Fermented Plant-based Portfolio Diet 4 Metabolic Health

Inclusion Criteria:

• Sign of metabolic syndrome

Waist circumference > 102 cm/88 cm M/W and at least one of the following:

• High density lipoprotein (HDL) ≤1.0 mmol/L men / HDL ≤1.3 mmol/L

• Triglycerides ≥ 1,7 mmol/L

• Blood pressure ≥130/85 mmHg

• Fasting glucose ≥5.6 mmol/L

Other inclusion criteria:

• Signed informed consent

• Willingness to consume the intervention foods

• Body mass index 25-35 kg/m2

• Hemoglobin 120-160 g/L

• Serum thyroid-stimulating hormone (S-TSH) <4 mIU/L

• Serum C-reactive protein (S-CRP) <5 mg/L

• Access to a -18⁰ C freezer

• Any medication stable for the last 14 days.

Exclusion Criteria:

• Blood donation or participation in a clinical study with blood sampling within 30days prior to screening visit and throughout the study.

• Following any weight reduction program or having followed one during the last 6months

• Food allergies or intolerances

• History of stomach or gastrointestinal conditions (Inflammatory bowel disease,Crohn's disease, malabsorption, colostomy, bowel resection, gastric bypass surgery,Helicobacter infection, Peptic ulcer disease, untreated celiac disease, etc.)

• Previous major gastrointestinal surgery

• Pregnant or lactating or wish to become pregnant during the period of the study.

• Unable to understand written and spoken Swedish

• Lack of suitability for participation in the trial, for any reason, as judged by themedical doctor or PI.

• Pharmacological medication with drugs known to affect the microbiota, e.g.,antibiotics, within 6 months prior to baseline.

• Intake of any probiotic pills or foods enriched in probiotics within 6 months priorto baseline.

• Type I diabetes

• Small bowel bacterial overgrowth

• Diarrheal disease

• Receiving pharmacological treatment for type II diabetes (treatments based onlifestyle interventions are acceptable, as long as it is compatible with the studyprotocol)

• Using nicotine products on a daily basis (including chewing gum, patches, snus etc.)

• History of heart failure or heart attack (TIA) within 1 year prior to screening

• Thyroid disorder

• Planned surgery within the next eight months