Can Probiotics Cause SIBO?

Ruscio, Let ’ s discuss the question. Can probiotics cause SIBO? In short, no probiotics cannot cause SIBO, And this is not something that you should Be concerned about, However, what I ’ d like to do is outline What could be a confusing data point in this question and provide you with some tools to Help you navigate through it So can probiotics cause SIBO. The short answer is no.

We have meta-analyses, which are arguably the Highest level of scientific evidence showing that probiotics in fact can treat and act Against and clean out small intestinal bacterial overgrowth in the intestinal tract. However, I have received questions asking Or commenting “, I ’ ve heard probiotics can cause SIBO and that I shouldn ’ t take Them. ” So let ’ s navigate through all these bits.

And bites So I ’ ll, put the abstract up here on the Screen of the study in question that ’ s generating some of the confusion And unfortunately, this study has been referenced. In my opinion very irresponsibly, and has done nothing other than contribute to confusion, And detract from people becoming healthier, It does not mean that people may not have Negative reactions to probiotics – They ’ re rare, But they do happen.

But this study entitled “ Effect of Bifidobacterium Infantis ( or Align Probiotic ) on the Lactulose Breath Test for Small Intestinal Bacterial Overgrowth., ”, Let me read you a few of the details or quotes “ A rise in methane of over 20 parts per Million [ ppm ], ” —so to diagnose SIBO, ( or small intestinal bacterial overgrowth ). We Use a breath test And a rise of over 20 would be considered.

A positive for bacterial overgrowth: This was seen in three subjects: pre probiotic, Administrations or before they administered the probiotics, but in six post probiotic. So this affected three of the 19 subjects. Being studied, So you took a group of essentially 19 people And the probiotic appeared to cause SIBO or A positive breath test in 3 people of 19 in one study. Now you can find a study to show almost anything.

This is why I ’ ve said several times you Should not use one study to inform your decision making. You should look at what the body of evidence Shows at large So when we look at numerous clinical trials, With larger numbers of people—now, we ’ re talking about hundreds, maybe even thousands, Of people—we see the overall effect of probiotics on SIBO is an anti-SIBO effect and also an Anti-Digestive symptom effect And that ’ s where we see here, I ’ m, linking to one systematic review and Also one clinical trial showing that probiotics work better in alleviating digestive symptoms.

In those with SIBO compared to those without SIBO, So while one study yes has shown three people, May obtain SIBO after using a probiotic, the overwhelming majority of data show that both Probiotics can act in an anti-SIBO fashion and probiotics can help to alleviate digestive Symptoms Now that doesn ’ t mean that no one can have Or will have a negative reaction to probiotics? There is a small subset of people who negatively React to probiotics.

This is why, in my book, Healthy Gut Healthy You I outline a 3-category system of probiotics, so you can try one probiotic from each category. To see what category of probiotic has benefit for your gut, And rather than just trying the litany of Products out there you can understand category 1, category 2 category 3 And you can try one probiotic from each ProbioticsSo. It. ’ s really important to understand.

That information can be miscited And someone could in this case be concerned. That a probiotic might be bad for their gut or bad for their SIBO because of one study. And this study showing an effect—in this case a negative effect—in three people: It ’ s very important to weight that against The hundreds, if not thousands, of people who have shown benefit from probiotics both for Sibo and for digestive symptoms, as is summarized in systematic reviews and meta-analyses, that We have available So be cautious with what you read on the internet And I would make sure to filter things that You hear through someone whose opinion you trust, because it is important And information used incorrectly, can actually Detract from your health rather than contributing to your health, So probiotics can help with SIBO, And I would have no reservation using a probiotic If you have SIBO, Of course, use your own experience and some Common sense, If you take a probiotic and you notice a negative Reaction that lasts more than a few days, then a probiotic may not be a good fit for You The reason I say “ more than a few days, ” Is a little bit of turbulence for a few days, as things are balancing out and your body Is adjusting to a probiotic is not abnormal, So you don, ’ t want to jump ship after a little Bit of turbulence for a day Give yourself three to five days And if turbulence or any kind of negative Symptom is still persisting after five days up to a week, then that probiotic is likely Not good for you And try one of the other categories, All right.

