“…Of these factors, diet, gastrointestinal motility, and medication history most strongly shape the gut microbiome (13,(15)(16)(17)(18)(19). Furthermore, previous studies examining dietary patterns suggest a strong association between Western lifestyle and dysbiosis (3,13,20), especially considering that in Westernized countries, diet-related chronic diseases are the largest contributors to morbidity and mortality (3,21), affecting more than 50% of the population. Dysbiosis in Westernized countries is thought to be mainly a result of diet, as the Western diet is evolutionarily discordant from the diet of ancestral humans (3,21) and tends to be high in fat and animal protein (e.g., red meat), high in sugar, and low in plant-based fiber (3,13,20).…”