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Fecal Microbiota Transplant

FMT, Stool Transplant, Bacteriotherapy

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Restores a healthy gut microbiome to treat disease or potentially reverse aging.

Fecal Microbiota Transplant involves transferring rigorously screened stool from a healthy donor into a recipient's gastrointestinal tract. This procedure aims to restore a healthy and diverse microbial community, which is proven to resolve specific infections like recurrent C. diff. For healthspan, the hypothesis is that transplanting a 'young' microbiome could reverse age-related microbial dysbiosis, thereby improving immune function and metabolic health, though this remains highly speculative and unproven in humans.

Verdict

A powerful medical tool for C. diff; unproven and risky for healthspan.

HEALTHSPAN IMPACT

Experimental

RISK LEVEL

High

EVIDENCE GRADE

C

MONTHLY COST

$5000 - $15000

Protocol

  • For C. diff infection, a single administration via colonoscopy, enema, or oral capsules is the standard of care.
  • Healthspan-focused protocols are not established and are currently confined to research settings, often using young, healthy donors.

Flags

  • FDA has issued safety alerts regarding transmission of multi-drug resistant organisms, including fatal cases.
  • Long-term effects on the recipient's immune system, metabolism, and epigenetics are largely unknown.
  • Do-it-yourself (DIY) FMT is extremely dangerous and strongly discouraged due to severe infection risk.
  • Thorough and comprehensive donor screening is critical to minimize risk of pathogen transmission.