High-fat, low-fibre diets, food additives, and irregular eating patterns damage the gut barrier through three converging mechanisms: reduced short-chain fatty acid production, mucus layer thinning, and circadian desynchronisation. These changes drive low-grade inflammation linked to obesity, diabetes, and cardiovascular disease. — Photo by 女子 正真 on Pexels (Pexels License)
MD, MPH, PhD. Editor-in-Chief, Georgian Medical Journal (GMJ). Professor and Head, School of Public Health, David Tvildiani Medical University (DTMU), Tbilisi, Georgia. Chair, Public Health Institute of Georgia (PHIG). President, Accréditation Sans Frontières (ASF), Paris. Secretary/Treasurer, UEMS Section of Public Health. WHO Consultant, Health and Migration, Geneva. Former Member, UN Secretary-General's Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP-EWEC, 2016–2021). ORCID: 0000-0001-7609-4515.