Once a gene has started expressing, it's pretty hard to flip the switch back to the off position. Losing the microbes is a big problem. It's just going to get worse. People seem to have this fetish for anti-bacterial everything.. soaps, coatings, etc. They take anti-biotics even for viral issues then they wonder why they start developing a new health problem they didn't have before, like a mood disorder or an autoimm…
Over application of antibiotics and anti-bacterial stuff is clearly causing problems, but that's not the only thing that is happening that impacts something as complex as the gut. Just as with genes, the microbiome is under constant selective pressure from evolution, and we will - over time - gain new microbes as we lose ones that aren't beneficial.