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Study Finds Probiotics 'Not As Beneficial For Gut Health As Previously Thought' (theguardian.com)

An anonymous reader quotes a report from The Guardian: The gut microbiome is the sum total of all the micro-organisms living in a person's gut, and has been shown to play a huge role in human health. New research has found probiotics -- usually taken as supplements or in foods such as yoghurt, kimchi or kefir -- can hinder a patient's gut microbiome from returning to normal after a course of antibiotics, and that different people respond to probiotics in dramatically different ways. In the first of two papers published in the journal Cell, researchers performed endoscopies and colonoscopies to sample and study the gut microbiomes of people who took antibiotics before and after probiotic consumption. Another group were given samples of their own gut microbiomes collected before consuming antibiotics. The researchers found the microbiomes of those who had taken the probiotics had suffered a "very severe disturbance." "Once the probiotics had colonized the gut, they completely inhibited the return of the indigenous microbiome which was disrupted during antibiotic treatment," said Eran Elinav, an immunologist at the Weizmann Institute of Science in Israel and lead author on the studies.

The scientists also compared the gut microbiomes of the gut intestinal tract of 25 volunteers with that of their stools. They found that stool bacteria only partially correlated with the microbiomes functioning inside their bodies. "So the fact that we all almost exclusively rely on stool in our microbiome research may not be a reliable way of studying gut microbiome health," said Elinav. In the second paper, the researchers examined the colonization and impact of probiotics on 15 people by sampling within their gastrointestinal tract. They divided the individuals into two groups: one were given a preparation made of 11 strains of very commonly used probiotics and the other were given a placebo. Of those who were given probiotics, he said, "We could group the individuals into two distinct groups: one which resisted the colonisation of the probiotics, and one in which the probiotics colonized the gut and modified the composition of the gut microbiome and the genes of the host individual."

115 comments

  1. Shame. by Anonymous Coward · · Score: 0

    Shame on those poop eaters. All for nothing lol.

    1. Re: Shame. by Anonymous Coward · · Score: 0

      3 rubies and I get to say grace at our next dinner party.

  2. Probiotics are disgusting. by Anonymous Coward · · Score: 0

    I am well aware that there is a symbiosis at work in my digestive tract. But that still doesn't make me feel good about gulping down live cultures of bacteria like that. ICK!

    My disgust at the thought of eating probiotics is only dwarfed by the horror I experienced when I learned about non-surgical fecal transplants!

    Oh, I am reacting just typing that.

    The world is a horrifying place.

    1. Re:Probiotics are disgusting. by jblues · · Score: 5, Informative

      Bacteria are are naturally present in raw fruit and vegetables and naturally fermented foods, including naturally fermented bread. Most cold climate cultures relied on fermented vegetables to get them through the winter. Salt fermentation of raw vegetables allows the lactobacillus bacterias to proliferate. Almost all of the sugars are consumed, however most of the rest of nutritional profile is intact, including the vitamin C. In some cases the nutritional profile is enhanced. This is why viking sailors didn't get scurvy. I used to wonder how these past cultures survived the whole winter without vegetables. They actually didn't.

      The amount of bacteria in many fermented foods exceeds probiotics dosages. They might not be very beneficial, but they're probably not very harmful either. They certainly have an effect on the gut biome. In some cases certain strains have been shown to be beneficial, through immune system modulation, for certain conditions, such as in the natural treatment of eczma - there are efforts ongoing to commercialize on this.

      --
      If it acquires resources on instantiation like a duck, then its a shared_ptr<Duck>
    2. Re:Probiotics are disgusting. by Firethorn · · Score: 4, Interesting

      The amount of bacteria in many fermented foods exceeds probiotics dosages. They might not be very beneficial, but they're probably not very harmful either. They certainly have an effect on the gut biome. In some cases certain strains have been shown to be beneficial, through immune system modulation, for certain conditions, such as in the natural treatment of eczma - there are efforts ongoing to commercialize on this.

      I actually heard about the probiotic stuff on NPR where they were talking to a researcher. He said the exact opposite - that fermented foods were superior to many probiotic preparations such as pills because they didn't have as much bacteria, and were mixed with other materials that would help with digestion and ensuring that the consumed bacteria didn't overwhelm where they weren't supposed to.

      --
      I don't read AC A human right
    3. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      The amount of bacteria in many fermented foods exceeds probiotics dosages. They might not be very beneficial, but they're probably not very harmful either. They certainly have an effect on the gut biome. In some cases certain strains have been shown to be beneficial, through immune system modulation, for certain conditions, such as in the natural treatment of eczma - there are efforts ongoing to commercialize on this.

      Having a large diversity of bacteria in the gut is very likely beneficial - many studies have shown this. The problem is that the modern consumer is enslaved to whichever fads come out. They know that they are having a very poor lifestyle, but they don't know how to live better, because there is a host of vultures and parasites - socalled lifestyle gurus and trendsetters - offering them the latest 'quick fix' and drowning out any common sense information.

      The real fix is simple: stop buying processed crap, start cooking your own food, baking your own bread etc. Don't buy meat in supermarkets - even a raw steak has already been processed (eg. pumped with stuff to make it look better than it is, which is why you often see your frying pan fill with water). Meat is more expensive that way, but then you just eat it less often (and enjoy it more); but a lot of things can in fact be found cheaper and better. Just compare the tasteless tomatoes you buy in a shop with one you've just picked from a tomato plant.

    4. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      You should be careful about such generalized statements, this varies EXTREMELY with countries.
      Even just comparing Germany and Sweden which mostly fall under the same legal frameworks there are stark differences in some areas.
      For example in Sweden, the "organic" (labelling is actually "bio" or "eko"/"öko") stuff almost always contains various types of artificial flavouring and colouring, whereas in Germany it is a major selling point for "organic" that it doesn't contain such stuff.
      I can't find any hard evidence, but I also think the steak processing you refer to isn't legal in the EU. It happened illegally though, they coloured pork to look like and sell it as beef.

