Careful with fiber, inulin in particular. Dosing is essential. Too much inulin in sensitive individuals puts a lot of stress on the liver and can even result in liver cancer and gastric cancers. Inulin is a goldilocks fiber - not too much and not too little. Fiber, just as food needs thinking through and tailoring intake. We are moving beyond the naive early phase of “more is better”, as research progresses. Btw. here’s an interesting study, which really deserves its own thread, but I’m always reluctant to start new ones so as to save space:
Global, distinctive, and personal changes in molecular and microbial profiles by specific fibers in humans
Here is an important point:
“LCI [long chain inulin] is associated with an increase in Bifidobacterium. However, at the highest LCI dose there is increased inflammation and elevation in the liver enzyme alanine aminotransferase. This study yields insights into the effects of fiber supplementation, it provides insights into mechanisms behind fiber induced cholesterol reduction, and it shows effects of individual, purified fibers on the microbiome.”
And of course:
Colorectal cancer and inulin supplementation: the good, the bad, and the unhelpful
Quote:
“The prebiotic inulin has been vaunted for its potential to reduce the risk of colorectal cancer. Inulin fermentation resulting in the production of short-chain fatty acids, primarily butyrate, has been reported to be associated with properties that are beneficial for gut health and has led to an increased consumption of inulin in the Western population through processed food and over-the-counter dietary supplements. However, in clinical trials, there is limited evidence of the efficacy of inulin in preventing colorectal cancer. Moreover, recent data suggest that improper inulin consumption may even be harmful for gastro-intestinal health under certain circumstances.”
Enterohepatic Shunt-Driven Cholemia Predisposes to Liver Cancer
https://www.gastrojournal.org/article/S0016-5085(22)00959-3/fulltext
A pop-sci writeup of the above:
Diets rich in refined fiber may increase liver cancer risk in some individuals
Anyhow, I don’t want to overwhelm the thread, but you get the idea. Fiber, like anything you take into your mouth, deserves careful consideration.