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Sourdough - transform your bread & your health

The Healthiest Bread in the World: Science-Backed Baking for a Better Gut Heath

Vanessa Kimbell is a time-served baker who specialises in gut health and trained in the art of sourdough bread in the Dordogne. A bestselling author, she holds a doctorate in Baking as Lifestyle Medicine and Preventative Health and is a member of BANT. Vanessa combines deep expertise in sourdough with unparalleled knowledge of the science of bread and digestion. At The Sourdough School, she teaches personalised artisan bread tailored to optimise gut health and genetics. Discover healthy bread recipes, tips, and techniques featuring sourdough fermentation, wholegrain benefits, and personalised baking advice—designed to inspire a slower, healthier approach to baking, eating, and sharing bread.

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Home Bakers: Learn To Bake As Lifestyle Medicine

How can sourdough bread support our gut microbiome & immune health?

14 February 2021 by Dr Vanessa Kimbell
Sourdough, the Gut Microbiome & Immunity
Sourdough, the gut microbiome and immunity

It is time to love your gut.

Supporting Your Immune System with Healthy Bread

When you’re looking at supporting your immune system, it’s important to realise that like any system, it’s complex. The everyday things we do, such as the bread we eat, have a lasting impact. This is why I’ve spent years innovating health-focused breadmaking techniques to improve the nutritional value and digestibility of bread. Health is a basic human right, and well-made bread can be impactful in supporting your immune system through good gut health.

Not all breads are create equal – so certain types of bread and the ingredients and the way they are fermented may influence immune function. For instance, the consumption of a functional wheat-lentil bread has been shown to have a positive effect on the intestinal immune system in aged mice,  and showed significant differences in immune parameters compared to otherr bread types.  I appreciate this is not a human study, but there are very few, so for now mice studies will have to suffice.

Focusing solely on nutritional value is short-sighted. The Baking as Lifestyle Medicine (BALM) approach is based on the six pillars of lifestyle medicine. It has been called a nutritional psychiatrist’s approach to bread, benefiting not just physical health but mental health too. High fibre, diverse grains, wholegrain milling, and fermentation enhance gut health and, in turn, boost immune health.

I’ve been teaching these techniques for decades, empowering individuals to make healthy bread. I’m passionate about sharing this knowledge, especially with those from disadvantaged backgrounds. This includes teaching online, running workshops, and community outreach, making this knowledge accessible to as many people as possible.

Our approach is interdisciplinary, involving gastroenterologists, dietitians, healthcare professionals, bakers, parents, and carers. Together, we recognise the significant influence of daily bread on health. I hope these insights will trickle into public health policies. Bread can underpin immune support, and I’m excited to share key mechanisms with you. Feel free to share your experiences; I’d be delighted to hear from you.

A change – understanding the gut microbiome & immune health

I’ve noticed more and more people shifting, over the past decade or so, to look beyond just bread – but never more so than in recent months. It’s not surprising, given that the last time the world faced a pandemic was 100 years ago. Many things have changed since then, especially our bread. Of course, a lot of these changes have been for the better, including sanitisation and medical understanding, but one thing that has especially changed in recent years is our knowledge and understanding of the gut microbiome.

The gut contains a collective of microorganisms, collectively known as the gut microbiome. The positive microbes in our gut thrive on fibre and diversity, and help regulate and support our immune system, which in turn promotes and supports health. Given the percentage of calories that we eat each day as bread, the kind of bread we choose to eat is a major opportunity to deliver fibre to our microbial allies.

How does the gut microbiome protect us?

Gut health expert Miguel Mateas says: ‘Our own microbes work throughout our bodies, both internally and externally, as our allies. Our gut microbes provide two important forms of protection against pathogens. First, they compete directly with the pathogens for space and nutrients. If we eat foods that promote a healthy population of beneficial bacteria, they can suppress the growth of pathogens by effectively crowding them out. The beneficial bacteria can also enhance our own body’s immune response and trigger the cells of the gut lining to produce antimicrobial substances. The gut microbes live in and around a layer of mucus, which lines the intestine and is part of our epithelial cell layer. In a healthy individual, this makes it really hard for pathogens to move from the gut through to the bloodstream. This is one of the reasons why it is so important to support your microbial community through a healthy diet.’

Why is it even more important for older people to consider the bread they are eating?