This is Dr. Ruscio, And hopefully this information helps you Get healthy and get back to your life!

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Fungal Probiotics May Decrease Heart Disease Risk

Ratio in a recent study suggests the answer. This question is: yes, I’ll put the study abstract here up on the screen and essentially what this study did was for eight weeks daily supplementation with Sacramento’s polarity of probiotic was shown to lower remnant lipoprotein by 15 %. Remnant lipoprotein is a predictive biomarker and potential target in the treatment and prevention of cardiovascular disease.

According to this study. So again, this study gave a group of patients sacrifices Velarde, which is a healthy probiotic fungus and over the course of eight weeks they saw a 15 % reduction in this cholesterol. Remnant. Lipoprotein is a precursor to LDL cholesterol and total cholesterol, and so it’s in the family of cholesterol and it’s a predictive marker for heart disease risk. So these findings are very interesting and when we look at other findings, looking at other probiotics and other similar studies, we see numerous studies show that probiotics can have a favorable impact on cholesterol levels.

We’Ve also recently discussed how some probiotics can actually lower homocysteine, and this may happen via the probiotics enhancing bacteria levels, in the gut those bacteria producing B vitamins B vitamins. Naturally, these B vitamins in lower homocysteine, which is another risk factor for heart disease, so overall probiotics show a lot of promise for being able to prevent and hopefully decrease, cardiovascular disease and cardiovascular occurrences.

We don’t really have great data that proves that, yet we don’t really have great data showing that if you, if we take two groups of people, one group take a probiotic for the next five years. The other group do not. The group taking the probiotic has a lower incidence of cardiovascular disease or episodes. To my knowledge, we don’t have that data yet, but we have this preliminary data that is showing that probiotics favorably impact some of the markers in the body that the note future risk for a cardiovascular episode, so very promising, I’m hoping is future research is done.

We’Ll see more of the clinical science substantiating the fact that probiotics can in fact help lower risk right now it can improve some of the markers associated with elevated cardiovascular risk and I think, that’s a very encouraging finding, especially when we consider that probiotics are very benign Substances and we’re fairly deficient in exposure to healthy bacteria in many westernize areas, so certainly it’s very plausible that probiotics make sense to help get back some of this missing bacterial exposure, both environmentally and from a lack of eating things like fermented foods.

Also, the positive impact we see from probiotic supplementation’s on gastrointestinal health and you know further increases the favorability of using a probiotic as a general preventive health measure. So again, this study showed that sacrum Isis Velarde a healthy probiotic fungus decrease remnant, lipoprotein, which is a in the family of cholesterol. In a predictive market for heart, disease decrease that market by 15 %.

So if you’re, someone who has a family history of heart disease or you’re, simply trying to prevent heart disease, then supplementing with probiotic, seems to be a reasonable approach or a reasonable recommendation. This is dr. Russo. I hope this information helps you get healthy to get back to your life thanks.

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Do Probiotics Cause SIBO? What the Research Shows

Ruscio, Let’s discuss if probiotics cause SIBO ( small Intestinal bacterial overgrowth ): This is a very important question because If you have small intestinal bacterial overgrowth—a condition, where there’s too much bacteria In the small intestine—that has been correlated or is one of the underlying causes of the Symptoms of IBS Gas, bloating, abdominal pain, constipation, And diarrhea all are some, but not the only symptoms that small intestinal bacterial overgrowth Can contribute to If you’re having those symptoms, you’re likely Considering a probiotic as a treatment for those symptoms, So you’d really like to know, could a probiotic—something You ’ re, trying to use to help you—actually make you worse.

The answer to this question is really no Probiotics do not cause small intestinal bacterial Overgrowth, The vast vast majority of the evidence supports That statement, But every once in a while there’s a reference Or a study that is a little bit confusing and needs to be looked at and contextualized I’ll put one study of such up here on the Screen entitled “ Effect of Bifidobacterium infantis 35624 ( Align ) on the Lactulose Breath.

