Welcome to "Aviz Hours.
I'm Dr. Mark Hyman in each week, we're going to pull back the curtain and share the insights the research to lessons that don't always make it into your conversations with guests.
Because at the end of the day, you are the CEO of your own health, and for many of you, your family's health too. And you might not feel it all the time, but you have far more power and agency than you realize. I'm glad you're here. This episode is brought to you by Function Health, empowering you to live 100 healthy years with over 160 lab tests at just $365 a year, sign up today at functionhealth.com/mark and use code mark 2026 to get $50 towards your membership. Fibre's having a moment. Now, have you been on social media lately? Probably heard the term Fibre Maxing.
People adding chia to everything, down in Selimha's, game it for 40, 50, and 60 grams of Fibre Day.
“And the promise will better get health, better blood sugar, more weight loss, natural GLP-1 activation hormone balance, and here's the thing.”
Fibre is incredibly powerful. In fact, most Americans are severely deficient. We need about half of what our bodies actually need. And now I can fiber is contributing to a whole list of things called constipation, metabolic dysfunction like diabetes, inflammation, and even hormone imbalances. More fiber is in always better. I can functional medicine. We don't chase trends. We ask better questions. So, what's the goal? And who does this benefit? And what happens when we push a good idea just too far?
Because if your gut is inflamed, if you have aerobaus syndrome, if your microbiome is already fragile, dramatically increasing fiber is going to make you feel worse, not better. So, today I want to unpack this trend, and what fiber actually does in the body, and who truly benefits from increasing it? And who needs to be careful, and also how to build fiber into your diet in a way that supports your metabolism, supports your hormones, and your long-term health without backfiring, because you don't want that. You can get bad.
Fiber is in the hack. It's not a clan. It's not a quick fix. It's a foundational nutrient that when you use correctly can transform your health. Let's break it down. What is fiber maxing?
“Let's define this. It's exactly what it sounds like. Intentionally pushing your fiber intake way up. We're talking 30, 40, even 50 grams of fiber days sometimes more.”
Now, people are doing it in very specific ways. She put things loaded with seeds, sell them husking water every morning, ultra high fiber cereals, gut cleanse protocols, fiber powders, supplements stacked on top of Whole Foods. It becomes almost a badge of honor. How high can you go? Well, why is this trending? Because fiber works. It helps with weight loss, it blends blood sugar spikes, it feeds your microbiome, it's good. It helps you feel full. It can even simulate your body's natural GLP1 hormone, the same pathway targeted by drugs like ozymbic.
And for many women, fiber also helps support estrogen detoxification and hormone balance and gets everything working in the hormone scene. So, the excitement makes sense. So, at its core, fiber maxing aims to accomplish something real. It's trying to help you feel fuller longer. So, you don't need so much. It lowers spikes in insulin, which makes you gain weight, it's a faster hormone. It supports a healthier microbiome because fiber feeds the microbiome. It helps you go to the bathroom and have regular bowel movements because you need fiber to go poop.
And it assists in your body's clearing excess hormones through your gut. All these are really good goals, but here's the functional medicine lens. The goal isn't maximum fiber. The goal is metabolic resilience. The goal is gut resilience. More is an automatically better, smarter is better.
“And the real question isn't how much fiber can I tolerate, which you know, you get used to more and more. What does my body actually need? What does my biology actually need?”
Now, let's talk about why fiber actually matters, because this isn't just about digestion. Fiber is one of the most important, powerful, under appreciated nutrients in the modern night.
First, fiber feeds your microbiome. You're not just eating for yourself, you're eating for your gut bacteria. And your microbiome is just about, you know, gut comfort or regularity. It's about how the microbiome influences your immune system, your metabolism, your brain chemistry, even your mood. If your fibers are fermented by gut bacteria, and they produce something called short-chain fatty acids, especially something called beauty rate. It smells bad, but it's really good for you. Beauty rate helps strengthen the gut lining. It also reduces inflammation and it improves your insulin sensitivity. It actually even helps for a cancer, by the way.