It is important that everyone supports their gut microbiome, but it is even more important for people over 70. As we get older, the barrier function provided by our gut lining, which Miguel explained above, may not work as well. This can leave older people and those with poor diets more vulnerable to pathogens crossing from the gut and into the bloodstream (something known as a ‘leaky gut syndrome’), which contributes to low-grade inflammation in the body. That inflammation can compromise our body’s immune response. It’s essential to our health that we support the gut microbiome by making food choices that will help it in its role of protecting us against inflammation. This way, when our body does need to react to a pathogen, the immune response is fully active and able to defend us.

The relevance of sourdough

Fermentation has been show to decreases the reactivity of glutenin proteins in dough, long understood to be key in the immunological responses of people with coeliac disease and in this study the researchers produced bread with reduced immunoreactivity of wheat flour proteins by the partial replacement of wheat flour with wheat starch and by traditional fermentation with a lactic acid bacteria usually found in starters.  The bread immunoreactivity was determined using the enzyme-linked immunosorbent assay (ELISA) method and then compared to regular wheat bread. n( might add here that not all healthcare professionals approve of this tis as it can be difficult to use in conventional medicine but appropriate here.) “The combination of flour mixture modification and fermentation lowered the immune response in digested bread samples by more than 90% in the case of anti-QQQPP peptide antibodies and by over 40% for human anti-gliadin antibodies.”

Celiac disease in particular can considered as an immunological disease triggered by ingesting food containing gluten (Lohi et al., Citation2007; Shan et al., Citation2002). and many studies have been conducted looking at fermentation and the degradation of gluten to help prevent the immune response, and nn some ways this was similar to some of the findings in the research of gluten degradation through fermentation by Marco Gobetti in earlier studies in 2007.  These kinds findings may well explain why some people who react to gluten may find Sourdough less inflammatory despite not having Coeliac disease and they may have Non Coeliac Gluten sensitivity.

More fibre

Understanding this symbiotic relationship with our gut bacteria is essential, because then we know why we must nourish it. This is where sourdough really comes into its own: there are many ways in which it can nourish your gut microbes. Increasing the level of wholegrain in your everyday loaf is going to deliver more fibre to your gut – and your microbiome really likes fibre. We need fibre. One study found that a diet low in fibre can result in the gut microbes turning to the naturally occurring proteins in the gut mucus layer as a source of nutrients. This can potentially damage the barrier, which increases the chances of pathogens entering our bodies.

The microbes ferment the fibre that our own bodies can’t digest, producing short-chain fatty acids (SCFAs). SCFAs are linked to inhibiting pathogens and are essential in order for your microbes to do their job of supporting the intestinal barrier and protecting the epithelial layer. Fibre feeds the good bacteria, nurturing healthy populations of Bifidobacterium and Lactobacillus. If they’re growing strongly, these microbes then compete with pathogens for the available niches in your gut as well as for nutrients. So, it’s about creating a strong population of beneficial bacteria to fill the available spaces. And right now, your gut microbes need all the help they can get.

Increase the bioavailability of fibre

The long, slow sourdough fermentation also significantly increases the bioavailability of key nutrients in our food. It helps to break down the phytic acid in wheat, which effectively locks up minerals, vitamins and polyphenols, releasing them to our digestive systems. In addition, the acidity created during sourdough fermentation increases the proteolytic activity of enzymes and proteins, helping to break down gluten. For anyone with leaky gut syndrome, gluten has the potential to increase inflammation. It’s really important to remember our main aim is reducing inflammation, as this will allow our immune systems to respond and defend us against a virus – not against the tuna sandwich we had for lunch! So, sourdough fermentation is key to helping reduce the inflammation that some people may experience as a result of eating bread.

Lower stress

Making bread lowers stress levels. Stress itself compromises your immune system, as high levels of anxiety reduce your disease-fighting ability. So, it’s more important than ever to try to focus on the moment. As you mix your flour and water in a bowl, try to focus on the feeling of the dough coming together under your fingers. Take a little time to pay attention to what it means to nourish and nurture the people you really love. Baking bread is one of the most powerful ways that you can do this.

Control blood sugar levels

Sourdough may also help control blood sugar levels, which in turn can help control your emotional response. A long, slow fermentation, even of white flour, changes the way in which the sugars are formed and produces a significant increase in resistant starch. Resistant starch is more difficult to digest, so it takes longer for the body to assimilate the carbohydrates and therefore slows down the blood sugar response. And that is something that is going to keep you and your family calm.

