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Can you improve gut health? Let’s dive into the science

Portrait of Ellie Hughes

Written byEllie Hughes

Josie Porter smiling in kitchen

Reviewed byJosie Porter

Female laying on bed with hands on stomach
When you think about improving your gut health, you might just think about digestion. But actually your gut has an impact way beyond what you eat

Summary

1What's gut health?

Your gut refers to your entire digestive system that breaks down food for energy. But gut health itself isn’t a medical term.

2Can you improve gut health?

The potential for improving your gut health is closely linked to how quickly it responds to changes in your diet.

3Why is gut health important?

Your gut health impacts your day-to-day health and may impact other areas of your health from your brain to your skin.

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Did you know that 90% of your serotonin (the ‘happy hormone’) is made in your gut? And the benefits of taking care of your insides don’t stop there. “Looking after your gut pays dividends everywhere else in your body,” explains registered dietitian Josie Porter. But how do you know if your gut is healthy or not? Is it possible to improve your gut health to get these benefits, and, if so, how do you do it? We asked Josie for her tips and advice.

What is gut health?

First off, your gut isn’t just your stomach or belly. It actually refers to your entire digestive system or gastrointestinal tract – a long tube from your mouth to your anus – that breaks down food for energy.1 That includes certain organs, such as your stomach, small intestine, large intestine (colon), oesophagus and rectum. It also includes your gut microbiome, which is made up of trillions of friendly bacteria, fungi and even viruses (collectively known as gut flora) that live in your gut and play an important role in your wellbeing.2

And gut health itself isn’t a medical term as such. “There’s no official definition of ‘gut health’, but research tends to focus on three key areas, which I call the ‘three Ds’: digestion, diversity of gut microbes (especially the bacteria) and being disease-free,” explains Josie. All three of these functions are linked to each other, supporting gut health by working together.3

The gut microbes help you digest food by breaking down fibre and making helpful compounds called short-chain fatty acids, that fuel your gut cells and lower inflammation.4 “Good digestion supports a healthy balance of gut microbes so they can thrive. It’s thought that when these two are in sync, it could potentially support your gut lining and keep your immune system strong,” says Josie.

Can you improve gut health?

The potential for improving your gut health is closely linked to how quickly it responds to changes in your diet. The good news is that small studies looking at the impact of eating a high-fibre, plant-based diet vs. a low-fibre, animal-based diet found that changes in the gut occur after just 24 hours.
Hand holding chop sticks and a bowl of kimchi
However, the gut reverted back to its original formation within 48 hours of the diet stopping.5 That suggests that we may be able to influence our gut health, while also not needing to panic if we spend a few days eating differently to normal. Like so much with health and wellness – it's the consistent, day-by-day changes that make a difference. The idea that there’s a miracle cure to ‘heal your gut’ is a myth. But there are plenty of things we can do to support our gut health, especially when it comes to our diets.

How to support your gut through diet and lifestyle

Your diet has the biggest influence on supporting good gut health. “Fibre is one of the most powerful tools we have, yet most of us in the UK fall short of the 30-gram guideline and sit closer to 18-20 grams.6 This means that for many of us, our gut often isn’t getting the fuel it needs,” says Josie. “A quick way to gauge your own intake is to look at your weekly foods. If plants like beans, lentils, wholegrains, nuts, seeds or fruit and veg barely feature, or if most meals don’t have at least one fibre-rich component, your baseline is probably on the lower side.”

There’s more to it than just fibre, though. A wide variety of foods is key to a healthy gut, with research showing that eating around 30 different plants a week is linked with greater microbial diversity than eating ten or fewer.7 “A great way to get closer to 30 is by trying to mix up the different plants in your weekly food shop, by selecting mixed seeds, berries or tinned beans.”

Aside from your food, focusing on managing stress is a key step to supporting your gut. “When you feel tense or overwhelmed, your gut often becomes more sensitive, sluggish or reactive. The reassuring part is that the opposite is also true. Anything that genuinely helps you unwind – whether that’s a walk8 or some slow breathing before mealtimes9 – can help your digestion settle,” says Josie. “Supporting your gut is not only about what you eat but also about giving your body moments of calm to support the whole system.”

Why is gut health important?

Your gut health impacts your day-to-day health and may impact other areas of your health from your brain to your skin. Here’s how your gut interacts with other areas of your wellbeing.

Gut health and immunity

“A large share of your immune system sits in and around the gut, constantly checking what’s coming in and deciding how much inflammation is needed to protect the body.10 When this system runs smoothly, the rest of your body tends to feel more stable, too. You often notice it in small, everyday ways, like steadier energy, clearer headspace, more predictable digestion or simply feeling a little less bloated and sluggish overall,” says Josie.

Gut health and digestion

Many of us will have first-hand experience of the impact of poor digestion – for example, discomfort such as bloating after eating, or trouble going to the toilet. A study11 has shown that improvements in the gut microbiome can help with both of these.

Gut health and brain function

Most of the links between the gut and brain are emerging, meaning scientists don’t have a full picture of the exact pathways that make them work or how to harness them to make full recommendations for improving health. However, what the research does show looks promising.