    5. Re:Probiotics are disgusting. by jblues · · Score: 4, Informative

      Probiotics are bacteria. Lactobacillus is a type of bacteria. They are gram-positive, facultative anaerobic (meaning they don't need oxygen) or microaerophilic, rod-shaped, non-spore-forming bacteria. There are lots of different species of lactobacillus. These are "friendly" bacteria that normally live in our digestive, urinary, and genital systems without causing disease. They also occur in nature, for example on raw, fresh vegetables, or fermented foods like yogurt and in dietary supplements. They are generally harmless, sometimes beneficial to almost everyone.

      Perhaps on NPR they were saying the fermented foods have less noxiousbacteria than probiotic preparations. There are other kinds of bacteria, that in a person with a well functioning immune system will be harmless, but could cause problems to someone who is already ill. And then there are things like Clostridium botulinum aka botulism - comes from spoiled canned foods, that you definitely don't want to ingest. It is deadly.

      --
      If it acquires resources on instantiation like a duck, then its a shared_ptr<Duck>
    6. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 1

      I am well aware that there is a symbiosis at work in my digestive tract. But that still doesn't make me feel good about gulping down live cultures of bacteria like that. ICK!

      My disgust at the thought of eating probiotics is only dwarfed by the horror I experienced when I learned about non-surgical fecal transplants!

      Oh, I am reacting just typing that.

      The world is a horrifying place.

      Well the fact is, when you were born (assuming not a c-section) you received your initial bacteria for colonization from the fluids in the birth canal. A healthy woman has a balance of all kinds of (mostly beneficial) bacteria living there and this is what becomes your first gut bacteria.

      Does it follow that cunnilingus would be better than probiotics?

    7. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      I don't see how the most common dosages of probiotics is too much. A typical pill will be 1-10 billion, but 99% will die hitting the stomach, and was only 1-10 billion when it left the factory. 3rd party review find it common that 90% of the bacteria in the pill is dead. We're now down in the range of 1million to 10 million bacteria per pill. And you're dropping them into your gut that has 10 trillion bacteria.

      I take a probiotic that is time released and claims the end user should effectively deliver about 70% of the rated CFU by the expiration. I do this because it's cheap, I don't need to fridge it and it nearly negates all of my heartburn. It actually does a better job than Prilosec for me.

    8. Re:Probiotics are disgusting. by thegarbz · · Score: 1

      But that still doesn't make me feel good about gulping down live cultures of bacteria like that

      I suggest you never eat again. Even more don't swallow anything ever, your mouth is full of disgusting live cultures.

    9. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      In Asian countries the consumption of fermented vegetables result in increased levels of stomach cancer.

    10. Re: Probiotics are disgusting. by Xarin · · Score: 1

      My biggest concern is the water content of organic food. I assume they donâ(TM)t use filtered water so itâ(TM)s probably full of whatever was dumped upstream.

    11. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      and yet some people willingly get injections of botulinum.

    12. Re: Probiotics are disgusting. by Anonymous Coward · · Score: 0

      Your 'simple' solutions are simply not feasible for a a great part of the population in modern society. Further, I would suggest that it is only possible for some people precisely for that reason. That is the nature of living in industrialized societies. Do you really think everyone everywhere can suddenly stop going to grocery stores, live in homes with yards, cook their own food, and have enough land and time to grow their own crops? It's as if all you back to the land and nature types live in a privileged realm of idealism. You are not as intelligent as you think you are.

    13. Re: Probiotics are disgusting. by Anonymous Coward · · Score: 0

      Causation casualty etc. Try again.

    14. Re:Probiotics are disgusting. by Anonymous Coward · · Score: 0

      Out of curiosity, what brand are you taking?

    15. Re:Probiotics are disgusting. by jblues · · Score: 1

      I'm not sure if there are hard statistics, but this is most often attributed to the increased amount of salt. There are lower incidences of heart disease, diabetes and other ailments, but an increased rate of stomach cancer.

      --
      If it acquires resources on instantiation like a duck, then its a shared_ptr<Duck>
    16. Re:Probiotics are disgusting. by jblues · · Score: 1

      +1

      --
      If it acquires resources on instantiation like a duck, then its a shared_ptr<Duck>
    17. Re:Probiotics are disgusting. by Firethorn · · Score: 1

      Probiotics are bacteria. Lactobacillus is a type of bacteria.

      Uh... Yeah? I didn't say anything different?

      Basically, the researcher was saying that bacteria aren't really supposed to be in the small intestine, mostly the colon and lower. Even then, there are limits to how much bacterial loading is good.

      Perhaps on NPR they were saying the fermented foods have less noxiousbacteria than probiotic preparations.

      Nope, most of the concern was that the probiotic preparations were dumping their loads in inappropriate sections of the gut in inappropriate amounts.

      To use an analogy, you put gasoline in your fuel tank. Pouring gasoline over your engine directly isn't good for your car. To him, probiotics were like tossing gasoline on/in random sections of your car, or at least, they couldn't guarantee that the gas they were pouring was into the fuel tank. Or that they weren't trying to pour 100 gallons into a 20 gallon tank... Most of the time the gas would just evaporate, but you still have an increased risk of a car fire.

      --
      I don't read AC A human right
    18. Re:Probiotics are disgusting. by jblues · · Score: 1

      Ah, I get you now.

      --
      If it acquires resources on instantiation like a duck, then its a shared_ptr<Duck>
  3. Bitter sweet by Anonymous Coward · · Score: 3, Interesting

    Been saying this for years. I get some people have IBS but the reliance on things like yogurt is crazy.

    Fun little tip for a stomach ache - saliva. Let it build in your mouth (without water) and swallow in one gulp. Not only does it give your mouth a natural way to break down any bateria / sugar, but helps to calm your gut. Mouthwash is the nuclear option.

