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{"id":5119,"date":"2023-11-03T17:57:41","date_gmt":"2023-11-03T17:57:41","guid":{"rendered":"https:\/\/sixitstage.com\/kellmanmd\/a-new-view-of-the-gut-no-more-blind-tubes\/"},"modified":"2025-10-10T15:36:35","modified_gmt":"2025-10-10T15:36:35","slug":"a-new-view-of-the-gut-no-more-blind-tubes","status":"publish","type":"post","link":"https:\/\/sixitstage.com\/kellmanmd\/a-new-view-of-the-gut-no-more-blind-tubes\/","title":{"rendered":"A New View of the Gut: No More Blind Tubes"},"content":{"rendered":"<article class=\"tgMH9T\">\n<div class=\"HW6ttf\">\n<header class=\"PhCafd\">\n<div class=\"PKQ95p\">\n<div class=\"MbPQSQ\">\n<div class=\"a5JqMF\">\n<div class=\"hSZsuG\">When I was in medical school, we spoke of the gut as a \u201cblind tube\u201d whose entire purpose was to take in food, break it down, pass it on to the body, and eliminate it.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/header>\n<section class=\"VQDdIN\">\n<div class=\"moHCnT\">\n<div class=\"moHCnT\">\n<div class=\"fTEXDR\" data-rce-version=\"10.144.0\">\n<div class=\"tw3v6\" dir=\"ltr\" style=\"--ricos-text-color: rgb(var(--textParagraphColor-rgb)); --ricos-text-color-tuple: var(--textParagraphColor-rgb); --ricos-action-color: rgb(var(--postButtonBackgroundColor)); --ricos-action-color-tuple: var(--postButtonBackgroundColor); --ricos-background-color: rgb(var(--postBackgroundColor)); --ricos-background-color-tuple: var(--postBackgroundColor); --ricos-fallback-color: #000000; --ricos-fallback-color-tuple: 0, 0, 0; --ricos-settings-action-color: #000000; --ricos-settings-action-color-tuple: 0, 0, 0; --ricos-text-on-action-color: rgb(var(--postButtonTextColor)); --ricos-text-on-action-color-tuple: var(--postButtonTextColor); --ricos-action-color-fallback: #000000; --ricos-action-color-fallback-tuple: 0, 0, 0; --ricos-custom-p-font-weight: var(--textParagraphFont-weight); --ricos-custom-p-font-style: var(--textParagraphFont-style); --ricos-custom-p-line-height: max(calc(var(--textParagraphFont-size) * 1.5), var(--textParagraphFont-line-height)); --ricos-custom-p-font-size: var(--textParagraphFont-size); --ricos-custom-p-font-family: var(--textParagraphFont-family); --ricos-custom-p-text-decoration: var(--textParagraphFont-text-decoration); --ricos-custom-p-color: rgb(var(--textParagraphColor)); --ricos-custom-h1-font-weight: var(--textH1Font-weight); --ricos-custom-h1-font-style: var(--textH1Font-style); --ricos-custom-h1-line-height: var(--textH1Font-line-height); --ricos-custom-h1-font-size: var(--textH1Font-size); --ricos-custom-h1-font-family: var(--textH1Font-family); --ricos-custom-h1-text-decoration: var(--textH1Font-text-decoration); --ricos-custom-h1-color: rgb(var(--textH1Color)); --ricos-custom-h2-font-weight: var(--textH2Font-weight); --ricos-custom-h2-font-style: var(--textH2Font-style); --ricos-custom-h2-line-height: var(--textH2Font-line-height); --ricos-custom-h2-font-size: var(--textH2Font-size); --ricos-custom-h2-font-family: var(--textH2Font-family); --ricos-custom-h2-text-decoration: var(--textH2Font-text-decoration); --ricos-custom-h2-color: rgb(var(--textH2Color)); --ricos-custom-h3-font-weight: var(--textH3Font-weight); --ricos-custom-h3-font-style: var(--textH3Font-style); --ricos-custom-h3-line-height: var(--textH3Font-line-height); --ricos-custom-h3-font-size: var(--textH3Font-size); --ricos-custom-h3-font-family: var(--textH3Font-family); --ricos-custom-h3-text-decoration: var(--textH3Font-text-decoration); --ricos-custom-h3-color: rgb(var(--textH3Color)); --ricos-custom-h4-font-weight: var(--textH4Font-weight); --ricos-custom-h4-font-style: var(--textH4Font-style); --ricos-custom-h4-line-height: var(--textH4Font-line-height); --ricos-custom-h4-font-size: var(--textH4Font-size); --ricos-custom-h4-font-family: var(--textH4Font-family); --ricos-custom-h4-text-decoration: var(--textH4Font-text-decoration); --ricos-custom-h4-color: rgb(var(--textH4Color)); --ricos-custom-h5-font-weight: var(--textH5Font-weight); --ricos-custom-h5-font-style: var(--textH5Font-style); --ricos-custom-h5-line-height: var(--textH5Font-line-height); --ricos-custom-h5-font-size: var(--textH5Font-size); --ricos-custom-h5-font-family: var(--textH5Font-family); --ricos-custom-h5-text-decoration: var(--textH5Font-text-decoration); --ricos-custom-h5-color: rgb(var(--textH5Color)); --ricos-custom-h6-font-weight: var(--textH6Font-weight); --ricos-custom-h6-font-style: var(--textH6Font-style); --ricos-custom-h6-line-height: var(--textH6Font-line-height); --ricos-custom-h6-font-size: var(--textH6Font-size); --ricos-custom-h6-font-family: var(--textH6Font-family); --ricos-custom-h6-text-decoration: var(--textH6Font-text-decoration); --ricos-custom-h6-color: rgb(var(--textH6Color)); --ricos-custom-quote-line-height: var(--textQuoteFont-line-height); --ricos-custom-quote-font-size: var(--textQuoteFont-size); --ricos-custom-quote-font-style: var(--textQuoteFont-style); --ricos-custom-quote-font-family: var(--textQuoteFont-family); --ricos-custom-quote-font-weight: