04/06/2026
One of the worst foods you can eat with an imbalanced microbiome might also be one of the best foods you can eat for a healthy one.
Jerusalem artichokes are one of the richest dietary sources of prebiotic fibres inulin and FOS. Your gut bacteria break down prebiotics to produce health-promoting short chain fatty acids. They also produce gas.
For someone with a balanced microbiome, that gas is almost unnoticeable. Some is used up by other bacteria and the rest passes through the gut painlessly. For someone with significant microbiome imbalances, where certain bacterial species are depleted or others are overgrown, prebiotic-rich foods can trigger bloating, cramping, flatulence and pain. We often see this in clients with IBS and Long Covid, and those whose microbiome hasn’t recovered following antibiotics.
A well-designed human trial in healthy adults found that daily consumption of Jerusalem artichoke inulin significantly increased Bifidobacteria, along with a smaller increase in the Lactobacillus group. We find these bacterial populations are often depleted in those with chronic gut conditions.
Prebiotic foods are essential for microbiome health, so the goal is to repair the microbiome to the point where eating them becomes enjoyable once more. In practice, this looks like a client who couldn’t tolerate Jerusalem artichokes at the start of their treatment programme being able to eat a full portion without symptoms. The food hasn’t changed. Their microbiome has. That shift is one of the clear markers of progress we look for in clinic.
If Jerusalem artichokes, or other prebiotic foods like onions, garlic or beans, cause you problems, that’s worth listening to — not as a reason to avoid them, but as information about what your microbiome might need.
Share this post with someone who struggles with prebiotic foods.
✏️ 📸 by Viola
REFERENCES
Ramnani et al (2010) Prebiotic effect of fruit and vegetable shots containing Jerusalem artichoke inulin: a human intervention study. Br J Nutr 104: 233–240 https://doi.org/10.1017/S000711451000036X
IMAGE Viola’s hands holding fresh Jerusalem artichokes.