Test for Small Intestinal Bacterial Overgrowth. ” Some have cited this study as showing that Probiotics cause SIBO, and this is really incorrect. Thinking Allow me to explain why that is and help You understand this In this study, 19 people were given the Align Probiotic, After a number of weeks on the probiotic They were given a lactulose SIBO breath test. It was found that three of those 19 patients Had a positive methane reading or a positive breath test for SIBO, But here’s the important context: the “.

Why ” Underlying this, The part we need to understand here is none Of these patients saw a significant increase in their symptoms, A lab finding changed, but symptoms did not Change Very important, The other is to understand the physiology Of probiotics, which are the majority, do not colonize you, While these people are taking probiotics They’Re transiently working their way through the system; Either they die off or come out.

The other End There’s this transient effect that the probiotic Has and then it’s gone While people take the probiotic, they have This transient buildup of probiotics in their system Now this can cause a positive on a lactulose Breath test: Does that mean anything’s bad? In truth, no, The vast majority of the evidence shows that Probiotics can help to fight small intestinal bacterial overgrowth. Those bacteria crowd out the other bacteria Fight fungal overgrowth reduce leaky gut.

Most importantly, perhaps they reduce a litany. Of abdominal symptoms like gas, bloating, constipation, diarrhea And there’s even other evidence that probiotics Can help with things like skin and mood just to name a couple, Even though we see a positive breath test, Finding in a small number of patients, ( three of 19 ), that is most likely underlaid by the Fact that these probiotics are transiently in the system causing this positive breath, Test But ostensibly it is also improving.

Much of What’S going on in that person’s intestine, It’s very important not to look at the study. And misrepresent what the study is showing, which some people are doing? That’S really a travesty to a patient, because Probiotics can be a very effective and very helpful treatment, They’re not going to help everyone, but they’re Certainly a great place to start So a good probiotic protocol can do volumes.

For your gut health, for the symptoms of IBS, for general digestive symptoms and for small Intestinal bacterial overgrowth, I recommend three probiotics, both in my clinic And in the book that give you a quality formula from each one of the three major categories: Of probiotic lactobacillus-bifidobacterium blends, a Saccharomyces, boulardii and soil-based Probiotic By using these three together, you really Provide a good, broad stimulus of probiotic to your gut I’ve seen that to be very effective and there’s A good amount of evidence to support all three of these different probiotic formulations To the question does using a probiotic cause.

Small intestinal bacterial overgrowth, No, Certainly it’s something to try. A small number of people may have a negative Reaction to a probiotic and that’s okay, If so, just discontinue whatever probiotic You were using that caused that reaction, But for the majority of people they will See a benefit from probiotics; It’s certainly something to consider adding Into your regimen, if you have small intestinal bacterial overgrowth, IBS or really any digestive Condition.

.. And perhaps any condition because we’re finding the gut has such a far-reaching Effect on many systems and parts of the body, This is Dr. Ruscio, and hopefully this helps You better understand the issue of probiotics and SIBO and get healthy and you get back. To your life, Thanks

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Probiotics Improve Gas & Constipation by Decreasing Bad Bacteria in the Gut

Ratio and, let’s discuss how probiotics can reduce flatulence and improve constipation by reducing levels of unwanted bacteria. In your gut now, we’ll be talking about a study that was recently published and I’ll put the abstract of the study up here on the screen. The study was entitled methanol, revurb actor attenuation via probiotic intervention reduces flatulence in adult humans, a non-randomized pair design, clinical trial of efficacy.

So, specifically in the study, 21 subjects were given a probiotic that contain a mixture of lactobacillus and Bifidobacterium strains, and they found the abundances of citrobacter Klebsiella methanol and methanol. Reverb actor were reduced, so these are three bacteria that may not be great to have it in high quantities in the gut and the probiotics showed the ability to reduce the abundance of each one of these.