var(--textQuoteFont-weight); --ricos-custom-quote-text-decoration: var(--textQuoteFont-text-decoration); --ricos-custom-quote-color: rgb(var(--textQuoteColor)); --ricos-custom-quote-border-color: rgb(var(--textLinksAndHashtagsColor)); --ricos-custom-quote-margin-inline-start: var(--ricosQuoteMarginInlineStart); --ricos-custom-code-block-line-height: 1.5; --ricos-custom-link-font-style: inherit; --ricos-custom-link-font-weight: inherit; --ricos-custom-link-text-decoration: inherit; --ricos-custom-link-color: rgb(var(--textLinksAndHashtagsColor)); --ricos-custom-hashtag-font-style: inherit; --ricos-custom-hashtag-font-weight: inherit; --ricos-custom-hashtag-text-decoration: inherit; --ricos-custom-hashtag-color: rgb(var(--textLinksAndHashtagsColor)); --ricos-custom-footer-toolbar-padding-inline-start: var(--ricosFooterPadding); --ricos-custom-footer-toolbar-padding-inline-end: var(--ricosFooterPadding); --ricos-custom-editor-add-plugin-button-position-inline-start: var(--ricosAddPluginButtonStart); --ricos-breakout-normal-padding-start: var(--ricosNormalPadding); --ricos-breakout-normal-padding-end: var(--ricosNormalPadding); --ricos-breakout-full-width-padding-start: var(--ricosFullWidthPadding); --ricos-breakout-full-width-padding-end: var(--ricosFullWidthPadding);\" data-id=\"content-viewer\">\n<div class=\"Jh16y\">\n<div class=\"Hy1uF\">\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-dnv76\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-3vl2d\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">That negative view of the gut could not be further from the truth. Far from being a \u201cblind tube,\u201d <strong style=\"font-weight: bold;\">your gut is really a second brain<\/strong>.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-36spm\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-86dij\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">Gut Facts<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-fs6oi\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">\u00a0<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-6icgn\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Consider the facts. There are more neurons in your gut than there are cells in your spinal column. You produce more serotonin \u2014 the \u201cfeel-good\u201d biochemical that prevents depression and insomnia \u2014 in your gut than you do in your brain.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-9gi5d\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-8ou4b\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Your gut doesn\u2019t simply \u201ctake orders\u201d from your brain. Rather, communication between your gut and your brain is a bi-directional highway. Stress and anxiety in your brain can create indigestion in your gut. Bacterial imbalance in the gut can spark depression, anxiety, and \u201cbrain fog.\u201d It\u2019s definitely a two-way conversation, with each side having something to contribute.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-1eala\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-27irv\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">Gut Feelings: Not Just a Metaphor<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-bu390\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">\u00a0<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-buct5\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">So guess what? All those expressions that we thought were just metaphors actually refer to a very real biological phenomenon.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<ul class=\"e0ul2 YY-zb\">\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-9366u\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">Gut feelings.<\/em><\/span><\/p>\n<\/li>\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-587bg\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">Gut feelings.<\/em><\/span><\/p>\n<\/li>\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-9mms5\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">Gut reaction.<\/em><\/span><\/p>\n<\/li>\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-9q3nu\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">I feel it in my gut.<\/em><\/span><\/p>\n<\/li>\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-grbn\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">Listen to your gut.<\/em><\/span><\/p>\n<\/li>\n<li class=\"_5EHX7\" dir=\"auto\" style=\"text-align: AUTO; margin-inline-start: 1.5em; list-style-type: disc;\" aria-level=\"1\">\n<p id=\"viewer-58q41\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"\"><span class=\"k6Gbk\"><em style=\"font-style: italic;\">Go with your gut.<\/em><\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-dao52\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Modern science used to scoff at such thinking, treating it as a relic of the past. But what I have seen with thousands of patients is that these old expressions actually point our way to the medicine of the future. These so-called metaphors actually represent a deeper physiological understanding that there is a kind of intelligence in the gut.