It's one of the key molecules that keep your metabolic system running smoothly. Now, fiber also helps regularly cholesterol by binding bile acids and helping your body eliminate excess cholesterol.
Those glucose absorption, which means you have fewer blood sugar spikes, fewe...
And for many people, especially women who are navigating a lot of their hormonal shifts to come with perimenopause and menopause or even PMS, fiber helps bind to excess estrogen, and also excess toxins in the gut.
“So they can be eliminated and don't affect your hormones. And that really helps create hormonal balance. Now, there's a key distinction you should know about.”
Not all fiber is the same. Now, here's where neurons matter. Some fiber is soluble, meaning it dissolves in water. It forms as gel-like substance, and it feeds your gut bacteria.
Think oats, chia, sodium. Some fiber is insoluble. It adds bulk to your diet. It helps move things through your digestive tract and up to poop. Think leafy greens, vegetable skins, seeds. And then there's fermentable versus non-fermented fiber. Some fibers are easily fermented by the gut bacteria, which is really beneficial. But for someone with an irritable balance syndrome problem or a small intestinal bacterial overgrowth, too much fermentable fiber, all at once, can cause bloating, discomfort, and making it worse.
Not that you don't need it eventually, but in the short term, you have to fix the problem. So when we talk about fiber, we can't treat like one single thing. From a functional medicine perspective, fibers are tool. And like any tool, it has to match the biology of the whole person using it.
“Gold isn't just more fiber, it's the right types of fiber in the right amounts for your body, not just anybody else. So fibers, not just about pooping, which is it's about metabolic signaling, which is very important.”
So who actually benefits from increasing fiber? Thoughtfully not, recklessly, who benefits? When done correctly, high fiber intake is an incredibly powerful tool for the right people.
And let's look at who that is. First, anybody dealing with insulin resistance, by the way, which was almost 90% of the population, or pre-diabetes, fibers slows the absorption of glucose, which is really important. And that means fewer blood sugar spikes, it means less insulin flooding your system, and that's important because insulin is a fat storage hormone, and it means more stable energy throughout the day. And certain fibers actually stimulate your body's natural GLP1 production, the same epitite regulating hormone that's started by popular weight loss medications like those epic.
Except this is your body doing it naturally. If you're struggling with cravings, energy crashes, or sudden stubborn weight gain around the middle, well fiber can be a game changer. Another great use of fibers are people who are suffering from perimenopause, or PMS, or a lot of hormonal shifts. Now, when estrogen levels fluctuate, many women experience a lot of changes in their bodies, like fat distribution, maybe increased belly fat, fiber also helps improve insulin sensitivity, which directly impacts this pattern.
It also binds extra estrogen that's in your gut and supports proper detoxification, which means you don't have too much circulating estrogen in your body, which can cause all kinds of problems from PMS to breast cancer and many other things. This is not just a trendy claim, this is just basic human physiology. Next big thing that fiber helps is constipation, which affects a lot of people. So when you have this slow transit time in your gut, when you increase fiber, and when things aren't moving, and you add the right types of fiber, gradually and by the way, within a water, because if you just have fiber that water, it's like some minutes, you don't want to do that.
When you do that, it can really improve going regularly, which is every day. I had a patient once, and I said, "How can you go?" She goes, "I'm regular." I said, "Well, how can you go?" She goes, "I go once a week." I'm like, "That's not regular." She goes, "It's regular for me. It should be once or twice a day folks."
“So it's basically, you have to make sure you get the right amount for you, it's slowly build up, but ideally, fiber is really important for having regular healthy bowel movements.”
The next big thing that can help with is your cholesterol. High LDL cholesterol, high APOB, soluble fiber. Things like still cutouts, flax, sylium, they can bind to the bile acids in your gut, and they help reduce the circulating cholesterol. It's one of the most evident space back benefits of fiber, so this is a lot of research on this. Those who are also eating ultra-processed diets, but honestly, you don't eat that anyway, but if you eat those foods are just empty of fiber. They're just rapidly absorbed, they spike your blood sugar, they make you hungry, they're just bad, and they make us all sick, which is what's happening in America today.
