Health
Doctors Warn Against Reliability of At-Home Gut Microbiome Tests
Medical experts are cautioning consumers about the growing popularity of at-home gut microbiome tests, saying the products are largely unregulated, often unreliable, and offer little practical medical insight beyond personal curiosity.
The tests, marketed by private companies for €90 to €460 or more, claim to analyse the trillions of bacteria living in a person’s intestines and provide personalised health insights. But gastroenterologists say the science behind these promises is still too limited to make meaningful recommendations.
“There’s a world in your gut that we still don’t know a lot about,” said Dr. Mark Benson, a gastroenterologist at the University of Wisconsin-Madison. “While there’s growing evidence that changes in the gut microbiome are associated with diseases like diabetes, liver disease, and obesity, we don’t yet know if those changes are a cause or a consequence.”
The gut microbiome — a complex ecosystem of bacteria that aids digestion, immune function, and even mental health — varies widely between individuals, and even within the same person over time. “Most of the variability between people, we don’t understand,” said Dr. Eamonn Quigley, head of gastroenterology and hepatology at Houston Methodist Hospital.
Most consumer microbiome tests require a stool sample, which is analysed by a private lab. Customers receive a report comparing their bacterial mix to what the company defines as an “ideal” microbiome. But experts note that no official medical standards exist for such comparisons. Unlike clinical stool tests ordered by doctors to diagnose infections or inflammation, these direct-to-consumer products are not federally regulated and vary widely in quality.
“When patients bring in these reports, there’s often little we can do with them,” said Dr. Sean Spencer, a physician-scientist at Stanford University. “Beyond antibiotics and diet, we don’t have reliable tools to change the microbiome.”
Some companies also blur the line between testing and sales. Nearly half of microbiome testing firms also sell supplements they recommend based on test results, according to Science Policy Forum. For example, wellness brand Thorne includes supplement suggestions with its reports. While its chief scientific officer Nathan Price denies any conflict of interest, critics warn that such practices can mislead consumers into unnecessary spending.
Doctors stress that people don’t need expensive tests to improve gut health. “Eat more plant-based fibre and protein, get good sleep, and exercise,” Benson advised. “Those habits have proven benefits — the tests don’t.”
Researchers remain hopeful that microbiome science will one day lead to targeted treatments for digestive and metabolic disorders. But for now, Quigley said, “We’re still in the early stages. Most people are simply wasting their money.”
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