut microbiome.
These include a highly processed diet high in sugar and damaged fats, low fibre intake, overeating, certain medications (particularly antibiotics), environmental toxins, smoking, alcohol, coffee, persistent stress, poor sleep and lack of exercise.
These are all factors that may weaken the gut barrier, promote inflammation and interfere with microbial diversity over time.
Identifying and addressing contributors such as diet, stress, medication use or environmental exposures may allow microbial balance to gradually recover.
Improvements in symptoms often parallel improvements in gut integrity and immune stability.
Recurrence is possible when the original triggers are not fully addressed, making long-term awareness of diet and lifestyle important.
Treatment focuses on rebalancing the microbiome, improving gut barrier integrity and reducing inflammatory burden.
Nutritional therapists emphasise a personalised, integrative plan combining diet, lifestyle and therapeutic agents.
Increasing fibre-rich foods supports beneficial microbes, while reducing processed foods, sugars and damaged fats may prevent the imbalance from getting worse.
An elimination diet can assist in identifying foods that aggravate symptoms, creating clarity around personal triggers. This is often in cases of IBS or Small intestinal Bacterial Overgrowth (SIBO), and followed by gradual reintroduction to support improved tolerance (10).
When appropriate to include, organic vegetables, legumes and whole grains are encouraged for their fibre content, which promotes healthy gut function. Fermented foods such as sauerkraut, kimchi, kefir, kombucha and yoghurt provide beneficial bacteria, while prebiotic foods such as artichoke, onion, raw garlic, asparagus and dandelion greens help these microbes thrive.
Some practitioners use bowel-cleansing approaches to reduce toxin build-up and ease microbial overload.
Herbs such as dandelion root, burdock and others which may support elimination, while psyllium husk can help sweep accumulated waste from the intestinal tract (11).
Although this differs from probiotic strategies, both approaches aim to create an environment more favourable to beneficial bacteria.
Bitter foods, such as dandelion root, radishes, artichokes and dark leafy greens, may stimulate digestion and support detoxification processes in the liver. This is important because the liver plays an important role in processing metabolic by-products associated with dysbiosis (11) (12).
Improved digestion may reduce fermentation, gas and discomfort.
Foods and herbs such as turmeric, ginger, coconut oil and flaxseed oil may help lower inflammation in the gut.
Soothing agents may be useful when dysbiosis contributes to a porous intestinal barrier.
These include herbs and plant extracts such as slippery elm, marshmallow root and aloe vera, which can coat and calm the digestive tract, reducing irritation and supporting mucosal recovery (13).
Glutamine, an amino acid, may help maintain mucous membrane integrity and promote immune cell activity within the gut.
Probiotics may introduce beneficial microbial strains, while prebiotics assist in helping these strains establish (14).
Herbal antimicrobial agents may be used in cases such as bacterial overgrowth.
These are typically integrated into a broader plan from a nutritional therapist, aimed at restoring microbial diversity rather than isolating and suppressing problem microbes alone.
Dysbiosis is essentially a disturbance in the gut’s delicate microbial ecosystem, and it can affect digestion, immunity, metabolic balance and emotional wellbeing as a result.
A combination of dietary adjustments, lifestyle improvements, microbial support, gut-soothing therapies and targeted interventions may help restore balance over time.
Plus, it helps to understand personal triggers and then maintain long-term supportive habits to sustain progress.
Recommended products
YourGut Defence: A synbiotic formula combining beneficial bacteria with vitamins and minerals to support gut balance and everyday immune health.
Therapy Organics Gut Reset Plan: A guided six-week programme designed to reset the microbiome using targeted supplements and a structured digestive wellness plan.
Terranova Microbiome Woman 50’s: A probiotic and botanical blend tailored to support feminine microbiome balance, including key Lactobacillus species.
Pure Encapsulations L-Glutamine 850mg (90 Caps): A convenient and easy way to obtain the amino acid glutamine in a professional strength capsule.
Herbs Hands Healing Gut Rest (90g): The herbs traditionally help maintain digestive permeability.

Please note that the information contained within this website does not and should not replace medical advice, and is not intended to treat or diagnose. We always recommend you consult with your doctor. Our Nutritional Therapy team is highly trained and we offer one to one Nutritional Therapy Consultations, which are designed to be complementary to any medical treatment from a functional medicine approach, as well as offering a preventative & optimal health focus.