What’s the Best Probiotic for IBS? | Gut Heath Q&A
Vložit
- čas přidán 6. 07. 2024
- Tune in for an installment of my gut health Q&A, where I answer your questions about all things gut health.
This installment is a probiotic edition, where I’ll touch on probiotic foods, dosing, side effects, and talk about whether the hype around Akkermansia is warranted.
Be sure to tune in!
And if you have any questions you would like answered in a future installment, let me know in the comments!
Watch/Read Next…
How Often to Take Probiotics and Other Probiotic Basics: drruscio.com/how-often-to-tak...
The Best Probiotic Protocol? The “Triple Therapy” Approach: drruscio.com/triple-therapy-p...
A Review of Probiotic Research (2023): drruscio.com/probiotics-resea...
SIBO, Probiotics, and Your Gut Health: A Long-Term Strategy: drruscio.com/sibo-probiotics/
Timestamps
00:00 Intro
01:27 Is Akkermansia hype warranted?
11:24 What are the best probiotics for IBS?
18:20 How long should I take probiotics?
22:00 Can probiotic foods be enough?
26:06 What if probiotics make symptoms worse?
29:04 Probiotics with histamine intolerance?
33:21 Are lacto-bifido probiotics actually bad for SIBO?
Featured Studies
Akkermansia muciniphila secretes a glucagon-like peptide-1-inducing protein that improves glucose homeostasis and ameliorates metabolic disease in mice: pubmed.ncbi.nlm.nih.gov/33820...
The role of Akkermansia muciniphila in IBD: pubmed.ncbi.nlm.nih.gov/36685...
Strategies to promote abundance of Akkermansia muciniphila, an emerging probiotics in the gut, evidence from dietary intervention studies: pubmed.ncbi.nlm.nih.gov/30416...
Regulation of gut microbiome by ketogenic diet in neurodegenerative diseases: pubmed.ncbi.nlm.nih.gov/36313...
Triggering Akkermansia with dietary polyphenols: A new weapon to combat the metabolic syndrome? : www.ncbi.nlm.nih.gov/pmc/arti...
Akkermansia muciniphila abundance is lower in severe obesity, but its increased level after bariatric surgery is not associated with metabolic health improvement: pubmed.ncbi.nlm.nih.gov/31265...
Decreased Abundance of Akkermansia muciniphila Leads to the Impairment of Insulin Secretion and Glucose Homeostasis in Lean Type 2 Diabetes: pubmed.ncbi.nlm.nih.gov/34085...
Outcome-Specific Efficacy of Different Probiotic Strains and Mixtures in IBS: pubmed.ncbi.nlm.nih.gov/37686...
The Efficacy and Safety of Single-Strain Probiotic Formulations Containing Bifidobacterium lactis or Bacillus coagulans in Adult Patients with IBS: pubmed.ncbi.nlm.nih.gov/37510...
A combination of rifaximin and neomycin is most effective in treating IBS patients with methane on lactulose breath test: pubmed.ncbi.nlm.nih.gov/19996...
Probiotics for Preventing and Treating SIBO: pubmed.ncbi.nlm.nih.gov/28267...
The effect of multistrain probiotics on functional constipation in the elderly: pubmed.ncbi.nlm.nih.gov/35927...
Probiotic supplementation improved cognitive function in cognitively impaired and healthy older adults: pubmed.ncbi.nlm.nih.gov/36529...
Lacto-fermented sauerkraut improves symptoms in IBS patients independent of product pasteurisation - a pilot study: pubmed.ncbi.nlm.nih.gov/30256...
Fermented Foods: Definitions and Characteristics, Impact on the Gut Microbiota and Effects on Gastrointestinal Health and Disease: pubmed.ncbi.nlm.nih.gov/31387...
Effects of kefir or milk supplementation on zonulin in overweight subjects: pubmed.ncbi.nlm.nih.gov/32171...
Fermented dairy foods consumption and depressive symptoms: pubmed.ncbi.nlm.nih.gov/36745...
