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            Probiotics

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            Probiotics

            Published by Dr José Costa at 08/04/2021

            Probiotics are bacteria that can lead to benefits to the large bowels when taken in an appropriate amount.⁣
            ⁣
            But are they all good?⁣
            ⁣
            For me to have a better idea about that, I went to find the evidence behind it.⁣
            ⁣
            There are over 2.5k articles focusing on 22 different probiotics.⁣
            From those articles, I found 249 RCTs (𝘳𝘢𝘯𝘥𝘰𝘮𝘪𝘻𝘦𝘥 𝘤𝘰𝘯𝘵𝘳𝘰𝘭𝘭𝘦𝘥 𝘵𝘳𝘪𝘢𝘭𝘴), with most of them being sponsored by the company selling them.⁣
            So take their conclusions with a pinch of salt…⁣
            ⁣
            The most effective use for them is diarrhoea, IBD (𝘐𝘯𝘧𝘭𝘢𝘮𝘮𝘢𝘵𝘰𝘳𝘺 𝘉𝘰𝘸𝘦𝘭 𝘋𝘪𝘴𝘦𝘢𝘴𝘦) and IBS (𝘐𝘳𝘳𝘪𝘵𝘢𝘣𝘭𝘦 𝘉𝘰𝘸𝘦𝘭 𝘚𝘺𝘯𝘥𝘳𝘰𝘮𝘦).⁣
            ⁣
            The conditions for which probiotics are helpful and the evidence's strength can be found on the following article:
            𝘊𝘩𝘰𝘰𝘴𝘪𝘯𝘨 𝘢𝘯 𝘢𝘱𝘱𝘳𝘰𝘱𝘳𝘪𝘢𝘵𝘦 𝘱𝘳𝘰𝘣𝘪𝘰𝘵𝘪𝘤 𝘱𝘳𝘰𝘥𝘶𝘤𝘵 𝘧𝘰𝘳 𝘺𝘰𝘶𝘳 𝘱𝘢𝘵𝘪𝘦𝘯𝘵: 𝘈𝘯 𝘦𝘷𝘪𝘥𝘦𝘯𝘤𝘦-𝘣𝘢𝘴𝘦𝘥 𝘱𝘳𝘢𝘤𝘵𝘪𝘤𝘢𝘭 𝘨𝘶𝘪𝘥𝘦. 𝘩𝘵𝘵𝘱𝘴://𝘥𝘰𝘪.𝘰𝘳𝘨/𝟷𝟶.𝟷𝟹𝟽𝟷/𝘫𝘰𝘶𝘳𝘯𝘢𝘭.𝘱𝘰𝘯𝘦.𝟶𝟸𝟶𝟿𝟸𝟶𝟻 𝘋𝘦𝘤𝘦𝘮𝘣𝘦𝘳 𝟸𝟼, 𝟸𝟶𝟷𝟾.
            ⁣
            This means not all probiotics have any evidence based effect on your health.⁣
            And the helpful ones are disease specific.⁣
            ⁣
            At least, from all of them, we know there are no absolute contraindications to their use.⁣
            ⁣
            Other benefits found are that they:⁣

            1. Stimulate the immune system.
            2. Can decrease the inflammatory response⁣.
            3. Can improve vaccine response⁣.
              ⁣

            Where are they found:⁣

            1. Fermented milk drinks⁣.
            2. Some yoghurts⁣.
            3. Supplements⁣.
            Foods containing probiotics
            Foods containing probiotics

            How to take them⁣⁣:

            • There is scant evidence comparing which type of formulation may be more effective.⁣⁣
            • The choice of formulation may be based on shelf-life, in that lyophilized capsules maintain high concentrations longer than probiotics in dairy products. Enteric-coated capsules show higher survival rates than non-enteric coated capsules.⁣⁣
            • Probiotic capsules requiring refrigeration are heat-dried (not lyophilized) and thus unstable at room temperature, limiting their portability.
            • Besides, if the patient is lactose-intolerant, yoghurts or other types of fermented dairy products may not be advisable.⁣⁣

             

            Be careful with quality control, as some will have less than stated.

             

            https://www.facebook.com/thechildrensallergy/posts/pfbid0ZznE7dUyf3Zdm2y6phFQPoj8mhXwAoAdHFWSR5ccqxYVYt4uxf93UcLTgsxQvJM5l

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