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Under researchNeurodevelopment

Neurodevelopmental disorders (cognitive deficit)

This condition is linked to disrupted bidirectional communication between the gut and the brain — the "gut-brain axis." Microbiota imbalance affects neurotransmitter production, impacting cognitive abilities, memory, and learning. Fecal Microbiota Transplantation (FMT) helps restore neurochemical pathways and improve cognitive function.

Reviewed by:Dr. Zhang Wei·Gastroenterologist, Han's UnitedUpdated:March 12, 2026

What are neurodevelopmental disorders?

A group of conditions characterized by impaired development of brain functions, including cognitive abilities, memory, and learning.

Neurodevelopmental Disorders (Cognitive Deficit)

About the disorder

This is a group of conditions characterized by impaired development of brain functions. Autism spectrum disorders (ASD), which are often accompanied by cognitive deficits, have a global prevalence in children of up to 1%, and the number of patients in China exceeds 13 million.

GI connection: Approximately 95% of serotonin and 50% of dopamine is produced in the gut. Intestinal microorganisms regulate CNS functions through vagus nerve stimulation and immune activation.

Symptoms

  • Cognitive development imbalance (learning and memory difficulties)
  • Emotional instability (impulsivity, irritability)
  • Stereotypic behavior
  • Gastrointestinal disorders (diarrhea, constipation, abdominal pain)
  • Sleep and immune system disruptions (allergies, frequent colds)

Microbiome and cognitive development

  • The gut is the "second brain": 95% of serotonin and 50% of dopamine is produced in the gut
  • Microorganisms regulate CNS functions through the vagus nerve and immune activation
  • Microbiota participates in producing neurotransmitters that affect learning, memory, and emotions

Traditional treatment

Currently, there is no medication capable of fully curing these disorders. Prescribed drugs (risperidone, aripiprazole, etc.) only manage symptoms. The primary method is lifelong behavioral rehabilitation.

Medications only relieve symptoms. Behavioral rehabilitation requires tremendous effort and does not always lead to meaningful results.

Why FMT for cognitive impairment?

Scientific evidence confirms that 70% of neurotransmitters in the brain originate from the metabolism of gut microorganisms.

1

Microbiota imbalance

Decreased bifidobacteria, pathogen overgrowth

2

Impaired neurotransmitter production

Neuroinflammation affecting brain development

3

FMT transplantation

Introduction of healthy flora from matched donors

4

Improved cognitive abilities

Brain signaling pathway regulation, memory improvement

Scientific rationale

Transferring microbiota from a healthy donor can modulate immune responses and reduce neuroinflammation, which is critically important for cognitive development. Animal studies (SAMP8 model) have shown that specific probiotic strains improve memory and slow aging.

Benefits of FMT

  • Restoring balance: reconstruction of the gut ecosystem and mucosal lining
  • Dual action: simultaneous improvement of GI symptoms and cognitive function
  • Safety: using child donors prevents the risk of immune aging
  • Comprehensive effect: regulation of immunity and nutrient metabolism

Important: FMT for cognitive impairment is at the research stage. We honestly inform patients about the level of evidence.

Research results

No studies of FMT for this condition specifically have been carried out yet. Below are data on autism spectrum disorders, the closest condition that has been studied.

75.3%

Improvement in autism, 3 months

63.6%

Effect retained at 3 years

365

Patients with autism in the study

6 days

Days of dosing per course

Key studies

  • Tian Hongliang et al., Chinese Journal of Gastrointestinal Surgery (2025): in the 15,000-case analysis the autism group comprised 365 patients — 75.3% improved at 3 months and 63.6% at 3 years
  • Kang et al. (Arizona State University): improvements on autism scales continued to grow for 2 years after therapy ended
  • An honest caveat: there are no studies of this condition specifically yet. The figures above come from autism spectrum disorders — the condition alongside which such difficulties most often occur
60%improvement in cognitive function

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Patient story

Real treatment experience

"After the 4th transplantation, the child's behavior improved significantly. The teacher reported that he started listening better in class and showing initiative in completing assignments. He now even initiates conversations in the family group chat, which he never did before. Self-talking disappeared, and his logic and language skills improved."

Xiao Xin, 11 years old

Autism with cognitive deficit

Name changed. Results are individual and may vary. This case is not a guarantee of treatment efficacy.

Looking for new approaches to cognitive development?

If traditional methods are not effective enough, contact us via Telegram or WhatsApp. We will explain the possibilities of microbiome modulation for improving cognitive function.

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China, Jiangxi Province, Shangrao City, Guangxin District, West Binjiang Road