Role of Probiotics in Patients with Allergic Rhinitis: pubmed.ncbi.nlm.nih.gov/36405... ,
Effect and safety of probiotics for treating urticaria: pubmed.ncbi.nlm.nih.gov/37221...
The Effectiveness of Probiotics in Treating Food and Cow's Milk Allergies among Pediatric Age Groups: pubmed.ncbi.nlm.nih.gov/37496...
Effect of a Preparation of Four Probiotics on Symptoms of Patients with IBS: Association with Intestinal Bacterial Overgrowth: pubmed.ncbi.nlm.nih.gov/29508...
Get the Latest Updates
Facebook - / drrusciodc
Instagram - / drrusciodc
Pinterest - / drmichaelrusciodc
DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.
Music featured in this video: "Modern Technology" by Andrew G, audiojungle.net/user/andrew_g
*Full transcript available on CZcams by clicking the “Show transcript” button on the bottom right of the video. - Věda a technologie
Get practical, science-based insights straight to your inbox: drruscio.com/signup/
Amazing work Dr Ruscio
WRT DURATION OF PROBIOTIC USAGE
My daughter's doctor said it would take 3 to 6 months for her gut to heal. She had IBD-UC-C with celiac disease.
This timeline made me decide to put my daughter on probiotics for at least 3 months. By this time, her gut was healing wonderfully, but she still suffered from lower degrees of "pain."
Towards the 4th month, her pain level, which could have been regarded more like sensitivity, disappeared.
I continued giving her probiotics but instead of giving it to her twice a day, only gave it to her once a day - just to calm MY fear of the pain returning.
After the 5th month, we stopped using probiotics, and she has been fine since then (Nov '23).
Good news. Did you use any supplements or prebiotics as well ?
Congrats ❤.
Please can you tell which particular probiotic you used? Please 😢U r Indian i think so ill get same here
Please reply 🙏
Thank you so much for your share, i'm happy for y'all 🎉
@Carlos-fh8wk
I'm from S Africa so we have different meds here. Im very intuitive, so I followed my gut wrt her healing protocol, and Dr. Ruscio's advice.
Lacto-bifido blend of probiotics; Betavit - multivitamin supplement with free radical/antioxidants; Progast Natural Gastro Intestinal Support for Abdominal Pain & Cramps; Progast Butyrate; fish oil Omega 3 supplements; Prosit aloe supplements for constipation and to heal the colon lining; Frankincense essential oil with coconut oil as the carrier / castor oil - for colon messages - to lessen pain and inflammation and assist with regular bowel movements; vitamin D, iron and magnesium supplements. She was also on something like the Dr's Elemental food replacement drink for should not eat anything. Not all at the same time though.
Her Drs managed her pain with NSAID drugs in the early stages.
I live in the U.K. and I've recently started to eat different probiotic foods from a small company called Loving foods. All organic and a huge variety. What I find is that my sweet tooth is void if I take enough probiotic foods.
Also, drinking miso soup with lots of prebiotic veges has also been a game changer.
Losing weight, less Sugar cravings, flatter stomach, clearer skin ... just feel better.
Oh ... also added overnight oats to my morning regimen ... chia, oats, flaxmeal, dates, banana, fresh fruit, a free activated nuts and seeds, cinnamon etc.
Prebiotic, high fibre foods are essential to feed the good bacteria.
2024 is the year of building a healthy microbiome!
It's good to know that Akkermansia grows through fasting! I'd like to understand more about the best fasting protocol for that.
Happy New Year ! Will you make a video on the proper use of digestive enzymes? I've been dealing with invasive candida (feel it diggin in) for 10 years and have used combo probiotics and digestive enzymes. I just ended this madness and looking at a new approach which I have found here and upping my dose of just the strains.... Thank You ! 💖💯👀🌹⚡🎉✨💎🎩
Thanks
Akkermansia was a game changer for my health after suffering for 3 years with acute migraines. I also now have less sugar cravings, eczema, Lower AP(b) and my capacity to tolerate rigorous exercise has increased dramatically. To my knowledge there is only one lab in the world making it for consumers because it is in fact an anaerobe so it is challenging to produce. I would also note that Akkermansia currently is somewhat cost prohibitive.
