Overview
Your gut is home to trillions of microbes that help digest food, protect your gut lining, train your immune system, and even influence mood and metabolism. When the balance shifts—too few “helpful” species and too many “unhelpful” ones—you get dysbiosis. Dysbiosis can show up as gas, bloating, irregular stools, food intolerances, fatigue, or brain fog. The good news: day-to-day choices strongly shape your microbiome, and small, steady steps often make the biggest difference (Penn State Health, 2018). Penn State Health News
This guide explains—in plain language—how unhealthy bacteria gain ground, what everyday habits restore balance, and how an integrative clinic led by a dual-licensed nurse practitioner and chiropractor can coordinate diagnosis, treatment, and (for injury cases) the legal documentation you may need.
What Is Dysbiosis?
Dysbiosis means your gut community is out of balance—too many harmful microbes, not enough beneficial ones, or lower overall diversity (Cleveland Clinic, 2024; USDA ARS, 2025). Cleveland Clinic+1
Common triggers include:
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A diet high in sugar and ultra-processed foods that lack fiber and contain many additives. These patterns “feed” invasive or less helpful microbes while starving beneficial, fiber-loving species (Cleveland Clinic, 2023). Cleveland Clinic
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Antibiotics and some other medications. Lifesaving when needed, but they can also reduce good bacteria, opening space for troublesome species to overgrow (Cleveland Clinic, 2024). Cleveland Clinic
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Stress and poor sleep. The brain–gut axis means chronic stress and short sleep can shift gut function and microbial balance (Cleveland Clinic, 2022; Northwestern Medicine, 2019). Cleveland Clinic+1
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Alcohol and environmental toxins. These can irritate the gut lining or alter the microbiome, pushing it toward dysbiosis (Cleveland Clinic, 2024; USDA ARS, 2025). Cleveland Clinic+1
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Infections and hygiene lapses. Harmful bacteria can enter through contaminated food or by touching a dirty surface and then your mouth (GoodRx, 2022). GoodRx
When dysbiosis persists, the risk of digestive symptoms increases and may extend to immune, metabolic, and even mental-health concerns (Northwestern Medicine, n.d.; DeGruttola et al., 2016). Northwestern Medicine+1
How “Bad” Bacteria Gain the Upper Hand
Unhealthy bacteria proliferate when the gut environment favors them. Three everyday patterns drive that shift:
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Fiber-poor, ultra-processed diets. Beneficial microbes thrive on plant fibers and resistant starches from beans, lentils, whole grains, fruits, and vegetables. Ultra-processed foods lack this fuel and may contain emulsifiers and additives that disturb the gut layer and its residents (Cleveland Clinic, 2023; Ferranti, 2014; Wilson, 2020). Cleveland Clinic+2PMC+2
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Medication and antimicrobial exposure. Antibiotics reduce pathogens but can also wipe out helpful species. Without healthy competition, opportunistic or invasive strains can take over (Cleveland Clinic, 2024). Cleveland Clinic
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Stress-sleep cycle and lifestyle. Stress hormones and short sleep affect gut motility, permeability, and immune signaling, tilting the ecosystem toward dysbiosis (Cleveland Clinic, 2022; Better Health Channel, 2023). Cleveland Clinic+1
Bottom line: dysbiosis is less about a single “bad bug” and more about the conditions that allow less helpful bacteria to dominate.
