The June 2026 edition of American Nurse features an article, "Microbiome and Depression." The article discusses the connection between the gut and the brain, as well as the bacteria, fungi, protozoa, viruses, and other microorganisms that make up the microbiome. Of note, it also mentions the tremendous amount of endorphins produced in the gut and covers neurotransmitters and brain function. The article does not specifically mention enemas because if it did, this article would not be published because it would not pass pedagogical peer review. Also worth noting for those concerned about destroying bowel bacteria, virtually all studies point out that post-bowel prep for a procedure such as a colonoscopy, there is full biodome recovery within 7-14 days, and points out that not all of the bacteria are destroyed during bowel prep, i.e., the bowel is not made sterile, and that a round of broad-spectrum antibiotics is much more devastating to the microbiome than routine bowel prep. Our enteric nervous system is, in reality, one big pleasure dome, producing many endorphins that may not produce full-blown orgasmic pleasure, but it is knocking on the door. Simply stated, we love to eat, and we love to poop. That is to say, we all love that little extra shot of whipped cream on the pie and having a successful bowel movement. So, in summary, and as I mentioned previously, if you think enemas help with your depression, then they help with your depression. Granted, for most, this may not be the case, but I think it is important to recognize that many of us who frequent this website are very comfortable with enemas and have used them for pleasure for many years; it is a strong part of who we are.