How long did It take to notice the significant improvements that you mention??
Man you’re good. Really appreciate your contributions; well done! Regarding the anti-probiotics….follow the money, likely strong pharma influence….certainly not data driven. Signed old engineer.
I appreciate that!
Thanks for the video…
What’s your thoughts on “Seed” probiotic?
Thanks! I consider on viable formula from the Lacto-Biff blend category.
Thx - love Chek. Do you consider S Boulardii as a probiotic you could continue.
Can you please do a video on how gut issues can cause shortness of breath? I have been struggling for almost 2 years with this debilitating symptom and i know it's related to my gut after taking unnecessary antibiotics. I also struggled with low ferritin and low B12. Was perfectly healthy before the antibiotics. I want my life back! Currently working with a functional medicine doctor and started taking Megasporebiotic which has been helpful. I've suspected SIBO, but haven't taken a breath test.
I’ve spent so much trying to help myself. I’m doing the low fob diet, probiotics of every kind, now on azithromycin, HCQ, ivermectin. Now restarting probiotics & bought your triple stuff. Waiting
I’m so lost. But seeing a bit of improvement, I think.
I just don’t understand where or how this started. Have I always had it? Thyroid meds and hormone issues for years. 😢 I’m so tired.
Ever heard of dihydroberberine? (Berberine)
Thank you sit but When taken this Three probiotic and how to take it
Wow great information - wish I had known all this years ago too! As an anecdote I suffered for years with IBS-C, histamine intolerance and insane histamine flare ups, bloating, cramping. Working with a provider got a GI-Map. Had overall very low commensals, but had quite high Akkermansia levels (this was prior to taking any probiotic). So in my n=1 Akkermansia is not protective for IBS.
Thanks for sharing!
is it ok to take akkermansia plus the other 3 probiotics to tackle Sibo???
Why do I develop anxiety and negative thoughts and exacerbation of my hand pain ( undiagnosed) head pressure. When I take probiotic foods or probiotics. ?
All those fermented foods are high fodmap as well so wouldnt that make ibs worse especially ibs-c?
Can you over do the different strain of probiotics? I'm eating super gut yogurt, mainly reuteri. I make homemade kefir and will start fermenting foods soon. I have SIBO. I won't take a probiotic pill though since consuming it in food or is a pill probiotic still useful? I just don't want to do over kill . I also want to make sure Sibo won't ever come back once i eradicate it.
Q. Humble request to share some more raw Indian Asian raw Fruits for better Gut health issues with Gallbladder chronic cystitis issues huge under weight issues and liver health issues
Hi, I’ve suffered from hypothyroidism for many years. I’ve never had the natural every morning urge to poop. I have to drink lots of warm water with clarified butter sometimes and exercise to get to poop. I have very dry hyperpigmented acne ridden skin. My diet is very clean meaning only natural real food never anything from a restaurant or comes in a package. How can I help myself with the right probiotics? Will it he’ll balance my hormones? I do have joint pain, back pain, as well.
What about Dr William Davis spin on super gut yogurt esp L reuteri ?
Used to follow Dr Mark H, unsubscribed because of the constant pushing of new products. It gets overwhelming to always have something else to add to get healthy, and realising it's a never ending series of trends with little to no scientist research behind it.
I get it
This is why it’s imperative to work one on one with a practitioner who knows what they are doing.
@@tammiebrown8317how do you find the one that knows. I just had doctors appointment today and she was functional and she had no clue about anything . I’m done with Mds but hard to find good functional too
@tammiebrown8317 And it's impossible for them to really know what they're doing. They are all into something different. Take
Keto based thinking
Carnivore based
Potato based
Rice based
Rice based
Fruit bassed
@@tammiebrown8317I’ll get on that when I use the lottery.
