Hippocrates, the sage of medicine, famously said, "All disease begins in the gut," The gut-brain axis plays an extremely important role in a high-quality strategy for anti-aging throughout the roughly 100-year life span of humans. When the gut-brain axis is functioning properly, it is possible to maintain a healthy body, mind, and cognitive function, while dysfunction in the gut-brain axis can lead to increased risks of a variety of diseases and subsequent deterioration. From this point of view, we call the unlimited power of the gut-brain interaction "gut-brain axis power" and have focused our attention on the molecular medicine of diet and exercise to enhance gut-brain axis power. The degree of gut-brain power varies greatly from person to person, and the power of gut-brain axis is greatly affected by one's lifestyle, including diet, exercise habits, sleep quality, and stress management. Based on this notion, gut brain power is highlighted as a possible factor X to explain individual and constitutional differences in the development and worsening of complications as well as differences in response to diet, exercise, and drug therapy, all of which have occasionally been overlooked in preventive and clinical medicine. The ingested dietary contents are sensed by enteroendocrine cells (EECs) as nutrients, bile acids, or fermentation metabolites of gut microbiota, and are involved in the regulation of secretion of gut-derived peptide hormones, i.e. CCK, GLP-1, PYY, and ghrelin. These gastrointestinal hormones then act on the central nervous system (brain) to exert a considerable influence on the control of appetite and food preference. In addition to sensing by EEC, the various bioactive substances in the gastrointestinal tracts send information to the brain via blood and lymph flow or directly via spinal afferents, and determine all modes of behaviour, including eating habits and physical activity, whether consciously or unconsciously. The ultimate key to the "behaviour modification" that is being discussed in various aspects of society can be said to be gut brain axis power.
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