People walking and picnicking beside a river, seen from above
  • Fatigue
  • Brain fog
  • Bloating
  • Reflux
  • Irregular bowel habits
  • Skin flare-ups
  • Breakouts
  • Bad breath
  • Itchy skin
  • Irregular cycles
  • Food reactions
  • Indigestion
  • Akkermansia
  • Lactobacillus
  • Bifidobacterium

An Australian medical clinic · 100% telehealth

Medicine that starts with your microbiome.

15 min · no charge · no obligation

Orange: symptoms people notice. Blue: microbes a test report looks at.

Bloating, low mood, breakouts? We start with your gut health.

We're an Australian telehealth medical clinic with a focus on gut health and the gut microbiome, the bacteria that live in your gut. Research is exploring how it's associated with digestion, mood, skin and more.

01 · Choose a test

Microbiome testing

Gut · SIBO · Oral · Vaginal. Collected at home, from $300.

Shop tests

02 · See a doctor · by video

Video consultations

Dr Paul Froomes

Optional, after your results. Telehealth Australia-wide.

Start with a conversation

Not sure where to start? Start here.

The 2-minute quiz Works on your phone. No account needed.

  1. Choose your test

    And if you need help, book a call or take the quiz.

    Take the 2-minute quiz

    Not quite sure what to do? Book a discovery call

    15 min · no charge · no obligation

  2. Test at home

    Choose a test yourself, through the quiz or with our patient-care team. The kit is posted to you; collect the sample at home and return it in the satchel provided.

    Posted to you · return satchel included

  3. Talk to a doctor

    Optional, after your results: meet one of our doctors by video. They go through your results with your symptoms and history.

    Video consults · Australia-wide

Conditions · 07 areas

Conditions our doctors see.

Select an area to see the symptoms people bring to us, what the research is exploring, and which of our tests relates to it. Whether we can help depends on your circumstances.

Tap an area for the symptoms people bring to us and which of our tests relates to it.

  • Gut and digestive

    Your gut holds most of the microbes that live in and on your body.

    Learn more about Gut and digestive
    • Bloating and abdominal discomfort
    • Irregular bowel habits
    • Reflux
    • IBS
    • SIBO · Food reactions · Nausea
    • Bloating and abdominal discomfort
    • Irregular bowel habits · Reflux · IBS
    • SIBO · Food reactions · Nausea
  • Gut–brain axis

    Researchers call the two-way connection between the gut and the brain the gut–brain axis.

    Learn more about Gut–brain axis
    • Low mood
    • Brain fog
    • Poor sleep
    • Appetite changes
    • Fatigue · Stress-related flares
    • Low mood
    • Brain fog · Poor sleep · Appetite changes
    • Fatigue · Stress-related flares
  • Skin

    Research is exploring a gut–skin axis: how the gut microbiome is associated with the skin.

    Learn more about Skin
    • Acne
    • Eczema and dermatitis
    • Rosacea
    • Psoriasis
    • Hives · Flushing
    • Acne
    • Eczema and dermatitis · Rosacea · Psoriasis
    • Hives · Flushing
  • Oral and gums

    Your mouth has its own microbiome, one of the body's most varied microbial communities.

    Learn more about Oral and gums
    • Gum concerns
    • Breath concerns
    • Oral thrush
    • Dry mouth
    • Mouth ulcers · Coated tongue
    • Gum concerns
    • Breath concerns · Oral thrush · Dry mouth
    • Mouth ulcers · Coated tongue
  • Women's health

    A vaginal microbiome is usually dominated by Lactobacillus species; research is exploring what shifts in that balance mean.

    Learn more about Women's health
    • Recurrent thrush
    • Bacterial vaginosis
    • Recurrent urinary symptoms
    • Vaginal discomfort
    • Odour changes · Irritation
    • Recurrent thrush
    • Bacterial vaginosis · Recurrent urinary symptoms · Vaginal discomfort
    • Odour changes · Irritation
  • Immune and joints

    Immune · consultation first

    A large share of your body's immune tissue sits in the gut wall.

    Complete reports secretory IgA, an antibody made in the gut lining.