    So much of how your body functions comes down to diet. It's interesting they do not go into what foods were consumed.

    1. Re:Bitter sweet by Anonymous Coward · · Score: 0

      "IBS" is a BULLSHIT diagnostic.

      As I got older I can't handle spicy food like I used to.. There are many reasons why one food may digest differently. Always thought of it as a generic term anyway.

      It is however a simpler way to explain what could be a complicated and personal matter. Could be you're on medication for example or you consume food you're allergic to but never knew.

    2. Re:Bitter sweet by Anonymous Coward · · Score: 0

      Let it build in your mouth (without water) and swallow in one gulp.

      That's what your mom does.

    3. Re:Bitter sweet by omnichad · · Score: 5, Informative

      The "S" stands for syndrome, which identifies it as a collection of symptoms and not a disease. It's a diagnosis only in that there are good ways to treat the symptoms even when you don't understand the root cause fully.

    4. Re:Bitter sweet by Anonymous Coward · · Score: 1

      There you go interrupting their rant with facts. Have you no shame?

    5. Re:Bitter sweet by Anonymous Coward · · Score: 0

      You mean the part where he says "when you don't understand the root cause fully.", which is what I said? And "fully" is a joke. They don't understand a thing, like at all.

    6. Re:Bitter sweet by Anonymous Coward · · Score: 0

      "As I got older I can't handle spicy food like I used to."

      And that's "IBS"? So everyone has it? Wow, that's a useful and scientific diagnosis, doctor! Thanks!

    7. Re:Bitter sweet by Anonymous Coward · · Score: 0

      It's even "funnier" when it's something actually life-threatening like Chrohn's and you as a patient slowly realize that they essentially have no clue beyond "well, it's an inflammation" and in the end the only "real" solution they have is cutting out pieces of your intestine until it stops trying to kill you. For a couple of years at least... I got off easy enough, so I can't REALLY complain, but it was a great illustrator on how far we still have to go.

    8. Re:Bitter sweet by Anonymous Coward · · Score: 0

      That's the point: it's not a "diagnostic" until there's an explanation for the symptoms, in which case, it's no longer "IBS" but whatever disease it really is.

    9. Re:Bitter sweet by Anonymous Coward · · Score: 0

      I heard semen does the same thing. You should try it and report back.

    10. Re: Bitter sweet by Anonymous Coward · · Score: 0

      I donâ(TM)t know... Iâ(TM)ve had a stomach that would burn after eating for years, with bad / loose stools. My stomach got really bad after a trip out of the country. I noticed eating yogurt on the plane helped to soothe it. Now I eat (sugar free) yogurt every day and enjoy a much healthier feeling in my stomach. After a few days without it, I start to feel bad again.

    11. Re: Bitter sweet by Anonymous Coward · · Score: 0

      Brucellosis / Mycoplasma fermentans chronic intracellular infection, in MY case... Only doc who ever said IBS was the weed doctor because he had to justify "severe nausea" to colorado MMJ registry. Four years crazy illness way beyond "ibs. Possibly fibromyalgia for life, prognosis is sketchy... Parkinson's is a theorized outcome of certain Mycoplasmas.

    12. Re: Bitter sweet by Anonymous Coward · · Score: 0

      You've built a wonderful strawman there

    13. Re: Bitter sweet by Anonymous Coward · · Score: 0

      Bukkake?

    14. Re:Bitter sweet by Anonymous Coward · · Score: 0

      So down syndrome is a collection of symptoms, which can be treated well, with a root cause not fully understood?

      (This comment is 30% snark and 70% curiosity)

  4. Whoop Dee Dooo~ by Anonymous Coward · · Score: 1

    But what does it all mean, Basil?

    Was it for the better that "probiotics colonized the gut and modified the composition of the gut microbiome and the genes of the host individual"?

  5. I guess it's back to by bobstreo · · Score: 0

    shit transplants for the health crazed. /s

    Seriously, is anything really good or really bad for you in moderation?

    1. Re:I guess it's back to by serviscope_minor · · Score: 5, Funny

      Seriously, is anything [...] really bad for you in moderation?

      Plutonium.

      --
      SJW n. One who posts facts.
    2. Re:I guess it's back to by bananaquackmoo · · Score: 1

      So you're saying it's better not to moderate use of plutonium? ;)

  6. Don't take probiotic pills by PopeRatzo · · Score: 4, Insightful

    Don't waste your money on probiotic capsules. If you want to try to increase the amount or variety of bacteria in your guts, there are tons of delicious foods that are chock full of probiotics. Olives, pickles, fermented meats like the Italian delicacy soprasetta (which might be the tastiest thing ever invented by humans). Kimchi is also good, but it will make you smell bad, so if you're single, you might want to go easy on the kimchi.

    Also, if you use vinegar on salads, try getting some of that good cider vinegar that still has the "mother" in it. Shake the bottle and use like any other vinegar. And of course, yogurt, kefir, that kind of stuff is delicious too.

    I'm not crazy about kombucha. It's a big fad now and there are places here in California that have kombucha on tap, but it's not really to my taste. Some people swear by it. I notice that now when you buy it in the store, they ask for an ID since there's a small amount of alcohol in it.

    Also, alcohol is not really good for your gut bacteria, but there are more important things in life than gut bacteria, you know? Just eat a lot of different kinds of food and you'll end up with good gut bacteria without even trying.

    --
    You are welcome on my lawn.
    1. Re: Don't take probiotic pills by ljw1004 · · Score: 4, Insightful

      Why would you advise people on natural sources of probiotics - in response to an article which said that they're either ineffectual or actually bad?

