The hidden burden of gut health
Our survey of 811 adults reveals how widespread, multi-symptom and life-affecting gut health issues really are - and how poorly current options meet the need.
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Gut health and systemic connection
The gut microbiome balance is systemically linked to health, affecting immunity,<sup>1</sup> mental health<sup>2</sup> and digestive function.<sup>3</sup> A healthy gut microbiota enhances nutrient absorption, supports immune homeostasis, and contributes to overall physiological resilience.
Immune system support
Approximately 70 to 80% of immune cells reside in the gut-associated lymphoid tissue (GALT).<sup>4</sup> Promoting a balanced gut microbiome supports immune resilience, helping to maintain mucosal immunity and reducing the risk of pathogen overgrowth.
Microbiome and mental health
The gut-brain axis, a bidirectional communication network between the gut microbiota and the central nervous system, plays a significant role in mental health. The microbiome can influence neurotransmitter production, including serotonin and gamma-aminobutyric acid (GABA), which are involved in mood regulation.<sup>4</sup>
Digestive function and nutrient absorption
A diverse gut microbiome is essential for optimal digestive function. Probiotics help break down fibres and complex carbohydrates, producing short-chain fatty acids (SCFAs) that nourish the gut lining, regulate inflammation, and support overall GI health.<sup>5</sup> Enhanced digestion from a balanced microbiome also aids in efficient nutrient absorption, especially for essential vitamins and minerals.
When the gut is out of balance it will be sure to let you know. In our gut survey, 44% of people said their gut health restricts how they go about their daily life, a third of people avoid social contact and going out as a result of their gut health, while 30% of people experience mild depression.
Here are the top signs to look out for that may indicate your gut is in need of some love.
Skin conditions
Skin conditions
Healthy bowel movements sweep toxins out of the body, if natural detoxification doesn't occur, toxins will be reabsorbed through the gut, and the body has to push them out through the skin, causing redness and acne.
Poor concentration
Poor concentration
The main chemicals needed for concentration are acetylcholine, dopamine and noradrenaline, and they're produced in the gut by probiotics. Disruptions to probiotic numbers will decrease these chemicals and in turn your ability to concentrate and focus.
Gas and bloating
Gas and bloating
Gas and bloating can occur for a few reasons. Low stomach acid and enzyme production can inhibit the breakdown of foods, fibres, sugar, fats or protein, and allows bacterial fermentation which creates gas and bloating.
Constipation
Constipation
Constipation is an obvious sign of an unhealthy digestive system. Constipation can be caused by a lack of probiotics, which provide most of the weight of faecal matter.
Diarrhoea
Diarrhoea
Diarrhoea occurs when the gut is irritated due to parasites, detrimental bacteria, poorly digested foods or food sensitivities.
Insomnia
Insomnia
Insomnia is a common problem and affects life quality. Research shows you're more likely to suffer poor sleep or insomnia if you suffer poor digestion or IBS.
The gut-brain axis has had extensive research into it in the last few years and the understanding that gut health is critical for brain health is no longer disputed. The microbiome plays a significant role in neurotransmitter functions.9 Increasing research is concerned with the links - either directly or indirectly - between gut microbiota and neurodevelopment conditions such as ADHD and Autism.
Discover factors impacting gut health in the UK diet and foods that can help support it.
59% of people from our survey into gut health stated bread and refined carbs trigger gut health issues.
Foods to reach for
Foods to avoid

Our survey of 811 adults reveals how widespread, multi-symptom and life-affecting gut health issues really are - and how poorly current options meet the need.
Our survey of 1,526 women shows that gut health deteriorates for most women during menopause - usually beginning in perimenopause.
Many systems in the body rely on probiotics to function effectively. Probiotics help with the digestion of food by producing digestive enzymes, they support the function of the immune system, promote effective detoxification, they help to maintain healthy skin, and they create neurotransmitters when they travel to the brain. Having multiple probiotic strains is also a bonus as each strain provides a different action in the gut. It is estimated there are over 40,000 different strains of probiotics in the gut, so it makes sense to take a multi-strain formula.
Streptococcus Thermophilus
Studied for C. difficile infection (10,11,12) and cholesterol (33,34,35,36,37,38), with anti-allergy and immune-modulating effects in hay fever, asthma, atopic dermatitis and allergy prevention (24,25,26,27,28).
