An introduction to probiotics (2024)

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An introduction to probiotics (1)

Allyn Wergin, R.D.N.

Diabetes Education, Nutrition

An introduction to probiotics (5)

Speaking of Health

An introduction to probiotics (6)

Recently, there's been a lot of conversation in the media about probiotics. As a nutritionist, I often answer questions from patients looking to know more about probiotics and their publicized health benefits. While medical science works to further understand the role the microbiome plays in your daily health, there are a few questions we can shed some light on to help you gain a better understanding of probiotics.

What are probiotics?

Probiotics are live, active microorganisms ingested to alter the gastrointestinal flora for health benefits. They often are referred to as good bacteria in the gut and compete with bad bacteria to support the body in establishing optimal digestion and aid immune function.

Why are probiotics important to your health?

Probiotics help create a balance in a healthy digestive system. Gastrointestinal problems can occur when this balance breaks down either due to illness, a course of antibiotics, a diet lacking nutrient-dense food or the overgrowth of unfriendly bacteria.

Although more research is needed, there is evidence that probiotics may help:

  • Prevent or treat diarrhea caused by infections and antibiotics
  • Improve symptoms of irritable bowel syndrome
  • Boost immune system
  • Reduce inflammation and allergies

Are probiotics right for everyone?

Probiotics have a good safety record for people who are generally healthy. If they occur at all, side effects usually consist of mild digestive symptoms like gas. As with any drug or supplement, always talk to your health care team before taking any probiotic. This is especially important if you have a suppressed immune system, as some people occasionally report serious complications, such as infections.

What foods contain probiotics?

Some probiotic-rich foods include:

  • Kefir
  • Kimchi
  • Kombucha
  • Miso
  • Pickles
  • Sauerkraut
  • Tempeh
  • Yogurt

What should I consider when researching probiotics?

The potential benefits of probiotics are widespread, but there's no one-size-fits-all application. There are many different probiotics, each strain performing a separate function or producing a different benefit in the body. Additionally, probiotic supplementation is an exciting and growing area of research. The current literature supports their use for various conditions, primarily within digestive health.

Things to consider:

  • Find the right strain for your individual needs.
  • Follow storage instructions, as some probiotics need to be refrigerated.
  • Check the expiration date of the probiotic you're using.
  • Try foods or supplements. Either is fine, though supplements generally have higher concentrations of probiotics.

Most importantly, eat a diet rich in nutrients and high in fiber — including fruits, vegetables and whole grains. Probiotics feed off of fiber and build colonies that will keep your gut in a healthy balance.

If you have questions or concerns about probiotics, make sure you to discuss them with your health care team.

Allie Wergin is a registered dietitian-nutritionist New Prague, Minnesota.

An introduction to probiotics (2024)

FAQs

Why do cardiologists warn against probiotics? ›

But, when it comes to pre-and probiotics, cardiologists are warning they aren't a treatment for elevated blood pressure, cholesterol, or other heart health markers. The health benefits of probiotics are also strain-specific, so taking any probiotic off the shelf won't guarantee results.

What happens when you take probiotics every day? ›

Many people take probiotics to help relieve diarrhea, constipation or stomach pain. Over the long term, probiotics should improve your overall gut health, including your bowel regularity and digestion, reducing discomfort.

Can too much probiotics cause yeast infection? ›

Can Probiotics Cause a Yeast Infection? Research is limited on the effects of probiotic treatment on yeast infection outcomes. As a result, potential side effects—such as whether probiotics can cause yeast infections—are unknown.

Are there any side effects to taking probiotics? ›

Temporary digestive issues like gas and bloating are the most common side effects. If you have these, they tend to subside in a few weeks. To avoid any discomfort, it's a good idea to add probiotics to your diet gradually.

Why do doctors not recommend probiotics? ›

Some have been well studied, and some haven't. One theoretical risk of probiotics is if someone has an immune system weakened by illness or medication, that person could get sick from probiotics. Another concern about probiotics is that they're considered dietary supplements, not drugs.

What is the new warning about probiotics? ›

The FDA is aware that certain probiotic products used in hospital settings to prevent necrotizing enterocolitis have contributed to invasive disease, including one infant death in 2023, and have been associated with more than two dozen other reported adverse events in the United States since 2018.

What medications should not be taken with probiotics? ›

Some medications that may interact with certain probiotics include: antibiotics, antifungals (such as clotrimazole, ketoconazole, griseofulvin, nystatin).

Should you take probiotics in the morning or at night? ›

While the time of day is ultimately up to you, probiotics may be most effective if you plan to take them about 30 minutes before a meal — and most effective if you take your supplement before breakfast.

Who shouldn't take probiotics? ›

However, probiotics are not recommended for use in just a few serious medical conditions, which are listed below:
  • For those who are severely immunosuppressed. ...
  • For those who have pancreatitis. ...
  • For patients who are in the ICU. ...
  • For those that have melaena (dark blood in their faeces)
  • For those with a central venous catheter.

What probiotics do gynecologists recommend? ›

Lactobacillus acidophilus is the most-researched strain of probiotic when it comes to establishing and maintaining a healthy vagin*l balance. Two other important strains include lactobacillus rhamnosus and lactobacillus reuteri.

Can probiotics cause BV? ›

It turns out that probiotics can not only help treat BV but also lower the risk of it coming back.

Is 50 billion probiotics too much? ›

There is no "right dose" of probiotics

Most probiotics on the market have this amount, though you may see products that claim to have up to 50 billion CFU. However, there's no concrete research that says what the most effective dosage is, says Farhadi.

Why do I feel weird after taking probiotics? ›

There are several theories as to why probiotic supplements can cause neurological difficulties like brain fog, dizziness and headaches, but one theory is that they may create intestinal inflammation that affects the neuroendocrine system, says Dr. Swenor. (This is part of the mind-gut connection.)

Should you take a break from probiotics? ›

If you experience ongoing side effects from probiotics such as bloating and gas, it may be a good idea to take a break from probiotics and ensure you are taking the correct strain and dose.

How do probiotics affect bowel movements? ›

Instead, probiotics are the supplements that regulate good bowel movements. They do this by working through your gut microbiome to purge the waste out of your system, thus doing their part to keep you clean on the inside. Probiotics are supplements that work to speed up the process of your gut microbiome system.

Are probiotics safe for heart patients? ›

Probiotics are a natural, safe option to add into your daily regime to maintain healthy cholesterol levels and contribute to heart health. Probiotics can influence our cholesterol levels by: Reducing the absorption of cholesterol from our food. Increasing cholesterol levels used in the body to make bile.

Do probiotics have side effects on the heart? ›

Damaged heart valves: Some probiotics have caused infections of the inner lining of the heart chambers and heart valve. This is extremely rare, but people with damaged heart valves should stop taking probiotics like Lactobacillus acidophilus before dental procedures or surgical procedures.

Who should avoid probiotics? ›

However, probiotics are not recommended for use in just a few serious medical conditions, which are listed below:
  • For those who are severely immunosuppressed. ...
  • For those who have pancreatitis. ...
  • For patients who are in the ICU. ...
  • For those that have melaena (dark blood in their faeces)
  • For those with a central venous catheter.

Do probiotics affect blood pressure? ›

Eating food that contains probiotics—consumable live bacteria—has been linked to healthier blood pressure in previous studies. “Yogurt is the clearest example of a probiotic,” says Pluznick.

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