    2. Re: Don't take probiotic pills by omnichad · · Score: 2, Interesting

      They likely contain a lot more biodiversity vs. a monoculture or handful of strains in probiotic supplements. And they would still probably be ineffectual most of the time, except after antibiotic use. This study doesn't cover any of that. Of course if you're trying to feed the microbiome you already have, eating unfermented vegetables makes more sense as they still have the complex sugars like oligosaccharides, fructans and so on that would feed it. That depends on whether you are repopulating after antibiotics or not.

    3. Re: Don't take probiotic pills by PopeRatzo · · Score: 5, Interesting

      Why would you advise people on natural sources of probiotics - in response to an article which said that they're either ineffectual or actually bad?

      Because on the high probability that this new "study" actually gets overturned by future research, I want people to know they can eat delicious healthy food.

      Remember when fats were bad? And coffee? And wine was good for you? And eggs were bad for you? And low-fat diets were good for losing weight?
      And chocolate was bad for you? Do you need me to go on? When a "study" comes out saying something is either good for you or not, you can almost set your clock another study coming around the corner saying the opposite. So eat what's good. If your grandparents ate something and lived to be 90, it probably won't be bad for you. Just don't waste money on some gelatin capsule with "live bacteria" in it when there are delicious alternatives.

      Remember the Nutrition Pyramid? The Four Food Groups? Member? Huh?

      --
      You are welcome on my lawn.
    4. Re: Don't take probiotic pills by Anonymous Coward · · Score: 0

      The article discusses post-antibiotic effects of a particular probiotic formulation, not diet or natural sources of probiotics.

    5. Re:Don't take probiotic pills by piojo · · Score: 1

      there are tons of delicious foods that are chock full of probiotics.

      Strictly speaking, those foods should just be said to contain bacteria, until it's shown to have some positive effect. For example, if a strain (not a bacterium but a specific strain) in yogurt helps treat constipation, it can be called a probiotic. If the strains of bacteria in natural sauerkraut haven't been studied, they should just be called bacteria (or lactic acid bacteria if you like).

      --
      A cat can't teach a dog to bark.
    6. Re: Don't take probiotic pills by Anonymous Coward · · Score: 0

      Also note that the study did not use kimchi or anything like that, quoting https://www.cell.com/cell/fulltext/S0092-8674(18)31102-4:

      During the probiotics phase participants consumed Supherb Bio-25 bi-daily

    7. Re:Don't take probiotic pills by PopeRatzo · · Score: 1

      . If the strains of bacteria in natural sauerkraut haven't been studied, they should just be called bacteria

      You call it what you want. I call it delicious.

      --
      You are welcome on my lawn.
    8. Re:Don't take probiotic pills by Zorpheus · · Score: 1

      This is just crazy. You don't know what kind of bacteria is in this food. And most bacteria in our food are killed by the acids in our stomach.
      I don't know why they even list yoghurt in the summary. If it contains probiotics they will probably not make it to the intestine. They put them in just four advertisement, afaik they have no proven effect.

    9. Re: Don't take probiotic pills by Anonymous Coward · · Score: 0

      They put them in because they change the taste and texture.
      They make the health claims because of advertising.

    10. Re:Don't take probiotic pills by PopeRatzo · · Score: 5, Insightful

      This is just crazy. You don't know what kind of bacteria is in this food. And most bacteria in our food are killed by the acids in our stomach.

      You're absolutely right. So the worst thing that can happen from ingesting this food is that you've just eaten something delicious that people have been eating for centuries. I'm not sure I get what part of it that is "crazy".

      I don't know if probiotics are good or bogus or simply neutral. But I knew that fermented food is good food. I buy this habanero hot sauce that is fermented in barrels and it will make you weep and praise the lord. Get you some of that whole milk yogurt and put a big spoon on some blueberries and a drop of honey, it's like dipping your snout in Aphrodite's lady parts.

      Don't pay attention to the labels. Eat what you like and don't overdo it and you'll live a nice long life and you won't need all those antibiotics because you'll be healthy.

      --
      You are welcome on my lawn.
    11. Re:Don't take probiotic pills by piojo · · Score: 1

      My point was that by definition, a probiotic has an observable positive effect beyond being tasty. But I wouldn't say no to sauerkraut and beer.

      --
      A cat can't teach a dog to bark.
    12. Re: Don't take probiotic pills by Zorpheus · · Score: 1

      I'm fully in with your love on fermented food. I am from Germany. We have the well-known Sauerkraut. The proper one is fermented; you have to check the ingredient list though to see if it is, of they add an acid instead of just salt it probably isn't fermented.
      Also we always have sourdough bread, which is also the result of fermentation. There was the same issue in the past, that some tried to replace the fermentation process by adding an acid instead, but no one liked it. Of course not, the sour taste is just a side effect of the fermentation. What makes us like it is the partial digestion of the food by bacteria or yeast, which for example breaks up the long chains of starch into easier digestible shorter carbohydrates.
      Well, in these two foods the microorganisms are clearly not getting into our intestine, since they die during cooking and baking. In other foods a few might survive somehow, but still I don't believe that the organisms themselves have any relevance for our intestine.
      The fermenting organisms create environments where other, possibly harmful organisms can't survive. Maybe it's the composition of these environments that has a positive effect on us.
      I think probiotics in capsules are something completely different. The capsules are resistant to the acids of the stomach, they are only dissolved by the enzymes in the intestine. So the bacteria get placed right where they should be, and it is a defined selection of them.
      What seems crazy to me is to try to replace that with fermented food. You don't know what bacteria you have and most of them won't make it to the intestine anyway.

    13. Re: Don't take probiotic pills by Zorpheus · · Score: 5, Interesting

      I once made sourdough bread myself and added more of the starter culture to the dough than you normally would, since I just had too much. It turned out to be pretty sour. But what was really interesting: when the bread got older it never grew mould as it normally does. Instead it just got even more sour over time. The environment of the dough did not permit mould to grow, even after the initial organisms were killed by baking.