    Learn more about Immune and joints
    • Joint pain and stiffness
    • Recurrent infections
    • Seasonal sensitivity
    • Food reactions
    • Skin flares · Slow recovery
    • Joint pain and stiffness
    • Recurrent infections · Seasonal sensitivity · Food reactions
    • Skin flares · Slow recovery
  • Liver and energy

    Liver · consultation first

    Blood from your gut travels straight to your liver through the portal vein, which is why researchers talk about a gut–liver axis.

    Learn more about Liver and energy
    • Fatigue
    • Upper abdominal discomfort
    • Bloating after rich meals
    • Nausea after eating
    • Afternoon energy dips
    • Fatigue
    • Upper abdominal discomfort · Bloating after rich meals · Nausea after eating
    • Afternoon energy dips
  • Not listed

    Something else?

    The seven areas above are where we see people most. If your symptoms aren't listed, our patient-care team can tell you whether a consultation makes sense.

    Book a discovery call

    15 min · no charge · no obligation

Sources · 1 Sender R et al. 2016, PLoS Biology. 2 Cryan JF et al. 2019, Physiol Rev. 3 Salem I et al. 2018, Frontiers in Microbiology. 4 Human Microbiome Project Consortium 2012, Nature. 5 Ravel J et al. 2011, PNAS. 6 Vighi G et al. 2008, Clinical & Experimental Immunology. 7 Tripathi A et al. 2018, Nat Rev Gastroenterol Hepatol.

THE MICROBIOME · 07 AREAS

The microbiome, and your gut. One body, in constant conversation.

Your body has several microbiomes. Some talk to the gut; researchers call those links axes.

07 AREAS · SELECT ONE
  • Your gut holds most of the microbes that live in and on your body.[1]

    • Researchers describe a varied, steady community as eubiosis, and an imbalance in it as dysbiosis.[8,10]
    • Dysbiosis describes the community; on its own it isn't a diagnosis.
    • The gut lining is also a barrier, and when it lets more through than usual researchers call it increased intestinal permeability.[9]

    WHAT PEOPLE OFTEN MENTION

    • Bloating
    • Irregular bowel habits
    • Reflux
    • IBS

    Sources [1] Sender R et al. 2016, PLoS Biology · [8] Levy M et al. 2017, Nat Rev Immunol · [9] Camilleri M 2019, Gut · [10] Lozupone CA et al. 2012, Nature

  • Researchers call the two-way connection between the gut and the brain the gut–brain axis.[2]

    Signals travel both ways along three pathways:[2]

    1. Nerves: the vagus nerve links the gut and the brainstem.
    2. Hormones: chemical messengers, some made by gut microbes, travel in the blood.
    3. The immune system: immune cells in the gut wall send signals through the body.
    • Research is exploring how gut dysbiosis is associated with mood, sleep and the body's stress response.[2,8]
    • Much of this work is early, and an association isn't a cause.

    WHAT PEOPLE OFTEN MENTION

    • Low mood
    • Brain fog
    • Poor sleep
    • Fatigue

    Sources [2] Cryan JF et al. 2019, Physiol Rev · [8] Levy M et al. 2017, Nat Rev Immunol

  • Research is exploring a gut–skin axis: how the gut microbiome is associated with the skin.[3]

    • Studies have looked at gut dysbiosis in people with acne, rosacea and eczema.[3]
    • Researchers are also exploring whether increased intestinal permeability plays a part.[3,9]
    • Your skin has its own microbiome as well.[4]

    WHAT PEOPLE OFTEN MENTION

    • Acne
    • Eczema and dermatitis
    • Rosacea
    • Psoriasis

    Sources [3] Salem I et al. 2018, Frontiers in Microbiology · [4] Human Microbiome Project Consortium 2012, Nature · [9] Camilleri M 2019, Gut

  • Your mouth has its own microbiome, one of the body's most varied microbial communities.[4]

    • Researchers have catalogued hundreds of bacterial species living there.[13]
    • Research is exploring how shifts in that community are associated with gum and breath concerns.[13]

    WHAT PEOPLE OFTEN MENTION

    • Gum concerns
    • Breath concerns
    • Dry mouth

    Sources [4] Human Microbiome Project Consortium 2012, Nature · [13] Dewhirst FE et al. 2010, J Bacteriol

  • A vaginal microbiome is usually dominated by Lactobacillus species; research is exploring what shifts in that balance mean.[5]

    • Lactobacilli make lactic acid, which keeps the vaginal environment mildly acidic.[5]
    • Communities with fewer lactobacilli are associated with bacterial vaginosis.[5]

