When do probiotic supplements make sense?
Nutrition Diva
Macmillan Holdings, LLC
4.4 • 1.8K Ratings
🗓️ 8 June 2022
⏱️ 10 minutes
🧾️ Download transcript
Summary
US consumers are spending 3 billion dollars a year on probiotic supplements. Are they getting a good return on investment?
Nutrition Diva is hosted by Monica Reinagel. A transcript is available at Simplecast.
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Resources and selected research:
Fiber content of common foods
Impact of probiotics on colonizing microbiota of the gut
Are probiotics and prebiotics effective in the prevention of travellers' diarrhea: A systematic review and meta-analysis
Choosing an appropriate probiotic product for your patient: An evidence-based practical guide
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Transcript
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| 0:00.0 | Hello there and welcome to the Nutrition Diva Podcast. I'm your host, Monica Reinegel. |
| 0:10.7 | And today we're talking about probiotic supplements and when it makes sense to take them. |
| 0:17.5 | Long time listener Mahin sent a great question recently. They wrote, I started taking probiotic |
| 0:23.3 | supplements after having a few rounds of antibiotics and the negative digestive effects |
| 0:28.8 | they come with. I feel like they've been beneficial for me over the past month. |
| 0:33.4 | Should I continue taking them or should my gut be repopulated by now and able to sustain itself? |
| 0:41.6 | Probiotic supplements of course contain various strains of bacteria and other microbes |
| 0:46.7 | that are thought to be beneficial to our health. And we also talk a lot about the intestinal |
| 0:53.3 | microbiome, the bacteria that live in our gut and the effects that they have on our health. |
| 0:59.7 | And I think there are some widespread misunderstandings about the relationship between the two. |
| 1:06.4 | People tend to think about probiotic supplements. The way we think of stocking a trout pond |
| 1:12.8 | we're ingesting specific strains of bacteria in the hopes that they will set up housekeeping |
| 1:18.0 | in our guts. But that's not really how probiotic supplements work. |
| 1:23.7 | Most of the bacteria that we ingest in probiotic foods and supplements do not actually |
| 1:30.2 | colonize the gut in any permanent way. They are transient. Our particular microbiome, our bacterial |
| 1:39.1 | signature if you will, is established early in life. And the microbiome can be temporarily disrupted |
| 1:46.3 | by things like infection or antibiotics. And probiotics can also have a short-term impact, |
| 1:53.1 | but they are unlikely to displace or significantly alter those resident populations. |
| 2:00.1 | As Professor Maria Marco of the University of California Davis explains, |
| 2:05.1 | the resident gut microbiota that develops during infancy tends to remain relatively stable throughout |
| 2:12.4 | adulthood. Even with perturbations caused by antibiotics or foodborne illness, |
| 2:18.5 | the gut microbiome tends to be resilient to the long-term establishment of exogenous bacterial |
... |
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