    14. Re: Don't take probiotic pills by Maxo-Texas · · Score: 3, Interesting

      I've had a complete failure of my gut three times in my life. The first took months to recover naturally. The other two, I recognized and bought a bottle of "yellow" and "purple" gut bacteria, and contrary to the labels simply took one of each capsule type (they wanted you to take one daily). I recovered within 48 hours after taking the pills on those two occasions.

      So for me- it worked very well on two occasions.

      I do not consume pro-biotics on a regular basis tho I do eat yogurt about 30 days a year just for the flavor, not for the health benefits.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
    15. Re: Don't take probiotic pills by jd · · Score: 1

      If there's bacteria in real yoghurt... ...it's probably not there for the advertising. It's there because that's how yoghurt is made. Same with cheese. How did you think they were made?

      --
      It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
    16. Re: Don't take probiotic pills by Zorpheus · · Score: 2

      I am talking about the probiotic yoghurt and the one with El Casei cultures. They claim to be healthy for the gut without real proof.

    17. Re:Don't take probiotic pills by elrous0 · · Score: 1

      I'm not crazy about kombucha. It's a big fad now and there are places here in California that have kombucha on tap, but it's not really to my taste. Some people swear by it. I notice that now when you buy it in the store, they ask for an ID since there's a small amount of alcohol in it.

      You can thank Lindsay Lohan for the ID thing. She got busted for being a drunken whore during one of her many falls off the wagon and tried to claim that she hadn't been drinking booze, but just kombucha. After that, everyone started requiring ID checks for the stuff. As if we needed another reason to hate that ginger trainwreck.

      https://abcnews.go.com/Busines...

      --
      SJW: Someone who has run out of real oppression, and has to fake it.
    18. Re: Don't take probiotic pills by dwywit · · Score: 1

      Because that capsule has been formulated FOR SALE. It doesn't really have your best interests at heart. Nor does it take your gut microbiome into account. It's important to recognise that no-one's microbiome can be treated by a generic cocktail of bacteria - we're all different. What's good for you might be ineffective for me. If even 1% of the bacteria in kimchi make it to my intestine, they will, given otherwise favourable conditions, flourish, grow, and reproduce. If they were harmful, I'd be very sick right now.

      People have been eating fermented foods for millenia. Beer is one such. Sauerkraut/kimchi is another. Yoghurt is another. It's not crazy, it's the accumulation of millenia of discoveries that certain treatments can prolong the effective life of foods. Yoghurt extends the life of milk. Sauerkraut prolongs the life of cabbage. Before industrial food production, you had to do everything you possibly could to eke out the nutrition sources available to you. The fact that some of these preservation methods produced delicious food is a plus. I'm sure there have been many disastrous experiments with other foods, i.e. they didn't pass the "delicious" or "otherwise useful" test - see potatoes/vodka, and barley/beer.

      Also, sauerkraut and other fermented cabbages are a historic winter food - the fermentation preserves (or doesn't destroy) the vitamins, particularly vitamin C, which can be in short supply during winter. Yes, not these days, but humans found out that fermented cabbage was a healthy thing to eat because it was a source of vitamin C when it was otherwise difficult to get.

      You're only partially correct in saying "you don't know what bacteria you have" because each batch of kimchi will be slightly different, but then, you don't know what bacteria you're eating, do you? Unless everything you eat has been pasteurised, you're getting a batch of bacteria every time you swallow, and even then, there's bacteria on your hands. Better not eat that sandwich without a handy autoclave first, and 2 pairs of gloves.

      --
      They sentenced me to twenty years of boredom
    19. Re:Don't take probiotic pills by thegarbz · · Score: 1

      . Eat what you like

      Errrrr you were on a roll right up until that point. Eating what people like (saturated sugars loaded into processed crap) is precisely what is preventing nice long lives for many in America. Because let's face it, eat what I like? You'll find me at Five Guys breakfast lunch and dinner followed soon after at the pharmacy getting a top-up for my insulin injector and blood pressure medication.

    20. Re: Don't take probiotic pills by OpenSourced · · Score: 1

      Why would you advise people on natural sources of probiotics - in response to an article which said that they're either ineffectual or actually bad?

      Well, they don't actually say that. What they do say is that probiotics can hinder your gut to go back to its normal ecosystem after an alteration (like antibiotics). What you don't know is if your normal ecosystem is trash, and you are much better not going back to it. There are so many questions about this, that it's difficult to know where to start, except by not making invented sensationalist headlines for scientific studies.

      --
      Rome taught me patience and assiduous application to detail. Virtues which temper the boldness of great, general views.
    21. Re: Don't take probiotic pills by Anonymous Coward · · Score: 1

      Remember the Nutrition Pyramid? The Four Food Groups? Member? Huh?

      The problem is much of that was drafted by the agrifood industry, and much of that is bullshit intended to sell their products ... which led to trans-fats and hydrolized crap.

      When the average person doesn't know the science, and the science is constrained by lobby groups, how do you know what is good and what isn't?

      As to probiotics, if it isn't still a live culture when you eat it, it probably isn't what you think it is. Real kimchi which is still fermenting, or sauerkraut which is doing the same, or even good quality kefir (fermented yogurt) and tons of other stuff will all have it. If it's been pasteurized, why would you think the good bacteria are still there?

      I know several women who have started drinking a bit of kefir every day, and they say the occurrence of yeast infections and the like is way down for them since they started .. and I'm going to trust a woman to be able to know what her own girl-parts are doing. My wife swears by it, and has also found that real sourdough bread also lowers her blood sugars throughout the day (it's shocking how much sourdough or rye bread is just white bread in disguise). Fortunately, kefir is now easy to get, and we have an awesome little local bakery nearby which is making sourdough bread which you can tell from the taste is from an actual live culture. It's also freakin' delicious.

      I don't think probiotics in general is a bad idea, but I also don't believe the things from the food industry (especially a yogurt which is mostly gelatin) are going to have the same effects, because like so many other things, they take out all of the good stuff, and then try to add something like it back later (think 'enriched' white bread).

