Basics

What Are Probiotics?

Your guide to the beneficial microbes that support your health from the inside.

5 min read

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

  1. 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
  2. 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
  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