Increase diversity

In general, a more diverse gut microbiome is associated with a stronger immune system and better health. And diet plays an important role in maintaining a healthy microbiome. This is in line with the Botanical Blends that we use at The Sourdough School, and many of my recipes call for a diverse range of ingredients. If you have wholegrain flour, that is a great start. But if you can combine flours – maybe mixing einkorn with emmer, spelt and wholegrain, or even just mixing different brands of wholegrain flours together and throwing in some different seeds – then that is going to increase what we call the diversity score. The wider the diversity of food you eat, the wider the diversity of your gut microbiome – and a more diverse microbiome is better equipped to support your immune system.

Incorporate more probiotics into your diet

There is also evidence that you can support your immune system by incorporating live beneficial bacteria (probiotics) into your diet. By simply eating your sourdough bread with fermented foods – pickled vegetables, yogurt, or unpasteurised cheese – you can also increase its beneficial impact. And, as an aside, now is a really good time to be supporting your local artisan food producers, such as cheese- and pickle-makers. We will be looking at some of the foods to include in your diet to boost your natural defences in the coming weeks, including ingredients such as garlic, mushrooms and oregano.

A summary

If I was to reduce this information down into a single sentence, I would say this: creating a handmade, wholegrain, slow-fermented, multi-seeded, multi-grained sourdough loaf and eating it with live probiotic foods is a brilliant way to support your gut microbiome and your immune health.

Sourdough is alive; it’s part of our microbial system. The microbes are found on our hands and in the flour. One of our greatest allies in keeping our immune system strong is our own gut microbiome, which we can nourish with good sourdough bread.

One of the recipes we’ve developed, for example, includes button mushrooms because they have been shown to increase the immune system response by increasing the level of antibodies.

All reasonable care is taken when writing about health aspects of bread, but the information it contains is not intended to take the place of treatment by a qualified medical practitioner. You must seek professional advice if you are in any doubt about any medical condition. Any application of the ideas and information contained on this website is at the reader's sole discretion and risk.

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Dr Vanessa Kimbell

About Dr Vanessa Kimbell

Dr. Vanessa Kimbell is a leading expert in nutrition and the digestibility of bread. Her doctorate focuses on Baking as Lifestyle Medicine and preventative health, specialising in personalising bread for gut health and genetics. She is the Course Director at The Sourdough School, a world-renowned centre of research and education in bread, the gut microbiome, and the impact of bread on health, based in Northamptonshire. She is currently writing her 6th book and is a best-selling international author.

More information about Vanessa can be found:
The Sourdough School team page: About Vanessa Kimbell

The Sourdough Club: thesourdoughclub.com

Instagram accounts: @SourdoughClub
@SourdoughSchool @vanessakimbell

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Reader Interactions

Comments

  1. Thomas Cappiello

    14 February 2021 at 11:59 pm

    I think its kind of a reach to even attempt to insinuate that Sourdough bread can do anything for your gut microbiome. Once its baked everything is dead. You get just as much fiber from sourdough as you do anything else with the same ingredients, yeast or even soda bread have the same fiber depending on the flour used. I have not read any research that says changing a gut microbiome is even possible, although it can be “supported” and it can be compromised.

    Reply
  2. Steve Maidwell

    14 February 2021 at 9:40 pm

    Thanks so much for your post. My daughter has an auto immune condition and with what you have written, it makes sense to try sourdough to help this

    Reply

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Todays live for diploma students will be on 'How t Todays live for diploma students will be on 'How to engage your patient in the lifestyle changes of the BALM' with @vanessakimbell 

In their 6pm live session, we help keep our students on track with the syllabus and discuss the application of Baking As Lifestyle Medicine to the 6 pillars of Lifestyle medicine, applying the research papers, application of the Research, and how this ties into prescribing, along with guest lecturers, discussions and sharing knowledge.

#lifestylemedicine #health #functionalmedicine #nutrition #integrativemedicine #healthylifestyle #wellness #lifestyle #rcgp #dietitian #nutritionist #healthcareprofessional #holistichealth #healthyliving #plantbased #guthealth #naturopathicmedicine #selfcare #functionalnutrition  #naturopathicdoctor #foodasmedicine #foodismedicine #lifestylegoals #cpd #lifestylechange #mentalhealth #sourdough #sourdoughschool #bakeforhealth
BAKE, ANALYSE, EAT; RECALIBRATE & REPEAT. 📆 Th BAKE, ANALYSE, EAT; RECALIBRATE & REPEAT.