      The problem with the food industry, is they often make things which have the right words to sound like they're good, but the more you look the more you realize there's a whole lot less in there than you think ... most probiotic yogurt is full of sugar and gelatin, and not much actual dairy.

    22. Re: Don't take probiotic pills by Anonymous Coward · · Score: 0

      Yep. You are right. There are studies all the time and the studies show that someone found DATA! What you seem to object(?) to in these studies is the conclusions that some people reach based on the data and the commercialization and monetization of a diet fad/craze based on some moron's assumptions about what a study means.
      Here's the truth about food.
      1) Your gut is not a four-lane highway, it's a goat-path. Don't eat so damned much and you will feel better.
      2) leafy, green vegetables are your friend. Eat lots of those. It doesn't matter which ones. Then eat lots of other fruits and vegetables, some whole grains (like brown rice or whole oatmeal or wheat (not flour)) and a little protein (if you can). There are no magic bullets so just eat what you want and just stay away from processed foods as much as possible.
      3) Get some exercise. Real exercise where you sweat and are out of breath from more than 30 minutes at a shot. This is for your organs. Stretch and lift stuff so your muscles don't atrophy. Get out of your chair and walk.
      4) There is no rule 4. just those three rules. Yes it is that simple. If you need a rule 4 it would be not to complicate the other three rules.

    23. Re: Don't take probiotic pills by jd · · Score: 1

      That's different. If specific vendors are making false claims and contaminating their product, count me in on the next protest. I have no problems you condemning that and support you every step of the way.

      There's plenty of evidence that ingested bacteria get to the gut, but there's no evidence in any specific case and very little evidence for specific bacteria being healthy.

      I'm happy to demand vendors produce the evidence or pay researchers to find out the reality. Should have been done by now.

      --
      It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
    24. Re: Don't take probiotic pills by Translation+Error · · Score: 2

      Even if there's evidence that probiotics can cause problems after a course of antibiotics, it doesn't necessarily follow that they should be avoided in general.

      --
      When someone says, "Any fool can see ..." they're usually exactly right.
    25. Re: Don't take probiotic pills by hey! · · Score: 1

      The study could in no way establish that microflora from food is bad, because it didn't test that.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    26. Re:Don't take probiotic pills by hey! · · Score: 1

      There's an even simpler reason not to take the probiotic pills you see in the drug store or even the supermarket these days.

      You wouldn't take a pill from an open bottle of "nutritional supplement" you found lying in the gutter because you wouldn't be sure what's actually in it. The thing is your chances aren't much better if you purchased the unopened bottle from a pharmacy. Thanks to a legal system which equates buying congressmen with speech, supplements are effectively completely unregulated.

      When a state AG's office had samples of supplements being sold in the state tested, in nearly 80% of the cases the thing being sold couldn't be detected in the bottle, although plenty of contaminants were found.

      NEJM reported a case of a police sergeant who lost his job due to a failed drug test: supplements he was taking were contaminated with amphetamines. If nobody's checking, why bother cleaning the pill machinery for that supplement batch?

      Another study looked at supplements from 12 companies; only two companies sold what was in the bottle. Seven adulterated what was sold in the bottle with cheaper subtitutes; two used substitutes entirely. Four companies' products contained 20% or more contaminants by weight, and one company's products were 100% contaminants:basically random shit they swept off the floor. Many contaminants found were either toxic or could not be positively identified as benign.

      Nobody should take any "nutritional supplements" for anything. People should use food instead. If you eat a banana, it might not be the best banana it could be, but at least you can be certain it is a banana. And it will feed your gut microbiome.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    27. Re: Don't take probiotic pills by Anonymous Coward · · Score: 0

      Also, what's the last time a doctor offered to take a sample of your gut bacteria before offering you an antibiotic treatment? Because until that's done, the real comparasion is between probiotic-containg things and a normal diet.

    28. Re:Don't take probiotic pills by Anonymous Coward · · Score: 0

      The bacteria and yeast in foods you eat do not make it to your large intestine. That said, fermented foods are awesome. I'm sad so many pickles in the US are made with distilled vinegar. I'm currently fermenting peppers and still finishing off some homemade kimchi. Good probiotic pills (there are lots of fakes) are enteric. They are protected during their journey and release their flora only once they reach the destination.

    29. Re:Don't take probiotic pills by Anonymous Coward · · Score: 0

      >it's like dipping your snout in Aphrodite's lady parts

      Eww.
      Keep your pornographic fantasies to yourself, please.
      It is no longer 1962.

    30. Re:Don't take probiotic pills by Vidar+Leathershod · · Score: 1

      This post is useless without detailing the brand and variety of the habanero sauce.

      --
      The brains of a chicken, coupled with the claws of two eagles, may well hatch the eggs of our destruction.
    31. Re: Don't take probiotic pills by dwpro · · Score: 1

      Did you get adequate rise? When I over leaven I rarely like the results

      --
      Millions long for immortality who do not know what to do with themselves on a rainy Sunday afternoon. -- Susan Ertz
  7. Makes sense to me. by Vegan+Cyclist · · Score: 5, Informative

    Most probiotics are a pretty small range of bacteria, and I don't know if I've ever seen anywhere that confirms these are actually the ones we want on a large scale...especially when some supplements have pretty large doses of these.

    From all the reading I've done it seems the best direction will be to focus on prebiotics, aka the foods that the microbiome thrives on, which is typically fibrous vegetable matter. Feed the good ones you've got (rather than trying to implant others), and you'll probably be better off.

    1. Re: Makes sense to me. by jd · · Score: 1

      Very little works as expected in isolation.

      We know that researchers who visit Africa for a week suddenly develop gut flora that is extremely rare and healthy, but try identifying a specific cause.

