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The Sourdough School Magazine

How to fix your relationship with bread by Dr Vanessa Kimbell

The Sourdough School Magazine

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Heath Care Providers: Training In Prescribing Baking As Lifestyle Medicine

What is Sourdough?

8 June 2021 by Dr Vanessa Kimbell
How does Sourdough work? 
How does Sourdough work?

Sourdough is the way we always made bread, until the industrial revolution. It is flour that is inoculated with a culture, or in warm countries such as India left to ferment spontaneously.  These are lactic acid bacteria (LAB) and wild yeast.

How does Sourdough work?

The lactic acid bacteria produce organic acids that acidify the dough and transform the taste, nutritional value and digestibility of bread.

The yeast produces CO2 that is captured by gluten when using wheat flour that creates air pockets, and makes the bread rise and excrete carbon dioxide and alcohol as byproducts, which contribute to flavour.

These microorganisms are found in many places.  Lactic acid bacteria is found on bakers hands, in unrefined flour, and there is evidence that some of the lactic acid bacteria actually makes it’s way from the soil onto the wheat and then into the starter.

The exact origins of each yeast are more of mystery but there is evidence that they can be found on the wheat, on fruit such as grapes and in the air around us, not least because they like to hang out where they might be able to find somewhere sweet to ferment themselves.

Certainly, in bakeries, it is fair to say that saccharomyces cerevisiae is abundant, which is likely where the yeast inside starters in many bakeries originate from. Terry are many feature that have features asking what is sourdough? but most miss that this when asking this question it does not connect to the that that we are all microbial and sourdough is an extension of our microbial world.

We capture and nourish what is already ours and all around us

We capture and cultivate these microorganisms in a pot of flour and water and with regular nourishment, warmth and water they increase in numbers. It is called a starter and learning to replenish and maintain these microbial communities and encourage the microorganisms to reproduce means we can inoculate flour and water and use the fermentation process to make bread.  One of the best bakers I know, Richard Hart, once told me that he thinks of a pot of starter as a microbial farm. – ( pin case you want buy my starter the you can find the starter I began baking with over 40 years ago here)


Sourdough is a traditional form of bread leavening that predates the use of commercial yeast, relying on wild yeast and lactic acid bacteria (LAB) naturally present in the environment. This ancient method produces bread with distinct flavors, textures, and nutritional benefits. The fermentation process in sourdough is facilitated by these microorganisms, which work in harmony to break down the flour’s carbohydrates, enhancing bread’s digestibility and nutritional profile. By nurturing and replenishing this community, bakers can inoculate fresh flour and water with the starter, using the natural fermentation process to leaven bread. This not only imparts a unique sour flavour but also improves the bread’s shelf life and nutritional value.

The exact origins of each yeast and LAB involved in sourdough fermentation are somewhat enigmatic, though there’s evidence to suggest they can be found on wheat, on fruits such as grapes, and in the air. This is partly because these microorganisms are attracted to environments where they can find fermentable sugars.

In bakery environments, Saccharomyces cerevisiae, a type of yeast, is particularly prevalent, likely contributing to the microbial population of many starters used in these settings. To cultivate a sourdough starter, a mixture of flour and water is maintained, providing the necessary nutrients for these wild yeasts and LAB to flourish. Regular feeding with fresh flour and water allows the microbial community within the starter to grow and thrive.

The fermentation process is key to sourdough’s distinctive characteristics. As the yeast ferments the sugars in the flour, it produces carbon dioxide gas, which creates the bread’s rise and airy texture. Concurrently, LAB produce lactic acid, contributing to the bread’s tangy flavor and acting as a natural preservative. This complex interplay of microorganisms not only defines sourdough’s sensory attributes but also enhances its health benefits. Sourdough fermentation has been shown to reduce the phytic acid content in flour, improving mineral bioavailability and making the bread easier to digest.

In addition to its culinary and nutritional advantages, sourdough baking embodies a connection to tradition and a deeper understanding of the natural world. By engaging with the microbial life that surrounds us and harnessing its potential, sourdough bakers participate in an age-old practice that celebrates both science and art.

For most people, the science of sourdough and kinds of wild yeast and lactic acid bacteria are a mystery.  They just know that they flourish when maintained, and they make great bread, but different kinds of lactic acid bacteria produce different acids and the balance of these is one of the contributing factors that affect the final flavour, textures and nutritional profile of each sourdough loaf. Some bacteria produce more acetic acid, others more lactic acid.

Flavour and texture also depend on the kind of flour, the dough temperature, and length of fermentation you use to make your bread.

Click here for our online course, with detailed video tutorials on how to make sourdough

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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About Dr Vanessa Kimbell

Dr Vanessa Kimbell is acknowledged as one of the world’s foremost authorities on bread and human health — the first person to hold a doctorate in Baking as Lifestyle Medicine and Preventative Healthcare, and the pioneer who, long before gut health became a mainstream concern, first identified the crucial role bread plays in the gut microbiome and mental wellbeing. A fourth-generation baker of Italian descent, she has been baking sourdough since the age of 11, served her traditional apprenticeship in the Dordogne, and is a time-served, French-trained qualified baker who has worked alongside some of the world’s greatest bakers including Richard Hart and Gabriele Bonci. She has spent four decades asking the questions the food industry preferred no one asked: why was industrial mono bread slowly harming us, and what would it take to make bread that genuinely nourishes?

The answer became her life’s work. As founder and Course Director of The Sourdough School in Northamptonshire — a world-renowned centre of research and education — she has taught bakers from over 84 countries, integrated the BALM (Baking as Lifestyle Medicine) Protocol into NHS clinical practice at Bethlem Royal Hospital, and developed Proven Bread: the first bread built on clinical evidence, personalised to the individual through nutrigenetics and gut microbiome assessment. She delivered the Royal College of General Practitioners‘ approved course in the Nutrition of Bread, has been a regular contributor to BBC Radio 4’s Food Programme for many years, and collaborates with leading scientists and clinicians including Professor Tim Spector — who credits her with teaching people to make the healthiest bread in the world — and Professor David Veale. Named the Sourdough Queen by The Telegraph in 2013, her influence reaches far beyond the classroom — from artisan bakers and healthcare professionals to the world’s leading food scientists and multinational food corporations.

A bestselling international author of five books, her sixth — Proven — publishes in November 2026.

More information about Vanessa can be found at
The Sourdough School,
The Sourdough Club,
on Instagram at @SourdoughClub,
@SourdoughSchool and
@vanessakimbell,
on Facebook and
LinkedIn.

Previous Post:19 04 SOURDOUGH SCHOOL-76What equipment do I need to make sourdough?
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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. 📆 The S 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 On 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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