    WHAT PEOPLE OFTEN MENTION

    • Recurrent thrush
    • Bacterial vaginosis
    • Recurrent urinary symptoms

    Sources [5] Ravel J et al. 2011, PNAS

  • A large share of your body's immune tissue sits in the gut wall.[6]

    • Gut microbes and immune cells are in constant contact, and researchers describe how each influences the other.[11]
    • Research is exploring how dysbiosis is associated with the way the immune system responds.[8]

    WHAT PEOPLE OFTEN MENTION

    • Recurrent infections
    • Seasonal sensitivity
    • Food reactions

    Sources [6] Vighi G et al. 2008, Clinical & Experimental Immunology · [8] Levy M et al. 2017, Nat Rev Immunol · [11] Belkaid Y & Hand TW 2014, Cell

  • Blood from your gut travels straight to your liver through the portal vein, which is why researchers talk about a gut–liver axis.[7]

    • That means substances made by gut microbes pass through the liver before the rest of the body.[7]
    • Research is exploring how increased intestinal permeability and dysbiosis are associated with changes in the liver.[12]

    WHAT PEOPLE OFTEN MENTION

    • Fatigue
    • Upper abdominal discomfort

    Sources [7] Tripathi A et al. 2018, Nat Rev Gastroenterol Hepatol · [12] Albillos A et al. 2020, J Hepatol

KEY TERMS

Three words you'll see a lot, in plain terms.

Think of a garden in balance: lots of different plants, none crowding out the rest. Researchers use eubiosis for a gut community that's varied and steady.[10]

The same garden, out of balance: a few plants have spread and others have thinned out. Dysbiosis is the word researchers use for that shift. It describes the community, not a diagnosis.[8]

Your gut lining works like a fine sieve: nutrients through, most other things held back. Leaky gut is the everyday name for a sieve letting more through. Researchers call it increased intestinal permeability, and they're still working out what it means.[9]

An association isn't a cause. Whether any of this is relevant to you is something to talk through with a doctor.

Sources · 1 Sender R et al. 2016, PLoS Biology. 2 Cryan JF et al. 2019, Physiol Rev. 3 Salem I et al. 2018, Frontiers in Microbiology. 4 Human Microbiome Project Consortium 2012, Nature. 5 Ravel J et al. 2011, PNAS. 6 Vighi G et al. 2008, Clinical & Experimental Immunology. 7 Tripathi A et al. 2018, Nat Rev Gastroenterol Hepatol. 8 Levy M et al. 2017, Nat Rev Immunol. 9 Camilleri M 2019, Gut. 10 Lozupone CA et al. 2012, Nature. 11 Belkaid Y & Hand TW 2014, Cell. 12 Albillos A et al. 2020, J Hepatol. 13 Dewhirst FE et al. 2010, J Bacteriol. Illustration, not to scale.

Not quite sure where you fit? Book a discovery call

15 min · no charge · no obligation

Our tests · collected at home

Testing is where we begin.

Four tests, collected at home and processed by an Australian pathology laboratory. Choose one yourself, take the 2-minute quiz, or ask our patient-care team. Your report comes straight to you.

Explore all tests
  • Kits posted to you, returned in the satchel provided
  • Processed by an Australian pathology laboratory
  • Optional consultation to go through your results
  • Gut Microbiome Test

    Gut Microbiome Test

    from $370

    Stool sample, collected at home. Often discussed for bloating, irregular bowel habits and food reactions.

    Compare all 5
    • Standard $370

      Results in 7–10 business days

      qPCR amplification, run here in Melbourne

    • Complete $570

      Results in 7–10 business days

      qPCR amplification, run here in Melbourne

    • Max+ $750

      Results in 11–14 business days

      Shotgun metagenomic sequencing, here in Melbourne

    • Results in 11–14 business days

      Shotgun metagenomic sequencing, here in Melbourne

    • Results in 11–14 business days

      Shotgun metagenomic sequencing, here in Melbourne

    from $370

    View test →
  • SIBO Breath Test

    SIBO Breath Test

    $300

    Three-hour breath test, at home. Often discussed for bloating and gas after meals.

    • Results in 5–7 business days

  • Oral Microbiome Test

    Oral Microbiome Test

    $300

    Saliva swab, at home. Often discussed for gum and breath concerns.