SIBO: When Bacteria Overgrow in the Small Intestine
Small Intestinal Bacterial Overgrowth (SIBO) is a specific form of dysbiosis characterized by too many bacteria in the small intestine, where levels are normally low. SIBO can cause gas, bloating, diarrhea, malabsorption, and nutrient deficiencies. It can also recur without addressing underlying causes such as motility issues or prior surgeries (Mayo Clinic, 2024; Mayo Clinic, 2024b). Mayo Clinic+1
Typical treatment involves antibiotics and nutrition strategies, but long-term success often requires fixing the root problem—like slow motility or structural issues—alongside diet and lifestyle changes (Krajicek et al., 2016). Mayo Clinic Proceedings
Everyday Habits That Re-Balance the Microbiome
You can reshape your gut environment in practical, sustainable ways. Evidence-informed actions include:
1) Eat More Plants and Fiber (Daily)
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Aim for variety. Diverse plants feed diverse microbes and boost short-chain fatty acids (SCFAs) that support the gut lining. Think “30 plants a week” as a friendly stretch goal (Cleveland Clinic, 2023; Washington Post, 2025). Cleveland Clinic+1
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Choose resistant starches. Beans, lentils, oats, barley, and cooled potatoes help produce butyrate, an SCFA linked to reduced inflammation (Washington Post, 2025). The Washington Post
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Swap refined grains for whole grains. Whole grains can shift microbiota composition and improve satiety (Cooper et al., 2015). PMC
2) Add Fermented Foods (Most Days)
Yogurt with live cultures, kefir, kimchi, sauerkraut, and kombucha introduce beneficial microbes and can improve microbial diversity. Look for “live and active cultures” on labels (Healthline, 2025; Cleveland Clinic Magazine, 2023; Leeuwendaal et al., 2022). Healthline+2Cleveland Clinic Magazine+2
Tip: Not all fermented foods contain live probiotics after processing. Check labels for live cultures (Healthline, 2017/updated). Healthline
3) Cut Back on Ultra-Processed Foods and Added Sugars
Ultra-processed foods often lack fiber, include additive “helpers,” and may promote a microbiome shift away from beneficial species (Cleveland Clinic, 2023; Ferranti, 2014; GoodRx, 2021). Cleveland Clinic+2PMC+2
4) Manage Stress, Move, and Protect Sleep
Stress-lowering routines (breath work, walks, short meditations), regular physical activity, and 7–9 hours of sleep support gut balance and motility (Cleveland Clinic, 2022; Better Health Channel, 2023; Healthdirect, n.d.). Cleveland Clinic+2Better Health Channel+2
5) Use Medications Carefully (With Your Clinician)
Antibiotics and certain drugs can disturb the microbiome. Never stop a prescribed medication on your own, but do ask your clinician about gut-friendly strategies if you need repeated courses (Cleveland Clinic, 2024; USDA ARS, 2025). Cleveland Clinic+1
6) Hygiene and Food Safety
Wash hands, rinse produce, and avoid cross-contamination in the kitchen. Simple hygiene helps reduce exposure to harmful bacteria (GoodRx, 2022). GoodRx
Simple, Real-World Meal Upgrades (No Overhaul Needed)
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Breakfast: Oats + kefir or yogurt + berries + nuts (fiber + live cultures).
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Lunch: Grain bowl with quinoa or barley, beans/lentils, colorful veggies, and a fermented topper (kimchi or sauerkraut).
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Dinner: Slow-cooker chili or curry (beans + spices) with a big salad and olive oil dressing.
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Snack ideas: Fruit with nut butter, hummus with carrots, plain popcorn, or a small kefir smoothie.
Even modest changes can help—crock-pot meals and basic swaps make a big impact over time (Penn State Health, 2018). Penn State Health News
Special Note on SIBO Nutrition
If you have been diagnosed with SIBO, talk to your clinician about temporary diets (e.g., low-FODMAP or targeted fermentable-carb reduction) while treating underlying causes. Some people reintroduce fibers and fermented foods gradually after treatment to avoid relapse, under medical guidance (Mayo Clinic, 2024b; Krajicek et al., 2016). Mayo Clinic+1
Where Probiotics Fit
Food sources are a good first step. Some people also use probiotic supplements during or after antibiotic treatment or to help with specific symptoms. The best choice varies by person and strain; talk with your clinician about products with evidence for your goals (Cleveland Clinic, 2023b). Cleveland Clinic
The Brain–Gut Link (Why Stress Matters)
Your gut and brain “talk” constantly. Stress can shift motility, change mucus production, and alter microbial communities—while certain microbes and their metabolites can influence mood and stress responses. This two-way connection explains why stress care, movement, and sleep hygiene are core gut-health tools (Cleveland Clinic, 2022; Northwestern Medicine, 2019; Madison et al., 2019). Cleveland Clinic+2Northwestern Medicine+2
Clinical Corner (El Paso, TX): Dual-Scope Injury Care, Diagnostics, and Integrative Treatment
Alexander Jimenez, DC, APRN, FNP-BC, leads an El Paso practice that blends chiropractic care and family-practice nurse-practitioner medicine. This dual-scope model supports patients from first assessment through imaging, coordinated therapies, and—in injury cases—legal/insurance documentation.