📆 The Sourdough School Clinic - Thursdays 8pm - for students of The Sourdough School 

✏️ In this weekly live session, we cover technical baking questions. Students can submit their Baking Record Sheets in advance of the session.

📋 We look at the details of our student's bakes - the specifics of the flour, timings and temperatures. Using our sourdough record sheets Vanessa will make suggestions on how they might modify, or recalibrate the next time they bake.

Follow the link in the bio to learn more about becoming a student at The Sourdough School 👆

#sourdough #sourdoughschool #bread #sourdoughlove #sourdoughlover #naturalleavened #leavening #levain #realbread #breadmaking #bakebread #makebread #makerealbread #learntobakebread #breadmakingclass #sourdoughstories #bakingforlove #bakingtherapy #sourdoughbaking
IBS AWARENESS MONTH Do you suffer from irritable IBS AWARENESS MONTH

Do you suffer from irritable bowel syndrome (IBS)? It can be tough to deal with the uncomfortable symptoms of stomach cramps, constipation, diarrhoea and bloating. But did you know that making dietary changes, such as incorporating sourdough bread into your diet, could help alleviate some of those symptoms?

Studies have shown that sourdough's long, slow fermentation process can reduce IBS symptoms. Plus, during #ibsawarenessmonth, we're exploring how adding different herbs and spices to your sourdough can further improve both the flavour and the digestion of your bread.

Let's talk about gut health, fermentation, and how sourdough can be a delicious and healthy addition to your diet. Join the conversation and share your experiences with IBS and sourdough.

#guthealth #healyourgut #healthygut #guthealing #guthealthmatters #letfoodbethymedicine #foodasmedicine #gutbrainconnection #nutrientdense #micronutrients #digestivehealth #nutritionfacts #microbiome #breadandguts #ibsawarenessmonth
THE SOURDOUGH SCHOOL – HAND CARVED WOODEN LAME THE SOURDOUGH SCHOOL – HAND CARVED WOODEN LAME

One of the biggest issues around using a plastic lame to score sourdough, of course, is that eventually the blade will become blunt and the lame could end up in landfill.  So several years ago I talked to my dear friend EJ about developing a lame with a replaceable blade. And he came up with this very beautiful hand carved wooden lame.

Very sadly EJ is no longer with us. Recently a friend of EJ’s who is also a wood turner and carver offered to make these again for us in remembrance of our dear friend.

Follow the link in the bio to our shop where you can find our full selection of wooden sourdough tools 👆

#sourdough #sourdoughschool #bread #sourdoughlove #sourdoughlover #naturalleavened #leavening #levain #realbread #breadmaking #bakebread #makebread #makerealbread #learntobakebread #breadmakingclass #sourdoughstories #bakingforlove #bakingtherapy #sourdoughbaking
The Baking As Lifestyle Medicine (BALM) Protocol The Baking As Lifestyle Medicine (BALM) Protocol

The current food system is broken at multiple levels, from the pesticides used in our soils to the emulsifiers and additives adulterating industrially-processed foods. Nowhere is this more apparent than in the bread we eat.  The figures reported by the UK Flour Millers say that bread is bought by a staggering “99.8% of British households” and that “the equivalent of nearly 11 million loaves are sold each day. Approximately 60-70% of the bread we eat is white and sandwiches are thought to account for 50% of overall bread consumption. Average bread purchases are the equivalent of 60.3 loaves per person per year.” 

Most bread sold is made by modern processing methods that strip heart-healthy whole grains of their nutrient contents, resulting in low-fibre bread with a high glycemic index. Over time, white processed bread can increase a person’s risk of insulin resistance alongside other lifestyle diseases.

We’re on a mission to revolutionise the bread making process at every level – from soil to slice. The rules governing this are laid out in our Baking As Lifestyle Medicine protocol. 

#lifestylemedicine #health #functionalmedicine #nutrition #integrativemedicine #healthylifestyle #wellness #lifestyle #rcgp #dietitian #nutritionist #healthcareprofessional #holistichealth #healthyliving #plantbased #guthealth #naturopathicmedicine #selfcare #functionalnutrition  #naturopathicdoctor #foodasmedicine #foodismedicine #lifestylegoals #cpd #lifestylechange #mentalhealth #sourdough #sourdoughschool #bakeforhealth
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