    • Results in 5–7 business days

  • Vaginal Microbiome Test

    Vaginal Microbiome Test

    $300

    Discreet self-collected swab, at home. Often discussed for recurring discomfort.

    • Results in 5–7 business days

Turnaround is in business days, counted from when the laboratory receives your sample. Prices are for the kit and laboratory processing. Every order starts with your patient details.

100% telehealth · Australia-wide

See a doctor from anywhere in Australia.

Kits are posted to you and returned in the satchel provided. If you'd like a doctor to review your results, consultations are held by video.

  • Video consults

    From home, any state or territory.

  • Kits posted to you

    Returned in the satchel provided.

  • Doctor review

    Optional. A doctor reviews your results with your symptoms.

Consults from $250

  • Broome · 6725
  • Cairns · 4870
  • Mount Isa · 4825
  • Alice Springs · 0870
  • Bourke · 2840
  • Port Augusta · 5700
  • Albany · 6330
  • Mildura · 3500
  • Burnie · 7320

Postcodes shown are examples · kits are posted to any Australian address

The founder

About Dr Froomes ↗

Dr Paul Froomes, Gastroenterologist (MBBS, FRACP).

A gastroenterologist and consultant physician in Melbourne. He founded The Microbiome Clinic so people can test their microbiome at home and, if they choose, have a doctor go through their results alongside their symptoms and history. Medical and holistic, together.

  • BMedSci, MBBS

    Monash University

  • FRACP

    Royal Australasian College of Physicians

Credentials

He built the clinic around a team.

Every consultation is with a doctor registered with Ahpra. Bring your results and your symptoms, and your doctor builds a plan with you.

  • Dr Juliet Froomes

    Registered medical practitioner

  • Dr Lisa Laidlaw

    Registered medical practitioner

  • Dr Vidya Prabhu

    Registered medical practitioner

  • Dr Joanna Hickey

    Registered medical practitioner

2 min · a few questions · one place to start 2 min · a few questions

Curious what is going on in your gut? Start with a few questions.

The quiz asks what you notice, then suggests which of our four tests to look at. Nothing to decide today. The quiz suggests which of our four tests to look at. Nothing to decide today.

Take the 2-minute quiz

Not quite sure what to do? Book a discovery call

15 min · no charge · no obligation

Are your doctors registered medical practitioners?

Yes. Every doctor at The Microbiome Clinic is registered with Ahpra, the Australian Health Practitioner Regulation Agency. The clinic was founded and is led by Dr Paul Froomes, Gastroenterologist (MBBS, FRACP).

Is the microbiome an area of medical research?

Yes. The human microbiome is an active area of medical research, and our doctors work from published human studies. Much of that research is still exploring associations rather than settled cause and effect. Your doctor will tell you where the evidence is stronger and where it is still early.

Can I claim consultations through Medicare?

Consultations with our registered medical practitioners are private and are not claimable through Medicare. A Medicare rebate may apply to a consultation with Dr Paul Froomes when you hold a current referral to him from your treating doctor. Our patient-care team explains fees before you book.

Do I need a referral to book?

You do not need a referral to see our registered medical practitioners. A referral from your treating doctor is needed for a consultation with Dr Paul Froomes, and it is what allows a Medicare rebate to apply. If you are unsure which is right for you, book a discovery call and our patient-care team will explain both.

How do telehealth consultations work?

Every consultation is by video, from wherever you are in Australia. After booking you receive a link to join at the scheduled time. Your doctor takes your history, discusses any test report with you and explains what happens next. Follow-up appointments are held the same way.

How long do results take?

It depends on the test. SIBO breath, oral and vaginal tests are usually reported 5–7 business days after the laboratory receives your sample. The Gut Microbiome Test and Complete take 7–10 business days, and Gut Microbiome Max+ and the Kids and Baby tests 11–14. When your report is in, you can book a consultation yourself if you would like a doctor to go through it with you.

What conditions do your doctors see?

Our doctors see people with digestive, skin, oral and women's health symptoms, the areas listed above. Whether a consultation or testing is appropriate depends on your individual circumstances, and your doctor discusses that with you.

About us · who we are

A medical clinic with a focus on the microbiome.

Founded in Melbourne by Dr Paul Froomes. You test at home, and if you choose, a doctor goes through your results with you: a doctor-led program based on your results.

Read our story