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-5bbb6\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-86j2d\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">Where do gut reactions come from?<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-dimm7\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">\u00a0<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-9o3ja\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Once we acknowledge the intelligence contained in our gut feelings, we transform our whole idea of what we consider \u201cintelligent.\u201d We also transform our understanding of our own bodies. Because where, finally, do gut reactions come from? Not solely from the human cells in our digestive tract, but also from the trillions of bacteria that live within our gut and elsewhere in our bodies.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-1t64f\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-6na60\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Perhaps one individual little microbe doesn\u2019t have much intelligence\u2014but when you put trillions of bacteria together into a single system, that system exhibits a profound intelligence that goes far beyond anything that any one part of it could achieve. This is the power of emergent properties, the scientific term for what happens when something genuinely new emerges out of many individual pieces.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-8hsot\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1a8nv\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">Recently I saw a remarkable video of a huge flock of birds that dipped and swirled in extraordinary patterns. Who knows what each individual bird would have done on its own. But from the collective action of all the birds together, an amazing intelligence emerged: a brilliantly organized display of aviational skill. Separately, each bird knew very little. Together, they knew how to create something awe-inspiring.<\/span><\/p>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-cukra\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">\u00a0<\/span><\/div>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-5fc70\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">The Intelligence of Our Gut<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-ftrn8\" class=\"g7n2G EGKQY YY-zb _3DWex\" dir=\"auto\" style=\"line-height: max(0.8em, 1.1em);\"><span class=\"NKkSo\">\u00a0<\/span><\/h2>\n<\/div>\n<div><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1aqtc\" class=\"-kA22 pbpjT YY-zb _3DWex\" dir=\"auto\"><span class=\"k6Gbk\">In the same way, our individual microbes work as an extraordinary collective to create a new intelligence\u2014the intelligence of our gut. This unique intelligence has the ability to create profound healing. Far from the mindless activity of a blind tube, the human and bacterial cells of your gut create a fusion of knowledge and emotion\u2014the ultimate wisdom of a gut reaction.<\/span><\/p>\n<\/div>\n<div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/article>\n","protected":false},"excerpt":{"rendered":"<p>When I was in medical school, we spoke of the gut as a \u201cblind tube\u201d whose entire purpose was to take in food, break it down, pass it on to the body, and eliminate it. \u00a0 That negative view of the gut could not be further from the truth. Far from being a \u201cblind tube,\u201d [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5118,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5119","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A New View of the Gut: No More Blind Tubes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sixitstage.com\/kellmanmd\/a-new-view-of-the-gut-no-more-blind-tubes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A New View of the Gut: No More Blind Tubes\" \/>\n<meta property=\"og:description\" content=\"When I was in medical school, we spoke of the gut as a \u201cblind tube\u201d whose entire purpose was to take in food, break it down, pass it on to the body, and eliminate it. \u00a0 That negative view of the gut could not be further from the truth. Far from being a \u201cblind tube,\u201d [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sixitstage.com\/kellmanmd\/a-new-view-of-the-gut-no-more-blind-tubes\/\" \/>\n<meta property=\"og:site_name\" content=\"Raphael Kellman MD\" \/>\n<meta property=\"article:published_time\" content=\"2023-11-03T17:57:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-10T15:36:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sixitstage.com\/kellmanmd\/wp-content\/uploads\/2025\/10\/11062b_81ddb63f999d433f9ae33eb30d517012mv2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Superadmin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Superadmin\" \/>\n\t<meta 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