How the Clinic Connects Gut and Musculoskeletal Health
From a clinical standpoint, gut symptoms often track with pain, stress, and recovery demands after work injuries, sports trauma, or MVAs. In Dr. Jimenez’s practice, a typical plan may include:
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Dual-scope diagnosis and imaging. Use of X-rays or MRI when indicated to evaluate the spine and joints; correlation with history, physical exam, and functional testing to separate pain drivers (joint, nerve, soft tissue) and guide conservative care (Jimenez, 2025). El Paso, TX Doctor Of Chiropractic
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Coordinated conservative care. Chiropractic adjustments, targeted exercise therapy, massage therapy, and (as appropriate) acupuncture to improve mobility, reduce pain, and calm nervous-system “overdrive” that worsens gut symptoms in some patients (Jimenez site, 2025; Sciatica. clinic, 2025). El Paso, TX Doctor Of Chiropractic+1
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Nutrition and lifestyle coaching. Practical guidance on plant-forward eating, stress skills, and sleep routines to support the microbiome and overall healing (Penn State Health, 2018; Cleveland Clinic, 2022; Dr. Jimenez site). Penn State Health News+2Cleveland Clinic+2
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Medical-legal documentation for injury cases. Structured notes, imaging reports, and functional assessments that help patients navigate insurance and legal processes when injuries arise from MVAs, workplace incidents, or personal injuries (Dr. Jimenez site; Scheduler page). El Paso, TX Doctor Of Chiropractic+1
Clinical correlation: Patients with spinal pain and high stress often report IBS-like symptoms. Down-shifting the nervous system through graded activity, manual therapy, and breath work can ease pain and improve gut comfort. Adding fiber-rich meals and a daily fermented food often accelerates recovery, especially when sleep is protected (Dr. Jimenez, clinical notes). El Paso, TX Doctor Of Chiropractic
A 10-Step, Easy Gut-Reset Plan (4–6 Weeks)
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Pick 5 plants you like and eat them every day (mix fruits, veggies, beans, whole grains).
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Add 1 fermented food daily (live-culture yogurt/kefir, kimchi, sauerkraut, kombucha). Check labels for “live cultures.” (Cleveland Clinic Magazine, 2023; Healthline, 2025). Cleveland Clinic Magazine+1
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Swap one ultra-processed item each day for a whole-food option (Cleveland Clinic, 2023). Cleveland Clinic
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Hydrate (aim for pale-yellow urine).
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Walk 20–30 minutes most days; add light strength training 2–3 times weekly.
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Set a sleep window (7–9 hours).
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Practice 5 minutes of breathing or quiet time after lunch or before bed (Cleveland Clinic, 2022). Cleveland Clinic
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Plan fiber upgrades (beans/lentils 4+ days/week; oats or barley at breakfast).
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If you need antibiotics, pair with food-based probiotics and clinician guidance (Cleveland Clinic, 2024; 2023b). Cleveland Clinic+1
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Follow-up if symptoms persist; discuss SIBO testing/treatment and motility-support strategies when appropriate (Mayo Clinic, 2024b). Mayo Clinic
When to Seek Care
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Persistent bloating, abdominal pain, unintentional weight loss, blood in stool, nocturnal symptoms, fever, or new severe pain need prompt evaluation.
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If you have a significant history (e.g., abdominal surgery, inflammatory bowel disease), talk with your clinician early about dysbiosis/SIBO risk and tailored care (Mayo Clinic, 2024). Mayo Clinic
Key Takeaways
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Dysbiosis is an imbalance shaped by diet, medications, stress, sleep, and toxins.
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Small daily upgrades—more plants, fermented foods, stress/sleep care—nudge your microbiome toward balance and better gut comfort.
