Gut-Brain Axis

Your Second Brain: The Enteric Nervous System Explained

With over 100 million neurons, your gut's nervous system operates independently and communicates constantly with your brain.

OHP Research Team
February 2026
7 min read

Embedded in the walls of your gastrointestinal tract is a complex network of over 100 million neurons — more than exist in the spinal cord. This network, called the enteric nervous system (ENS), is so sophisticated that it can operate entirely independently of the brain and spinal cord. It is, in every functional sense, a second brain.

Architecture of the Second Brain

The ENS consists of two main plexuses: the myenteric plexus (which controls gut motility — the muscular contractions that move food through the digestive tract) and the submucosal plexus (which regulates enzyme secretion, blood flow, and the gut's immune response). Together, these networks coordinate the extraordinarily complex process of digestion without requiring any input from the brain.

The ENS uses more than 30 neurotransmitters, most of which are identical to those found in the brain — including serotonin, dopamine, GABA, and acetylcholine. This shared neurochemistry is not coincidental; the gut and brain develop from the same tissue during embryonic development and maintain an intimate connection throughout life.

The Vagus Nerve Highway

The primary communication channel between the gut brain and the head brain is the vagus nerve — the longest cranial nerve in the body. Remarkably, approximately 80% of the vagus nerve's fibers are afferent, meaning they carry information from the gut to the brain, not the other way around. Your gut is talking to your brain far more than your brain is talking to your gut.

This bottom-up communication has profound implications. Gut inflammation, microbial imbalances, and intestinal permeability ('leaky gut') don't just cause digestive symptoms — they send signals via the vagus nerve that directly influence mood, anxiety, and cognitive function. This is why gastrointestinal disorders and psychiatric conditions so frequently co-occur.

Clinical Implications

Understanding the ENS has opened new therapeutic avenues. Vagus nerve stimulation (VNS) is now an FDA-approved treatment for treatment-resistant depression and epilepsy. Psychobiotics — specific probiotic strains that produce mental health benefits — are being actively researched as adjunct treatments for anxiety and depression.

For everyday optimization, supporting ENS function means reducing gut inflammation (through anti-inflammatory diets rich in omega-3s, polyphenols, and fiber), maintaining microbiome diversity (through fermented foods and prebiotic fiber), and supporting vagal tone (through breathwork, cold exposure, and meditation). The gut is not just where you digest food — it is where a significant portion of your mental health is determined.

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