If you're one of those people eating ultra-processed foods, first of all, you shouldn't, but second of all, increasing fiber really helps correct this deficiency of fiber in your diet.
So yes, fiber-maxing, when done intelligently, and I don't like that term, by the way, can be incredibly helpful. But it works best when it's addressing a real metabolic knee, not just chasing a trendy thing you're watching on Instagram or TikTok. Okay, so who should be a little cautious about eating too much fiber, right?
It's time to track more than the weather.
In winter, your vitamin D levels, and immune system may shift in response to those cool, cold, dark days. By the time spring shows up, your biology transitions again, and here's the part the majority of us miss. These changes can happen quietly. You won't feel them, you won't see them, and you won't catch them without data.
“And that's why spring is a perfect moment to measure what's actually going on inside.”
Function gives you 160 lab tests, so you can stay on top of your vitamin D levels, your hormone balance, your inflammation patterns, and lots more. You can join in functionhealth.com for $365 a year. That's literally a dollar a day. Nature's resetting, make sure your body does too. Let's talk about the other side of this conversation.
While eating fiber can be incredibly powerful, more isn't always better, especially if your gut is not ready for it.
And this is where personalization and nuance matters. And a lot of people suffer from irritable bowel, from bloating, from what we call seabower, small intestinal bacterial overgrowth. If you're struggling with these things, dramatically increasing fermentable fiber actually makes you worse in the short term. In the long term, it can help, and the short term, it's going to cause a problem, because fermentable fibers feed the bad bugs as well as the good bugs. And if bacteria overgrung in the run place, like your small intestine, you're essentially pouring fuel on the fire, and you're going to get more gas, more dissension, more discomfort.
So in those cases, we don't start with more fiber. We start with healing the gut, and there's a very important method for doing that.
“We call the five-hour program and functional medicine, but it's really important.”
Second, anyone with active gut inflammation, whether it's inflammatory bowel disease or post antibiotic, gut disruption, or significant leaky gut symptoms, you need a more personalized approach, because certain fibers will irritate and already inflamed intestinal lining. And again, the goal is in volume, the goal is just to repair your gut. Another area to be cautious is thyroid patients, especially those taking thyroid medication, because if you're eating a very high fiber intake, that can interfere with the absorption of certain medications, if you take it too close together, doesn't mean avoiding fiber.
It means about being strategic about timing, so you're not absorbing the drugs as well as the sugar. Now, I want to talk about something and often gets overlooked. Some people start fiber-maxing, but they're under-eating protein. They're adding chia-putting, flaxcrackers, fibrous cereal, but they're not getting adequate protein to support building muscle.
And especially as we age, muscle is critical for metabolic health, for blood sugar, and control for longevity.
Now, if fiber crowds out protein, you're solving one problem, and you're creating another problem, so be careful. The functional medicine rule is if you're gutsy-flamed, heal at first, don't overload it, don't force feed the gut microbiome.
“You want to make sure you have healthy bugs, build them up slowly, and still you build resilience, and you can tolerate a lot more fiber.”
Fibrous, very powerful, but only when your biology is ready for it. Okay, so if you're going to increase your fiber intake, let's do it in a smart way. First rule, go slowly. Your microbiome adapts over time. Now, if you jump from 15 grams to 45 or 60 overnight, you're gutting and not going to be happy and you're going to have issues. So it's still going to increase by about five grams of fiber a week.
And then, kind of let your system adjust. Second big point here is hydration is mandatory. It's not negotiable, because fiber absorbs water. And if you increase fiber without fluids, you're actually going to worsen constipation. I was like a sponge, and it needs water to do its job.
And if you have fiber without water, it turns this cement and that is no fun for anybody. Next, pair your fiber with protein.
That's critical, because it helps with feeling full.
Yeah, so blood sugar control, but protein also preserves muscle. And it stabilizes your metabolism, and it supports your long-term overall resilience of your health. So every fiber forward meal should also include high-quality protein. Next thing you want to do is focus on whole food source of fiber. The best fiber comes packaged with nutrients, fighter nutrients in minerals like lentils.
