HSA | FSA CARDS ARE NOW ACCEPTED

Last reviewed: May 12, 2026 Last updated: May 12, 2026

Written by: Jay Hastings , CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

How FUT2 Genotype Shapes Your Gut Microbiome

The microbiome is a community of trillions of microbes that live mainly in the gut and play key roles in digestion, nutrient absorption, immune regulation, and protection against harmful organisms. One gene that helps shape this community is FUT2. FUT2 influences which sugar structures are present in saliva, mucus, and the lining of the digestive tract. Those sugars act as food and attachment sites for many beneficial bacteria, so different FUT2 genotypes can lead to differences in microbiome composition and diversity.

What FUT2 Does and Why It Matters

FUT2 encodes an enzyme that adds specific sugar molecules to mucins and secretions in the gut. If your FUT2 enzyme is active, those sugar structures are present and support growth and attachment of bacteria such as Bifidobacteria, Ruminococcus, Clostridium, and Akkermansia. If FUT2 is not functional, those sugars are absent and certain beneficial bacteria may be less abundant or less able to colonize. This can influence digestion, short-chain fatty acid production, immune signaling, and how you respond to probiotics or certain foods.

2 effect alleles (AA) — Non-secretor

If your genotype is AA at rs601338, you are classified as a non-secretor. You do not produce the FUT2-dependent sugar structures in your digestive secretions and saliva. This typically associates with lower levels and reduced diversity of some beneficial bacteria, especially Bifidobacteria. Other genera that may be reduced include Ruminococcus, Clostridium, and Akkermansia.

Practical considerations

  • Microbiome diversity: May be lower in some beneficial members, so focus on strategies that foster diversity.
  • Probiotics: Some strains may have reduced colonization ability. Targeted supplements with Bifidobacterium strains are often helpful.
  • Diet: Emphasize a range of fermentable fibers and resistant starches to feed resident microbes.
  • Monitoring: Consider stool microbiome testing and basic labs (CRP, CBC, metabolic panel) if you have symptoms of dysbiosis or inflammation.
1 effect allele (AG) — Secretor

If your genotype is AG at rs601338, you are a secretor with one functional FUT2 copy. Your gut and secretions include the FUT2-dependent sugar structures that support attachment and nutrition for beneficial bacteria. This typically supports a relatively diverse microbiome with healthy levels of Bifidobacteria and other beneficial genera.

Practical considerations

  • Microbiome diversity: Often favorable but still benefits from supportive lifestyle choices.
  • Probiotics: Standard broad-spectrum probiotics and fermented foods are likely to work well.
  • Diet: Maintain diverse fibers and whole-food carbohydrate sources to preserve beneficial populations.
  • Monitoring: Routine wellness checks and symptom tracking are usually sufficient unless clinical concerns arise.
0 effect alleles (GG) — Secretor

If your genotype is GG at rs601338, you are a secretor with two functional FUT2 copies. You produce the FUT2-dependent sugar structures in digestive secretions and saliva, which typically supports higher levels and diversity of beneficial bacteria compared to non-secretors. This environment can promote better probiotic colonization and support digestion, immune function, and protection against some infections and inflammatory conditions.

Practical considerations

  • Microbiome diversity: Often higher than non-secretors but still subject to diet, antibiotics, and lifestyle factors.
  • Probiotics: Likely to have good colonization with appropriate strains and supportive prebiotics.
  • Diet: Continue to prioritize fiber diversity and fermented foods to sustain a healthy community.
  • Monitoring: Use symptom tracking and periodic testing only as needed for specific concerns.

Dietary Strategies to Support a Healthy Microbiome

Regardless of FUT2 status, diet is one of the most powerful ways to shape your gut community. Aim for variety and consistency.

  • High-fiber whole foods: Vegetables, fruits, legumes, whole grains, nuts, and seeds provide a wide mix of fibers that feed different microbes.
  • Prebiotic-rich foods: Garlic, onions, leeks, asparagus, chicory, Jerusalem artichoke, and certain green bananas support Bifidobacteria and other fermenters.
  • Resistant starch: Cooked and cooled potatoes, rice, and unripe bananas supply resistant starch that feeds beneficial bacteria and encourages production of butyrate.
  • Fermented foods: Yogurt, kefir, sauerkraut, kimchi, and kombucha introduce live microbes and support diversity. Choose low-sugar options and those you tolerate well.
  • Limit excess processed foods and added sugars: These can favor less beneficial microbes and reduce diversity over time.
  • Hydration and balanced meals: Support digestion and transit time, which influence microbial communities.

