By Dr Pranab Gyawali, Consultant Gastroenterologist (UK-trained) in Dubai
I’m a UK-trained gastroenterologist in Dubai looking after patients with inflammatory bowel disease for over 25 years.
Diet clearly matters, but the mechanism has not always been clear. The oxygen trap provides a useful framework linking inflammation, microbiome disruption, and diet.
Why oxygen matters
In a healthy gut, oxygen levels are low. Inflammation increases oxygen exposure, shifting the microbiome toward less favourable bacteria.
Clinical relevance
We are restoring an environment, not just suppressing inflammation.
Diet and microbiome
Mediterranean diet supports butyrate production and gut lining recovery.
Fibre and flares
Short term reduction may help, but long term recovery requires reintroduction.
Treatment integration
Biologics reduce inflammation. Diet supports microbiome recovery. Both are needed.
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