      Of the 1,500+ species of bacteria found in the gut, most show up as "rare, unstudied", so we've no idea whether they're beneficial or not. I'd rather researchers find that out first, given nobody will change their diet anyway.

      --
      It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
    2. Re:Makes sense to me. by reboot246 · · Score: 1

      That's what I've been reading about, too. It just makes sense to support what you naturally have in your gut. As far as what to do after taking a course of antibiotics, we know that antibiotics don't kill ALL your gut bacteria, so it seems wise to support the ones that survive.

      I can get all the prebiotics I need from the foods I eat, but because of my varied and hectic schedule I don't always eat the way I'm supposed to eat, so I take prebiotics when I need them.

    3. Re: Makes sense to me. by Xarin · · Score: 1

      Bacteria has co-evolved with humans and the bacteria that feeds on sugars produce chemical compounds that make us crave sugar. I believe eating only healthy foods will allow other bacteria to crowd them out and make it easier over time. The remnants are, however, always waiting for a moment of weakness and will explode in population given the chance.

  8. Next you'll tell me... by Anonymous Coward · · Score: 0

    ... that smoking is bad for my health.

  9. This study is done by morons by gurps_npc · · Score: 3, Insightful

    What idiot thinks that if you give pills of a specific biome you will get something BESIDES that specific biome???? Look, if you take probiotic pills, you are replacing your normal biome WITH the biome of the pills.

    That was the presumed GOAL of taking the pills. The fact that your biome change is the thing you were trying to do, that's why you take the pills.

    If you have a blue car, and then paint it with red paint you are an idiot if you complain that the car is no longer red.

    There are lots of good reasons to try and change your microbiome. We are pretty sure that some microbiomes cause ulcers, obesity, and even diabetes, We have suspicious about cancer, autism, autoimmune diseases, and many other things.

    We don't know much about microbiomes, we are not sure about a lot of things and it might make zero sense to take a probiotic pill. But it also might make a lot of sense.

    These studies don't answer the real question. They have nothing to do with it being beneficial or not, they just show that a change has occurred. They are talking about whether the pills change your biome, (and they do), not about whether it is a good idea to change your biome by taking the pills.

    --
    excitingthingstodo.blogspot.com
    1. Re:This study is done by morons by Anonymous Coward · · Score: 0

      What idiot thinks that if you give pills of a specific biome you will get something BESIDES that specific biome????

      Me! I'm the idiot! Fortunately researchers actually like to study this, and not make assumptions without actually collecting data. Eating microbe A does not necessarily mean that microbe A will be the dominant microbe in the gut. it's a complex ecosystem in there. People who think like you always amuse me. You think that you have to understand everything from a study, or it is useless. That's pretty idiotic too, so I guess we have something in common.

    2. Re:This study is done by morons by omnichad · · Score: 5, Informative

      Look, if you take probiotic pills, you are replacing your normal biome WITH the biome of the pills.

      The study concluded the opposite (in all cases except with antibiotic use). And the results are surprising. What it sounds like is happening is that all of the bacteria in the probiotic compete for food with the biofilm in your intestines. However, the probiotic has no way to supplant the biofilm - that's a protective layer that keeps out competing bacteria. It just starves the resident population a little bit as it passes on through. Either way, more or less none of it stays behind and it all leaves the body with your digested food.

      With antibiotic use, the biofilm dies off, but there are only a few strains in the probiotic. These compete with the remnant biofilm reserve in the appendix for recolonization and actually slow recovery. Again this is just continuing my theory based on the results of the study. And those few strains are not enough diversity to maintain your digestive health and should not be the entire makeup of your intestinal microbiome.

    3. Re:This study is done by morons by Anonymous Coward · · Score: 0

      The important question then is how to stop the bad guys: https://science.slashdot.org/story/18/02/02/214213/gut-microbes-combine-to-cause-colon-cancer-study-suggests

    4. Re:This study is done by morons by Anonymous Coward · · Score: 0

      If you have a blue car, and then paint it with red paint you are an idiot if you complain that the car is no longer red.

      The car is blue AND red, you just can't see the red under the layer of blue.

    5. Re:This study is done by morons by Anonymous Coward · · Score: 0

      If I paint my car red, why wouldn't it be red?

    6. Re:This study is done by morons by mentil · · Score: 1

      So if one has their appendix removed, does the biofilm ever recover?

      --
      Corruption is convincing someone that the selfless ideal is the same as their selfish ideal.
    7. Re:This study is done by morons by Anonymous Coward · · Score: 0

      Brilliantly put.
      The study is merely an enlistment of what happens to the biome with probiotics ingested. It does'nt claim to sit in evaluation of benefits or harm to the body. It is surprising how many folks are looking for validations of right and wrong and willing to jump ship without reading the fine print

    8. Re:This study is done by morons by jabuzz · · Score: 1

      Actually the study concluded that if you *STOP* taking the pills then your biome reverted to it's previous state fairly rapidly. So clearly you need to keep taking them.

      Note this was all done on healthy people as well, so tells you nothing about someone who has "gut" issues. It would be like giving penicillin to a healthy person and concluding it was of no benefit at all.

      A further failure of the study is the assumption that the normal state is actually desirable.

    9. Re:This study is done by morons by Gilgaron · · Score: 1

      Sure, it isn't like you were born with your microbiome in place. It'll just take longer and may end up a little different than it began. Probably quicker the more time you spend amongst your filthy belongings that have your favorite organisms all over them, slower if you were stuck in a sterile room after treatment and fed sterilized food.

    10. Re:This study is done by morons by Mashiki · · Score: 1

      Note this was all done on healthy people as well, so tells you nothing about someone who has "gut" issues. It would be like giving penicillin to a healthy person and concluding it was of no benefit at all.