Supplement and Probiotic Guidance

Supplements can be useful when diet alone does not provide consistent microbial support. Choose products with clear strain labels and adequate CFUs for the purpose.

  • Bifidobacterium-focused formulas: Especially helpful for non-secretors who may have lower Bifidobacteria. Look for combinations like B. longum, B. breve, B. infantis, or B. adolescentis when appropriate.
  • Multi-strain probiotics: For many people, a broad-spectrum formula that includes Lactobacillus and Bifidobacterium strains supports diversity.
  • Prebiotic supplements: Inulin, fructooligosaccharides, and partially hydrolyzed guar gum can help feed beneficial bacteria if dietary intake is low. Start slowly to minimize gas and bloating.
  • Postbiotics and butyrate: Products that support butyrate production or supply beneficial metabolites may help gut barrier function and inflammation in some cases.
  • Quality and storage: Choose clinically tested brands, check expiration, and follow storage recommendations to maintain potency.

Lifestyle Habits That Benefit the Microbiome

  • Sleep: Aim for consistent, restorative sleep to support immune-microbiome interactions.
  • Stress management: Chronic stress shifts microbial balance. Practices such as breathing exercises, mindfulness, and regular physical activity help.
  • Exercise: Regular moderate exercise supports microbial diversity and metabolic health.
  • Avoid unnecessary antibiotics: Use antibiotics only when prescribed and discuss options with your provider to protect microbiome health.
  • Maintain a healthy weight and metabolic profile: Diet, activity, and sleep all influence the microbiome and overall health.

Monitoring and Tests to Consider

  • Stool microbiome profiling: Can provide insight into microbial composition and functional potential if you have chronic gut symptoms or want personalized guidance.
  • Inflammation markers: Blood tests such as CRP or fecal calprotectin may help evaluate gut inflammation when symptoms are present.
  • Basic labs: Metabolic panel, complete blood count, and nutrient levels (iron, B12, vitamin D) can identify contributors to gut or systemic symptoms.
  • Symptom tracking: Keep a food and symptom diary to identify triggers and monitor response to interventions.

Final Notes and Important Disclaimer

PlexusDx provides educational information about genetic predispositions and how they may influence health and wellness. This content is not medical advice. Always consult your healthcare provider before making changes to diet, supplements, medications, or lifestyle based on genetic information. Your provider can help interpret results in the context of your medical history, current health, and personal needs.

If this genetic variant is present in your PlexusDx results, the following tests and reports are commonly used to explore it further:

🧬 Genetic Tests:

🧪 Blood Tests:

📄 Genetic Report:

Frequently Asked Questions About Microbiome and FUT2 rs601338

What does your FUT2 genotype mean for your gut microbiome?

FUT2 influences the sugar structures present in saliva, mucus, and the digestive tract lining. Those sugars act as food and attachment sites for beneficial gut bacteria, so different FUT2 genotypes can change microbiome composition and diversity—affecting digestion, short-chain fatty acid production, immune signaling, and how you may respond to probiotics or certain foods.

How do non-secretor (AA) vs secretor (AG or GG) FUT2 genotypes differ?

If you have an AA genotype at rs601338, you’re a non-secretor and do not produce FUT2-dependent sugar structures, which can be associated with lower levels and reduced diversity of some beneficial bacteria, especially Bifidobacteria (and sometimes Ruminococcus, Clostridium, and Akkermansia). If you’re AG or GG, you’re a secretor with one or two functional FUT2 copies, typically supporting higher beneficial bacterial diversity and better colonization potential for some probiotic strains.

What diet and probiotic strategies work best for FUT2 status?

Regardless of FUT2 status, prioritize diverse high-fiber whole foods, prebiotic-rich foods (like garlic, onions, asparagus, chicory, and certain green bananas), resistant starch (like cooked-and-cooled potatoes or rice), and low-sugar fermented foods (yogurt, kefir, sauerkraut, kimchi, kombucha). If you’re a non-secretor (AA), Bifidobacterium-focused formulas are often especially helpful; you can also use multi-strain probiotics and prebiotic supplements (such as inulin or partially hydrolyzed guar gum) started slowly to reduce gas and bloating.

What tests can help me learn more about Microbiome and FUT2 rs601338?

The Optimal Diet and Weight Loss Genetic Test delivers over 295 genetic insights related to nutrition response, body composition, metabolism, and fitness. The Diet and Nutrition Genetic Report translates your results into personalized, actionable guidance. Your healthcare provider can also recommend targeted blood tests based on your specific pathway results and health history to complement your genetic insights with current biomarker data.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.