Inclusion | Exclusion |
Study participants | |
Must be at least 18 years of age and under 69 years | Symptomatic cardiovascular disease, lung disease, cirrhosis or significant renal failure |
Sign consent form | Patients who are pregnant or breast feeding |
BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 combined with comorbidity related to obesity | Patients who have a confirmed malignancy or cancer |
Patients who are immunocompromised | |
Previous gastric or small intestinal surgery that alters gut anatomy such as fundoplication, gastric resection, gastric bypass or small bowel resection | |
Established drug or alcohol abuse or particularly unstable psychosocial circumstances | |
History of cholecystectomy | |
New drugs the last 3 months or during the follow-up period that can impact on metabolism or body weight | |
Antibiotic treatment the last 3 months | |
Serious food allergies | |
Fecal donors | |
Age 16–40 | Use of peroral antibiotics the past 6 months |
Sign consent form | Tattoo or piercing the past 6 months |
Healthy | Close relatives with serious autoimmune disease, psychiatric disorder or obesity |
BMI 18–25 | Former imprisonment |
History of Chronic diarrhoea Constipation Inflammatory bowel disease Irritable bowel syndrome Colorectal polyps Immunosuppression Obesity Metabolic syndrome CFS/ME Psychiatric disorders Other serious autoimmune diseases Cancer | |
High-risk sexual behaviour | |
Bowel movements that do not correspond to a Bristol Stool Scale type 3 or 4 | |
Journeys abroad the last 6 months to countries high in antibiotic resistance | |
Use of food supplements, prebiotics, probiotics or symbiotics | |
Positive cultures for extended spectrum beta-lactamase (ESBL), VRE and MRSA, Salmonella spp, Shigella spp, Campylobacter spp,Yersinia spp and toxin-producing Clostridioides difficile. Fecal tests for viruses (norovirus, rotavirus, sapovirus and adenovirus) and occult blood and a GA-map dysbiosis test: with dysbiosis grade 3 or more*17. | |
Blood samples for glycated haemoglobin, serology for HIV, Treponema pallidum and hepatitis A, B, C and E |
*The bacteria measured with the GA-map dysbiosis test do not represent entire phyla, but only specific parts of the phyla. This is a clear limitation of the test, which the study personnel is aware of.
BMI, body mass index; CFS, chronic fatigue syndrome; ESBL, extended spectrum beta-lactamase; ME, myalgic encephalomyelitis; MRSA, methicillin-resistant Staphylococcus aureus; VRE, vancomycin-resistant enterococci.