Hi Dr Ruscio. What is the best type of probiotic for constipation?
Not sure of probiotic but my integrative Dr must told me to get aloe vera and a tea with senna in it, like smooth move tea
I recently just purchased just thrive probiotic..so far it is very potent and/or my system is thst bad in shape thst i have had to open pills and take a pinch of it every other day. The company is amazing to work with and was there advice to really go slow introducing new bacteria. Any thoughts on just thrive..their claim is addressing leaky gut in 30 days with a study to show it.
Based upon this video, and reading the Just Thrive label, what do you think? :)
💖❤️🙏❤️💖
I’ve e always wondered about probiotics in food. I always buy probiotics that claim they have a stomach acid resistant capsule because stomach acid kills bacteria. What happens with the healthy bacteria in fermented foods?
Stomach acid doesn't appear to be a factor for supplement or for foods :)
Great question!!
So with hydrogen SIBO, everything says not to take probiotics and eat no fermented foods. Too confusing
You've got to look at the science behind their case. If little/no science is referenced, I would be cautious.
What probiotic is good for a constipated child 7 year old girl. My granddaughter. She did not want to do her potty training. She ended up in the hospital and until now she has been put on miralax and her poop is Diarrhea. Now they are just giving her therapy to move around and play ball but no exam done to know what she has. I see for adults but no response for children. Doctors do not help. 2 years in miralax and l am honestly frusted with thus system. What exam can she do. Can you tell me so l can be prepared to help my grandchild. Her doctor has not done much. What exams can be done so l can ask for them and show that l have done some research or looked for help. Thank you.
Lot more there than I think I can do justice in comments. You might want to reach out to our coaching practice for personalized advise, happy to help however we can :)
@@DrRuscioDCHow can l locate them please. How do l contact your personalize coach. Thank you.
I undersand you its being proved you get more benefits with other probiotics like lactobacillus, etc. But if you know that you are low in akkermansia, wouldn't it be interesting to take it?
Stool test results do not predict response to probiotics, be wary of this specious claim. And, stool tests are very inconsistent.
Thank you for your answer@@DrRuscioDC
@DrRuscioDC meaning that two stool tests taken on consecutive days could yield different results?
Can you please make a video about why your probiotics dont need to be refrigerated?
We already have, I'll see if we can include the link for you.
@@DrRuscioDC that would be great! I looked through your videos but I can't seem to find it.
@@DrRuscioDC Super interested in purchasing your probiotic but I want to make sure I understand that first since I've heard so often that good quality probiotics are refrigerated.
Hi Dr Ruscio. I was wondering if pasteurized sauerkraut still has some effectiveness. I would imagine that a priori no, but you've talked in other videos about the fact that heat killed bacteria are still effective, which is really bizarre btw. Thank you.
I think your logic is sound. I don't know this for a fact, but I am assuming some of the fermented food trials (that demonstrated benefit) used pasteurized foods.
@@DrRuscioDC Thank you.
I had a stool test done and akkermansia was not detected what would you suggest?
Stool test results do not predict response to probiotics, be wary of this specious claim. And, stool tests are very inconsistent.
Which test did you take? Not all
tests test the same things.
'Promosm' 💘
People with Hashimoto’s thyroiditis have enriched akkermansia and Bifidobacteria. From “Analysis of gut microbiota diversity in Hashimoto's thyroiditis patients”. Idk just an observation
Research can be skewed.
Hey Doc
How about a post on a day, or week in the life of probiotics?
Do they only last for a day in your GI tract and exit with the food that you eat or do they manage to hide away somewhere and not exit after a bowel movement?
Also, do they multiply while in your body and to what extent? 🧐🌄🦠🌇
If they are so beneficial to ones gut health, then surely one would want to have the best environment for them to thrive?
Any advice you can offer to keep them happy will be appreciated.
Noted!
^ I second this. & how far apart to take when taking antimicrobials
@Sab8190 yes, I take so much daily and hard to know when to take what... treating SIBO right now
ibs.diarrhea.help me