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Fecal microbiota transplant (FMT) is an investigational biologic and microbiome-based therapy. The specific intervention led by Dr. Johane P. Allard at the University Health Network involved a Phase 2 randomized controlled trial using FMT from healthy lean donors to treat individuals with morbid obesity and insulin resistance. [2, 3] The therapy consists of a single dose of fecal filtrate administered via colonoscopy. [1, 5] Its proposed mechanism is to modulate the recipient's gut microbiome by introducing the complete microbial community from a lean donor, thereby altering gut bacterial composition and metabolic activity to improve insulin resistance and promote weight loss. [1, 5]
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