Lactobacillus Casei
Studied for C. difficile infection (10,11,12), constipation (13,14), diverticular disease (15,16), IBS (17,18,19), traveller’s diarrhoea (20,21,22), UTIs (22,30,32) and cholesterol (33,34,35,36,37,38), with anti-allergy and immune-modulating effects in hay fever, asthma, atopic dermatitis and allergy prevention (24,25,26,27,28).
Lactobacillus Plantarum
Studied for bacterial vaginosis (8,9), C. difficile infection (10,11,12), constipation (13,14), IBS (17,18,19), tooth decay (23), atopic dermatitis (25,26,27,28), UTIs (22,30,32) and cholesterol (33,34,35,36,37,38).
Bifidobacterium Lactis
Studied for IBS (17,18,19), upper respiratory infections (31), UTIs (22,30,32) and cholesterol (33,34,35,36,37,38), with anti-allergy and immune-modulating effects in hay fever (24,25,26).
Lactobacillus Rhamnosus
Studied for antibiotic-associated diarrhoea (6,7), C. difficile infection (10,11,12), constipation (13,14), IBS (17,18,19), traveller’s diarrhoea (20,21,22), atopic dermatitis (25,26,27,28), acne (29,30), upper respiratory infections (31), UTIs (22,30,32) and cholesterol (33,34,35,36,37,38).
Lactobacillus Acidophilus
Studied for antibiotic-associated diarrhoea (6,7), bacterial vaginosis (8,9), C. difficile infection (10,11,12), diverticular disease (15,16), IBS (17,18,19), traveller’s diarrhoea (20,21,22), hay fever (24,25,26), acne (29,30), UTIs (22,30,32) and cholesterol (33,34,35,36,37,38).
95% find it effective*
Gut Works®
Live cultures and botanicals for optimal gut and digestive health.
Fibre Complex
High fibre formula, providing soluble and insoluble fibre.
81% find it effective*
Debloat & Detox
For digestive related bloating and supports natural detoxification.
GastroAid®
Supports the proper breakdown of food in the stomach.
92% found it effective*
Women's ProMulti
Award-winning, all-in-one formula for immune support, vaginal and gut health and more.
75% find it effective*
Men's ProMulti
Award-winning all-in-one formula for prostate, gut health, testosterone, skin and more.
95% find it effective*
Curcumin & Turmeric
High strength formula of Curcumin (200mg) & Turmeric (3300mg) for joint health.
Kid's ProMulti
Advanced, all-in-one formula for kids aged 3-16.
95% find it effective*
Gut Works®
Live cultures and botanicals for optimal gut and digestive health.
92% found it effective*
Women's ProMulti
Award-winning, all-in-one formula for immune support, vaginal and gut health and more.
79% find it effective*
pH Hero®
Advanced support and protection for vaginal health.
75% find it effective*
Men's ProMulti
Award-winning all-in-one formula for prostate, gut health, testosterone, skin and more.
Kid's ProMulti
Advanced, all-in-one formula for kids aged 3-16.
80% find it effective*
Skin Saviour®
For blemishes and fuels your body’s collagen for clearer, plumper, and glowing skin.
OsteoFriend®
Advanced Bone, Muscle & Joint Support Blend
HeartPro®
Advanced phytosterol, botanical and probiotic formula for a healthy heart.
Practitioner papers, supplement considerations and client handouts to read online or download as PDF.
Everything you need to know about fibre.
A comprehensive guide to gut health, pre & probiotics.
A comprehensive guide to digestion and liver health.
Guide for gastrointestinal and digestive disorders.
Supplement, diet, lifestyle and testing considerations.
Diet and lifestyle recommendations.
Diet and lifestyle recommendations.
Diet and lifestyle recommendations.
Diet and lifestyle recommendations.
Gut survey: Based on a UK survey conducted by DRV+ (Formerly DR.VEGAN®) of 246 customers, nationally representative, during August & September 2022. All customer survey findings reflect our own efforts and have not been influenced or verified by any external organisations or third-party entities.
Skin survey: Based on a UK survey conducted by DRV+ (Formerly DR.VEGAN®) of 300 customers, nationally representative, during May 2023. All customer survey findings reflect our own efforts and have not been influenced or verified by any external organisations or third-party entities.