Now, more specifically regarding symptoms as the methanol revurb actor decreased, they did show that, as this bacteria decreased and technically this is not methanol. Revurb actor is not a bacteria. Technically, it’s an RKO. You can think of it like a cousin of a bacteria, but for simplicity sake. We can call it a bacteria. Essentially, as this organism, nathanael revurb actor decreased, there was a corresponding decrease in flatulence also for women.

Only there was a reduction of constipation. Why this is salient? Is this methane or Berber bacter archaea organism has been correlated with reducing the motility in the intestines and has been highly correlated to constipation. So it’s no surprise that we see reduced gas because these organisms produce gas and are a improvement in constipation, because this organism, methanol brevibacterium particular – has been highly correlated with constipation.

So what does this mean? A few notes for you: probiotics exerts, antibacterial effects. This is oftentimes overlooked, but probiotics in fact, one of the one of the main strengths or utilities of probiotics may not be if they colonize you most probiotics. Do not. However, they have a transient impact, one of which is secreting anti-bacterial and anti-fungal peptides. That can help reduce a fungal or bacterial overgrowth in the gut.

So there are other mechanisms, but one important mechanism is the mechanism of reducing unwanted bacteria and fungus, in the gut, by being, ironically, antibacterial and antifungal, by decreasing these levels of unwanted bacteria and fungus. In the gut, then, we can have a reduction of flatulence and improvement in constipation or bowel regularity, amongst other things. Now something else here to be cognizant of is being careful not to get pulled too into marketing claims regarding probiotics probiotics can certainly be helpful, and I encourage people to experiment with probiotics as long as it’s from a reputable company – and you know it’s – it’s a safe Tested form of probiotic that isn’t filled with a bunch of garbage, but you also have to be wary of some of the health claims, because now everyone seems is trying to one-up each other in saying that our probiotic is the the new improved the best.

What have you and one of the things I continually try to bring us back to is looking at the evidence and looking at how we see similar results with with different probiotics in many studies, you’re seeing different perturbations on a certain mixture and they’re all having similar Results, for example, there have been many studies that have shown a ability to reduce gas and or improve constipation with a lactobacillus and Bifidobacterium predominant blend of probiotic.

Is there one special blend or one special strain that will only vector those benefits? No, it doesn’t appear to be the case. Many different formulas with different strains of lactobacillus and different strains of before bacterium, have been trying to have these positive effects. Now, that’s just one class of probiotic there are, in my opinion, three other classes. You have a sacra boulardii probiotic, which is actually the fungus.

You have a soil based probiotic or a spore-forming probiotic, and this will oftentimes have various strains of the bacillus family and if, finally, you have a coli missile, one nine one, seven – and that is another class. There are a few other probiotics that are potentially slight slightly different from those categories, but if you look at the brunt of the research that has been done is it is with one of these four categories and you will see, for example, multiple studies showing an improvement In constipation with probiotics – and rarely is it the same formula – it’s always used, so certainly there may be a time in a place to become more prescriptive with probiotics, but I try to prevent us from making things unnecessarily complicated.

So in this case, we see that a lactobacillus Bifidobacterium blend has the ability to reduce flatulence and improve constipation. The constipation improvement was in women only, but other studies have shown with a similar probiotic improvements in constipation in men and women. So if you’re, someone who has flatulence and/or has constipation a trial of a lactobacillus Bifidobacterium predominant probiotic is certainly worth of trial.

Experimenting with other probiotics. To try to improve your gut health or for other health conditions is certainly warranted. Just be cautious of health claims and make sure that you’re listening to your own body and clearly noticing a benefit from a probiotic in order to qualify it being something that you should use in the long term, if you’re not noticing a clear benefit from it. I wouldn’t continue to use a probiotic because you read how great it was or – or what have you so probiotics can certainly be helpful.

We just have to be a little bit tempered in getting swept up in some of the excitement. Some of the marketing having a practical approach in terms of how we use and apply probiotics, in this case, good news for those with flatulence and or women with constipation. So this is dr. Show, and I hope this information helps you get healthy and get back to your life thanks. You

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Probiotics Reduce Inflammation – Scientific Proof

Russo. Let’S talk about probiotics and inflammation, you hear a lot of claims about probiotics. Some are true. Some are not true. What’S nice about a recent study that was published is it gives us very high-level scientific proof that probiotics do in fact help reduce inflammation, specifically an inflammatory marker, known as C reactive protein now I’ll put this study abstract up here on the screen.