“One of the clearest examples is the gut–brain axis. Your gut and brain are in constant conversation, potentially influencing everything from stress levels to appetite, mood and how grounded you feel day to day.12 It’s why stress can leave your stomach in knots and why a settled, well-fed gut can sometimes make you feel calmer,” says Josie.
Female with hand over shoulder

Gut health and skin

How your gut microbiome affects your skin health is still unclear but scientists are increasingly talking about a link called the gut-skin axis. Evidence is increasingly emerging of a connection between the gut and skin-associated diseases such as psoriasis, atopic dermatitis, acne and rosacea.13

Gut health and energy

“Your gut releases hormones during digestion which help you feel comfortably full and keep your blood sugar steady.14 This is why a balanced plate can leave you energised for hours, while a less balanced one can have you in a slump by 3pm,” says Josie. “A healthy gut environment also helps you absorb key nutrients like ironB vitamins, and fats properly, which quietly supports everything from energy levels to skin health to hormone health.”15

Gut health and sleep

The idea that good sleep starts in the stomach is still being reviewed but research suggests your microbiome may impact your circadian rhythm (your body clock that influences when you wake and when you sleep), affecting how well you fall and stay asleep.16 However, more research is needed in this area.

Signs of good gut health

So, after all of that, how do you know whether you actually have good gut health that will support your overall health? You might be thinking that good gut health means a perfectly flat stomach, no bloating ever and doing a poo at the same time each day. But healthy guts still have normal ups and downs, especially with stress, hormones, travel or what you’ve eaten. “What matters most is how things feel most of the time, not whether every day is identical,” says Josie.

Signs17 your gut is generally in a good place include:
  • comfortable bowel movements, starting from around three times a week
  • feeling satisfied and energised throughout the day
  • minimal bloating or wind, which occasionally comes and goes rather than dominates your day

Signs of poor gut health

Signs18 your gut might need a little more support include:
  • persistent bloating that’s painful or feels out of proportion to what you’re eating
  • ongoing constipation or loose stools
  • frequent stomach discomfort
  • feeling overly full very quickly
  • recurrent reflux that interferes with day-to-day life
“If these symptoms stick around or start affecting your routine, it’s worth checking in with your GP for guidance,” adds Josie.

The final say

Looking after your gut health doesn’t just support digestion – it can lead to better wellness overall. You can support your gut health with simple habits to help your gut bacteria to thrive and your digestive system to function. Looking to learn more? Take a look at a deep dive into how your gut affects the rest of your body and probiotics explained. If you have continuous gut health issues or anything that feels out of the ordinary for you, it’s important to see your GP.
Disclaimer – This article provides informational advice and is not a substitute for medical care. Working with experts for accuracy, we take great care to ensure the information is up-to-date and relevant. However, you should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision.

Sources

1. National Institute of Diabetes and Digestive and Kidney Diseases. Your Digestive System & How It Works [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. 2017. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works
2. Jandhyala SM. Role of the Normal Gut Microbiota. World Journal of Gastroenterology [Internet]. 2015 Aug 7;21(29):8787. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4528021/
3. Xiao C, Wang J, Su C, Miao Z, Tang J, Ouyang Y, et al. Associations of dietary diversity with the gut microbiome, fecal metabolites, and host metabolism: results from 2 prospective Chinese cohorts. The American Journal of Clinical Nutrition. 2022 Sep 13;116(4):1049–58.
4. Jandhyala SM. Role of the Normal Gut Microbiota. World Journal of Gastroenterology [Internet]. 2015 Aug 7;21(29):8787. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4528021/
5. Singh RK, Chang HW, Yan D, Lee KM, Ucmak D, Wong K, et al. Influence of diet on the gut microbiome and implications for human health. Journal of Translational Medicine [Internet]. 2017 Apr 8;15(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385025/
6. GOV.UK. NDNS: results from years 9 to 11 (combined) - statistical summary [Internet]. GOV.UK [reviewed 2020 Dec 11; cited 2025 Apr 8]. Available from: https://www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019/ndns-results-from-years-9-to-11-combined-statistical-summary
7. McDonald D, Hyde E, Debelius JW, Morton JT, Gonzalez A, Ackermann G, et al. American Gut: an Open Platform for Citizen Science Microbiome Research. Greene CS, editor. mSystems [Internet]. 2018 May 15;3(3). Available from: https://journals.asm.org/doi/10.1128/mSystems.00031-18
8. Dalton A, Mermier C, Zuhl M. Exercise influence on the microbiome–gut–brain axis. Gut Microbes. 2019 Jan 31;10(5):1–14.
9. Cherpak CE. Mindful eating: A review of how the stress-digestion-mindfulness triad may modulate and improve gastrointestinal and digestive function. Integrative Medicine: A Clinician’s Journal [Internet]. 2019 Aug;18(4):48–53. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7219460/
10. Wiertsema SP, van Bergenhenegouwen J, Garssen J, Knippels LMJ. The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies. Nutrients. 2021 Mar 9;13(3):886.
11. Inoue R, Suzuki K, Takaoka M, Narumi M, Naito Y. Effects of Dietary Fiber Supplementation on Gut Microbiota and Bowel Function in Healthy Adults: A Randomized Controlled Trial. Microorganisms. 2025 Sep 5;13(9):2068.
12. Ahmed F, Alhodieb FS, Alsanie SA, Rasheed M, Ndagire CT. Relationship between stress, diet, and gut microbiota: a cross-sectional study. Nutrition & Metabolism. 2025 Oct 16;22(1).
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14. Nakrani MN, Wineland RH, Anjum F. Physiology, Glucose Metabolism [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560599/
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