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For injury-related pain or complex cases, a dual-scope clinic like Dr. Jimenez’s in El Paso can coordinate diagnostics, hands-on therapies, lifestyle strategies, and documentation to support both health and recovery needs (Dr. Jimenez site). El Paso, TX Doctor Of Chiropractic
Reference List
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Small intestinal bacterial overgrowth (SIBO) – Symptoms & causes. (2024, November 11). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/small-intestinal-bacterial-overgrowth/symptoms-causes/syc-20370168 Mayo Clinic
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Small intestinal bacterial overgrowth (SIBO) – Diagnosis & treatment. (2024, November 11). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/small-intestinal-bacterial-overgrowth/diagnosis-treatment/drc-20370172 Mayo Clinic
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Dysbiosis: What it is, symptoms, causes, treatment & diet. (2024, April 16). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/dysbiosis Cleveland Clinic
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What is your gut microbiome? (2023, August 18). Cleveland Clinic. https://my.clevelandclinic.org/health/body/25201-gut-microbiome Cleveland Clinic
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How your gut microbiome impacts your health. (2022, June 9). Cleveland Clinic Health Essentials. https://health.clevelandclinic.org/gut-microbiome Cleveland Clinic
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Probiotics: What they are, benefits & side effects. (2023). Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/14598-probiotics Cleveland Clinic
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Ferranti, E. (2014). 20 things you didn’t know about the human gut microbiome. EMBO Reports. https://pmc.ncbi.nlm.nih.gov/articles/PMC4191858/ PMC
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Wilson, A. S., et al. (2020). Diet and the human gut microbiome: An international review. Nutrition Reviews. https://pmc.ncbi.nlm.nih.gov/articles/PMC7117800/ PMC
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Leeuwendaal, N. K., et al. (2022). Fermented foods, health and the gut microbiome. Nutrients. https://pmc.ncbi.nlm.nih.gov/articles/PMC9003261/ PMC
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Cooper, D. N., et al. (2015). Does whole grain consumption alter gut microbiota and satiety? Advances in Nutrition. https://pmc.ncbi.nlm.nih.gov/articles/PMC4939539/ PMC
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Gut health. (2023, March 23). Better Health Channel. https://www.betterhealth.vic.gov.au/health/healthyliving/gut-health Better Health Channel
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Gut check. (2023, Spring). Cleveland Clinic Magazine. https://magazine.clevelandclinic.org/2023-spring/gut-check Cleveland Clinic Magazine
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Gut microbiome and health. (n.d.). Healthline. https://www.healthline.com/nutrition/gut-microbiome-and-health Healthline
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8 fermented foods: Kefir, kimchi, miso, and more. (2025, March 13). Healthline. https://www.healthline.com/nutrition/8-fermented-foods Healthline
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Good vs. bad bacteria—Gut health. (2022). GoodRx. https://www.goodrx.com/well-being/gut-health/good-bad-bacteria-gut-health GoodRx
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What are the best ways to improve gut health? (2021). GoodRx. https://www.goodrx.com/well-being/diet-nutrition/improve-gut-health GoodRx
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Keeping a healthy gut. (2025, January 10). U.S. Department of Agriculture, Agricultural Research Service. https://www.ars.usda.gov/oc/utm/keeping-a-healthy-gut/ ARS
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Mind–gut connection. (2019). Northwestern Medicine. https://www.nm.org/healthbeat/medical-advances/science-and-research/mind-gut-connection Northwestern Medicine
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What does your gut microbiome have to do with your health? (n.d.). Northwestern Medicine. https://www.nm.org/healthbeat/healthy-tips/what-does-gut-microbiome-have-to-do-with-your-health Northwestern Medicine
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Penn State Health. (2018, March 7). The Medical Minute: Small changes make big differences in digestion. https://pennstatehealthnews.org/2018/03/the-medical-minute-small-changes-make-big-differences-in-digestion/ Penn State Health News
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Krajicek, E. J., et al. (2016). Small intestinal bacterial overgrowth: A primary care review. Mayo Clinic Proceedings. https://www.mayoclinicproceedings.org/article/S0025-6196%2816%2930589-4/fulltext Mayo Clinic Proceedings
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El Paso, TX Doctor of Chiropractic (Dr. Alex Jimenez). (2025). https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic
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Appointment scheduler – Dr. Alex Jimenez. (2025). https://dralexjimenez.com/scheduler/ El Paso, TX Doctor Of Chiropractic
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Chiropractic care and immune system (clinic overview page). (2025). Dr. Alex Jimenez. https://dralexjimenez.com/chiropractic-care-what-you-should-know-about-your-immune-system/ El Paso, TX Doctor Of Chiropractic
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Chiropractic care guide for reducing chronic inflammation. (2025). Sciatica.clinic. https://sciatica.clinic/chiropractic-care-guide-for-reducing-chronic-inflammation/ El Paso Sciatica Clinic
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for injuries or disorders affecting the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters and issues that relate to and directly or indirectly support our clinical scope of practice. Our office has made a reasonable attempt to provide supportive citations and identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.
Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*
Email: coach@elpasofunctionalmedicine.com
Licensed in: Texas & New Mexico*
