Hosted by: Doctor’s Data

Gut microbial aging, intestinal barrier dysfunction, and chronic low-grade inflammation (inflammaging) are increasingly recognized as modifiable contributors to cognitive and functional decline. This session reviews how the gut microbiome changes with age, including loss of diversity and butyrate-producing taxa, and how these shifts weaken the mucosal barrier and increase zonulin and LPS translocation. It then follows the resulting inflammatory signal to the brain, where blood-brain barrier changes and neuroinflammation affect the hippocampus. Attendees will learn which objective measures are available today (stool microbiome diversity and dysbiosis profiles, zonulin, hs-CRP) and how to incorporate these into practice. They will also learn how to apply evidence-based dietary, nutraceutical, and medication-review strategies in a rational sequence, with dosing limits and reassessment.

What you will learn
By the end of this session you will be able to:

  • Describe age-associated changes in gut microbiome composition and diversity, including loss of butyrate producers, and how they relate to biological age.
  • Explain how intestinal barrier dysfunction, zonulin, and LPS translocation contribute to inflammaging, neuroinflammation, and cognitive decline.
  • Interpret stool microbiome diversity and dysbiosis profiles, zonulin, and hs-CRP in a patient with cognitive or functional decline and recognize the limits of these tests.
  • Apply evidence-based dietary, nutraceutical, and medication-review strategies to restore microbial diversity and barrier integrity, including sequencing, dosing limits, and reassessment.

Presenter

Wednesday, November 4, 2026 at 12 PM Pacific Live webinar presented by Julia Malkowski, ND, DC

References to webinars are from our accredited laboratory network. Health care providers are encouraged to explore the original source material and apply their clinical expertise when interpreting this information.