“…The development of dysbiosis, inflammation, and oxidative stress during IBD can be modulated by diet, ∼5 times more closely associated than genetic factors [ 2 , [65] , [66] , [67] ]. High consumption of dietary fat and sugar can increase mucosal dysbiosis, inflammation, and horizontal gene transfer in the microbiome to increase pathogenic colonization such as Pseudomonadota (formerly Proteobacteria) and Bacillota (formerly Firmicutes) phyla [ 68 , 69 ] and decrease SCFA-producing bacteria Roseburia spp., Eubacterium rectale, and Ruminococcus bromii [ 70 , 71 ]. Dysbiosis and damaged intestinal cells promote the influx of ROS and inflammasomes from impaired mitochondria biogenesis [ 72 , 73 ]: the hypoxic epithelial cells and inflammatory cytokines induce mitochondrial leaky electron transfer chain and peroxidase production for oxidative stress [ 74 , 75 ], which results in inadequate energy production and tiredness [ 75 ].…”