Is it possible, once scaled up and using an artificial biome as described in the article, that this could be used periodically by people without specific symptoms, as a prophylactic or to improve general health? Or are there reasons that would be a bad idea? Reducing diversity in gut flora, perhaps?
Our understanding of the gut microbiome is really primitive, we really don't know what a great one looks like. More problematic is that quite a lot of the bacteria that are critical die in the presence of oxygen and are thus very hard to collect and reintroduce. So far no one has made a mechanism to keep them alive and reintroduce them into other people. I would not be quick to rush to a fake biome just yet, it will…
Last I checked the “state of the art” was to use a freaking electron microscope and hope that the plating process didn’t destroy the sample.