lassesen 3:23 am on May 23, 2017  

uBiome’s Clinical Report “Smart Gut”

uBiome has been offering clinical reports to MDs of some uBiome people.

Hi there,

We wrote you recently to invite you to the pilot program for SmartGut.  We are writing to let you know you are still invited to participate in the SmartGut pilot program.

If ordered, we will send you a clinical report on over a dozen common pathogens and commensals found in the human gut that affect your health with a clinical kit that we’ll send your way.

All you have to do is answer a few questions about your current health, and we’ll coordinate with your physician to request the test for you for your archived baseline if you have one as well as a new kit. It’s even covered by insurance. (As part of our pilot, we will not balance bill you for any amounts not paid by your insurance company.)

A reader has gotten their results, the “SmartGut” test report, show below.

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smart5

Smart8

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Bottom Line

This report is designed to be typical physician friendly. Information is presented in a friendly (idiot) format. This is not my #1 choice for CFS patients, I believe GanzImmun Diagnostics AG report [GDs] that I reviewed in this recent post is better. Let us look at what is in these reports

  • Akkermansia muciniphila – both
  • Alistipes – both
  • Anaerotruncus colihominis – both
  • Bacteroides fragilis – both
  • Barnesiella – Smart Gut only
  • Bifidobacteria – Smart Gut: 1 measure. GD’s – 3 breakdowns
  • Butyrivibrio crossotus – both
  • Campylobacter Smart Gut only
  • Clostridium – both
  • Clostridium difficile – Smart Gut only
  • Collinsella aerofaciens – both
  • Desfulovibrio piger – both
  • Dialister – GD’s species, invisus Smart Gut
  • Escherichia spp – GD’s, Shigella Smart Gut
  • Fusobacterium – both
  • Fusobacterium nucleatum — GD’s
  • Lactobacillus – both
  • Odoribacter -both
  • Methanobrevibacter smithii – both
  • Oxalobacter formigenes – both
  • Prevotella – both
  • Roseburia – both
  • Ruminococcus – both
  • Ruminococcus albus – smart gut only
  • Salmonella enterica – smart gut only
  • Veillonella – smart gut only
  • Vibrio cholera  – smart gut only

I will refrain from listing the dozens other bacteria that GDs has. SmartGut gives a simple High, Low, Normal for each measure — perfect for a physician to look at and jump to conclusions (or dismissal — “you are fine! There are no microbiome problems!”). SmartGut does not provide treatment advice of any form. No pH is provided.

GD’s provide actual numbers and scales which provide a far more complete picture. Using the GD’s results and the information of what is significant in the Smart Gut report (which is based on studies cited at the bottom of their report)

Problem with both: There are no gender reference ranges.

This patient’s results

Recommendations are simple:

  • Bifidobacteria probiotics, no lactobacillus probiotics.
  • See increasing Akkermansia post (“pH 5.5–8.0, with optimum growth at 37 C and pH 6.5″ [2004]) – thus an alkaline environment would inhibit it some. This may be available as a probiotic in the coming months/years.
  • There was no report on E.Coli, just a report on “Escherichia-Shigella” which are overgrowths seen in Crohn’s disease.