Tiny Helpers for Your Health
The word "probiotic" comes from Greek, meaning "for life" β and that's exactly what these microorganisms are about. According to the World Health Organization, probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host.
In simpler terms: they're the "good" bacteria (and sometimes yeasts) that can help keep your body healthy, especially your digestive system.
Where Do Probiotics Come From?
You can get probiotics from two main sources:
- Fermented foods: Yogurt, kefir, sauerkraut, kimchi, kombucha, miso, tempeh, and some cheeses contain live beneficial bacteria
- Supplements: Capsules, tablets, or powders containing concentrated doses of specific probiotic strains
The Most Common Probiotic Species
Not all bacteria are created equal when it comes to probiotic benefits. The most well-studied probiotics include:
- Lactobacillus species:
- L. acidophilus β helps digest lactose, supports immune function
- L. rhamnosus GG β one of the most researched strains, helps prevent diarrhea
- L. plantarum β found in fermented vegetables, supports gut barrier
- Bifidobacterium species:
- B. longum β helps break down carbohydrates
- B. breve β supports infant gut health
- B. lactis β boosts immunity and helps with constipation
- Saccharomyces boulardii: A beneficial yeast that helps prevent and treat diarrhea, especially antibiotic-associated diarrhea
What Can Probiotics Do?
Research supports several potential benefits of probiotics:
- Digestive health: Help prevent and treat diarrhea (including antibiotic-associated and traveler's diarrhea)
- Lactose digestion: Some strains help people who are lactose intolerant digest dairy better
- Immune support: May help reduce the frequency and duration of common respiratory infections
- Mental health: Emerging research links certain probiotics to reduced anxiety and depression symptoms (the "psychobiotics")
- Skin health: Some evidence suggests probiotics may help with conditions like eczema
Probiotics vs. Prebiotics
Don't confuse probiotics with prebiotics! They work together but are different:
- Probiotics: The beneficial bacteria themselves
- Prebiotics: The food that feeds probiotics β typically certain types of fiber (like inulin) found in foods like garlic, onions, bananas, and asparagus
- Synbiotics: Products that contain both probiotics and prebiotics
How to Choose a Probiotic
If you're considering a probiotic supplement, keep these factors in mind:
- Strain specificity: Different strains do different things. Look for strains studied for your specific health goal
- CFU count: CFU (Colony Forming Units) indicates the number of viable bacteria. Most effective probiotics contain 1-10 billion CFUs
- Survival: The bacteria need to survive stomach acid to reach your intestines. Look for strains with good survival rates or special coatings
- Quality: Choose products from reputable manufacturers with third-party testing
Are Probiotics Safe?
For most healthy people, probiotics are safe. However:
- Side effects like gas and bloating may occur initially but usually resolve
- People with weakened immune systems or serious illnesses should consult a doctor before taking probiotics
- Probiotics are not regulated as strictly as medications, so quality can vary
The Bottom Line
Probiotics represent an exciting frontier in health science. While they're not a cure-all, the evidence supports their use for specific conditions. The best approach might be combining probiotic supplements with a diet rich in fermented foods and fiber β giving your gut the diverse community of beneficial microbes it needs to keep you healthy.
References
- Hill C, et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11(8):506-514. doi:10.1038/nrgastro.2014.66
- Sanders ME, et al. Probiotics and prebiotics in intestinal health and disease: from biology to the clinic. Nat Rev Gastroenterol Hepatol. 2019;16(10):605-616. doi:10.1038/s41575-019-0173-3
- Hao Q, et al. Probiotics for preventing acute upper respiratory tract infections. Cochrane Database Syst Rev. 2015;2015(2):CD006895. doi:10.1002/14651858.CD006895.pub3