This study was what’s known as a systematic review with meta-analysis. What this means is a group of researchers look to perview all the studies on probiotics and inflammation and come up with a summary of what all the scientific evidence shows. So a systematic review with meta-analysis is like a summary of all of the scientific data. So it’s a it’s a great way not to be mislead. You can find one study showing something good in other studies showing something bad that isn’t necessarily super helpful.

But when you look at all the studies now you get a good gauge as to what the majority of the data shows. So in this study, 20 clinical trials were summarized and it was found that probiotics do in fact lower inflammation. Specifically this inflammatory markers c-reactive protein. Now, what else is very interesting is that it wasn’t necessarily one probiotic in particular because of these 20 different studies, the probiotic hues in each study wasn’t the same, so it seems, as a general class probiotics tend to have a ability to reduce inflammation.

So that’s a very important, very encouraging finding and I’ll just quote the conclusion from the researchers here. This meta-analysis suggests that probiotic administration may significantly reduce serum c-reactive protein again c-reactive protein being a marker of inflammation that your doctor can usually run as a blood test. So why is it that probiotics can reduce inflammation well a few thoughts? The gut is a very common source of inflammation and probiotics have been shown to help here, Liggett and therefore they can help reduce inflation point.

One point to your immune system is a major contributor to inflammation. In fact, the way your immune system acts to kill stuff that shouldn’t be there is through inflammation. You can think of your immune cells as having these little inflammatory guns and what the immune cells use to kill things that shouldn’t be. There is actually inflammation. So when there’s problems in the immune system or when the immune system is, is maladjusted or overzealous or what-have-you.

The immune system can cause lots of inflammation. We see this and things like food allergy. When people are reacting, the food is that they shouldn’t the immune system is, is inadvertently or inappropriately attacking food, and that causes inflammation now probiotics have been shown to help with the health dekat, where the highest density of immune cells reside. So if the immune cells are a major source of inflammation and the highest density of immune cells in the body resides in these in the intestines and probiotics help heal the intestines.

It’S not a logical or not a stretch, to see a mechanism here where, by probiotics, helping to heal the gut and improve the immune system in the gut, we can have a great ability of decreasing the inflammatory burden in one’s body now. The other part of this that’s noteworthy is that probiotics may help to reduce unhealthy bacteria and fungus in the gut and if we’ve talked about the gut as being a major source of inflammation partially because of the immune system acting in the gut.

If you have an unhealthy bacteria or fungus in your intestines, then that is going to cause inflammation, of course, and your immune system is going to be part of what makes that inflammation. Now, if probiotics can help reduce these unhealthy bacteria or fungus, we can reduce inflammation because we’re getting rid of this naked dis of unhealthy bacteria or fungus. That’S causing inflammation, that’s causing your immune system to chronic.

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They react so, for all these reasons, through healing the gut through balancing the immune system and through getting rid of unhealthy or unwanted bacteria and fungus, are a few of the major reasons why it’s likely. This study that reviewed all of the data on probiotics and inflammation has shown that yes, probiotics do in fact help to decrease inflammation. So what does this mean? What did you do? Well, it comes back to something I say quite often, which is start with the gut.

If you’re not feeling well one of the best bang for your buck, if you will, in terms of health interventions that can help, reduce or eliminate the most amount of symptoms, the most quickly is by starting with having a thorough investigation of and optimizing the health of. Your gut, so if you start with the gut, you can help decrease inflammation, get rid of these unwanted bacteria balance your immune system, and what have you now there’s many ways that you can start with the gut, but for someone who is listening to this, if you’re, Not sure where to start starting with a gut is an excellent bet, so again, very high level.

Scientific data, systematic review with meta-analysis of 20 clinical trials, has shown that probiotics do you in fact help to decrease inflammation? So this is dr. Russo and I hope this helps you get healthy and get back to your life thanks.

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