Beans, if you can tolerate them, chia seeds, flat seeds, artichokes, berries, veggies, and all kinds. A whole diversity of foods feeds a diverse microbiome. Next, be careful with ultra-processed high-fiber products. My rule is if it has a health claim on the label, do not eat it. It's bad for you.
If it's as high fiber, it's hiding something. If it says high protein, it's hiding something like sugar. So be careful. Fiber bars are often loaded with sugar, artificial sweeteners, cereals, fortified with synthetic fibers are not good for you.
It's manufactured to look healthy, but read the label carefully, and basically follow my rule. It has a health claim on the label. Don't eat it. Next, figure out what amount matters for you.
Diversity of fiber is really important. So not just all from the same source, like sodium husk or flaxseeds. 30 grams of varied plant fiber is even more beneficial than 60 grams of
One isolated supplement-like flaxseeds or sillium husk.
So here's a takeaway.
“From a functional amount of perspective, the goal is into win the fiber Olympics.”
It's to create a resilient gut, a stable blood sugar, doused hormones, and sustainable energy. More is not the goal that it is. Now let's talk about why fibers get in so much attention right now. GLP-1.
If heard about ozzembeck, would go be all those medications that increase gLP-1 to reduce appetite and improve your blood sugar. But here's the most people don't realize. Your body already makes gLP-1.
And one of the most powerful ways to simulate it naturally is to fiber,
especially soluble fiber and fermentable fiber. When fiber reaches your colon, it feeds your beneficial bacteria, and those bacteria produce short chain fatty acids. Those compounds signal your body didn't increase gLP-1 production. And that helps regulate your appetite, improve insulin sensitivity,
and stabilize your blood sugar. So yes, fiber can support natural appetite regulation. But here's the nuance. Fiber alone is not a magic bullet. If you're not sleeping, if you're not string training,
if you're protein and take as low, if your stress is chronically high, fiber is not going to fix that. It's not going to override those signals. So GLP-1 isn't just about food, it's about metabolic health as a whole. A fiber is part of the solution, but it works much better
inside a bigger framework of understanding metabolic resilience. All right, let's do a quick Q&A on fiber. It's still good. Well, yeah, if you're strategically ambus tolerated, it's too much fiber bad.
Well, yes, it can be bad in the wrong situations,
and you can get bloating, you can get poor absorption of other things like mineral, so be careful.
“Next question, should I fiber max if I'm trying to lose weight?”
Yes, but with protein, intake this adequate and string training or resistance training? Next question, can fiber lower estrogen dominance, which means too much estrogen, which can cause weight gain, flu retention, breast tenderness, PMS, hot flashes,
all kinds of stuff, even cancer. Yes, it actually can help by binding excess estrogen in the gut and pro tip, flax seeds are particularly good at this. All right, let's zoom out. Fiber maxing is a wrong.
In fact, for lots of people, increasing fibers and one of the smartest changes they can make in their diet, but health doesn't come from extremes. It comes from alignment. The real goal isn't the maximum out of fiber.
It's metabolic resilience. It's gut resilience.
It's a sustainable energy.
It's sustainable hormones. If your digestion improves your energy stabilizes, your cravings decrease, and you're on the right track. But if you're bloated, you're inflamed, you're uncomfortable. That's data your body's giving you.
Listen to your biology. If this episode helped you cut through the noise around the fiber transwell, share with someone, experimenting with fiber maxing, or trying to improve their gut health.
And remember, the body responds to balance not intensity. Smarter, not harder. Thanks for joining me for office hours. I love diving into these topics with you.
Remember, you are the CEO of your own health. And every choice you make can move your closer to healing and vitality. I want to keep these episodes as relevant and useful as possible.
So tell me, what do you want to explore next? What questions are you wrestling with? What breakthroughs are you chasing? Share your ideas in the comments on social media or through the link in the show notes.
I'm listening. Until next time, keep taking charge, keep asking questions, and keep showing up for your health.
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