“…In particular, the bidirectional interplay between the gut microbiota and mental health, a pathway facilitated by the gut-brain axis and the vagus nerve (Appleton, 2018; Minichino et al, 2023; Radford-Smith et al, 2022; Safadi et al, 2022). The interplay occurs through production and metabolism of gut microbial metabolites, namely short-chain fatty acids and neurotrophic factors which cumulatively lead to regulation of brain-based processes such as regulation of the hypothalamic-pituitary axis, central and autonomic nervous systems (Bear et al, 2021; Clapp et al, 2017; Sarkar et al, 2016, 2020; Spitzer et al, 2021). Prior literature has also associated gut microbiota disturbances with metabolic dysfunction, namely through improper absorption, digestion, and regulation of hormones (Aoun et al, 2020).…”