      Spot on. It would have been far more useful on people taking long-term antibiotics for say infections in the bone from surgery and would rather try to avoid going back under the knife and removing a swath of bone, or diabetic foot ulcers. There's enough of these cases in most western countries that they could have a good sample size. There's a very good reason that they give yogurt and some form of probiotic after you've been given a high dose broad spectrum antibiotic in the hospital as well, people recover more quickly and it reduces the chances of having the dreaded antibiotic shits.

      --
      Om, nomnomnom...
    11. Re: This study is done by morons by Xarin · · Score: 1

      Sound like the key then is to reset your biome with antibiotics and then follow up with a designer mix of probiotics.

    12. Re:This study is done by morons by Anonymous Coward · · Score: 0

      "It just starves the resident population a little bit as it passes on through. Either way, more or less none of it stays behind and it all leaves the body with your digested food." ...

      Then, scientists take stool samples, see the probiotic material, and conclude that the microbiome is full of the probiotics! (The scientists no longer recommend looking at the stool samples as a reflection of the microbiome).

  10. Shit! That's Gross! by Anonymous Coward · · Score: 0

    Why? WHY?

    1. Re: Shit! That's Gross! by Anonymous Coward · · Score: 0

      Shit is gross because it contains disease-causing bacteria. We have evolved to hate the smell because those who didn't, died.

  11. Re: Study indirectly funded by big pharma says stu by jd · · Score: 1

    Conclusion: Privately funded research replaces the academic biome with a pathogenic strain.

    --
    It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
  12. The summary (and you really don't expect me to read TFA do you?) does not make clear at all why this would be a bad thing.

    The researchers found the microbiomes of those who had taken the probiotics had suffered a "very severe disturbance." "Once the probiotics had colonized the gut, they completely inhibited the return of the indigenous microbiome which was disrupted during antibiotic treatment," said Eran Elinav, an immunologist at the Weizmann Institute of Science in Israel and lead author on the studies.

    OK. Is that a bad thing then?

    Is the "indigenous" microbiome automatically better than the probiotic? (Maybe it has cool costumes and casinos and stuff)?

    I mean, it might be better, but the summary isn't giving us any hint why

  13. Antibiotics kills off everything by Anonymous Coward · · Score: 0

    Instead of not taking probiotics, how about not taking antibiotics at all.

    1. Re: Antibiotics kills off everything by Anonymous Coward · · Score: 0

      Go get yerself some Giardia and say that again after a few weeks??

  14. Soppressata by hman · · Score: 1

    I think you meant this Soppressata or this Sopressa.
    Small correction, since I was actually wondering what you meant (and I've been living in Italy for >30 years...).

  15. This is rather confusing by butchersong · · Score: 3, Insightful

    "very severe disturbance." "Once the probiotics had colonized the gut, they completely inhibited the return of the indigenous microbiome which was disrupted during antibiotic treatment,"

    Isn't that the entire point of taking probiotics? To populate the gut microbiome with whatever you are ingesting? Who in their right mind would have theorized anything else occurring? The entire point is to get those strains of bacteria in the guts. How is that a "very severe disturbance"?

    1. Re:This is rather confusing by Anonymous Coward · · Score: 0

      Let's say the plants on the surface of the planet gets wiped out by a solar storm. instead of planting from the seed storage up in Greenland, we just plant grass, because we have grass. All of that grass might prevent new diverse growth when the seed vault starts planting.
      That's what the article is talking about.

  16. How yogurt is made by DrYak · · Score: 2

    that's how yoghurt is made. Same with cheese. How did you think they were made?

    saddly some cheap industrial process are just mixing in cheap acids to accelerate the precipitation.
    you also get a firm product at the end just like with naturally occurring lactic acid, but with less waiting for the fermentation to produce those.

    but yes, the *real* one relies on fermentation.

    --
    "Sufficiently advanced satire is indistinguishable from reality." - [Tips: 1DrYakQDKCQ6y52z6QbnkxHXAocMZJE61o ]
  17. WTF?? by Anonymous Coward · · Score: 0

    I thought the whole point of probiotics was to recolonize/alter the gut bacteria, and that those probiotic interventions were beneficial??

    Although I must admit to having doubts too. How do live cultures make it through the stomach's acidic environment intact? I thought that Helicobacter pylori (the main cause of stomach ulcers) was one of the few bacteria able to handle the acidity?

  18. Completely normal by nospam007 · · Score: 2

    "The researchers found the microbiomes of those who had taken the probiotics had suffered a "very severe disturbance."

    A pound and a half of Sauerkraut can do that for you.

  19. Isn't that the point of taking probotics by Anonymous Coward · · Score: 0

    “Once the probiotics had colonised the gut, they completely inhibited the return of the indigenous microbiome which was disrupted during antibiotic treatment,”

    Isn't that the point of taking probotics, to replace you bad gut bacteria. After taking biotics, which like nuke in your gut, good gut bacteria comes back, i wont call that a negative effect. What is this rubbish?

    "However, the studies did not look at clinical effects of probiotics and more research remains to be done in this respect."

    Hence my point incomplete rubbish until a real conclusion is reached.

  20. You know what's better. by Anonymous Coward · · Score: 0

    Sony guts.

  21. Re: Probiotics disgusting. Pussy good. by Anonymous Coward · · Score: 0

    Depends if she has yeast infection tendencies...

  22. Moderation in everything by Tony+Isaac · · Score: 1

    Probiotics are good, probiotics are not so good.
    Coffee is bad, coffee is good.
    Wine is good, wine is bad.
    Calories are bad, no carbs are bad.

    Nutrition is complicated. Science will continue to find seemingly contradictory conclusions forever.

    So what's a person to do? Do what Grandma always said: don't overdo anything. Sure, eat yogurt, but don't live on the stuff. Drink coffee, but don't drink ONLY coffee. Drink wine, but not too much. And so on.

    It's not rocket science.

    1. Re:Moderation in everything by Anonymous Coward · · Score: 0

      As usual - "shopping the perimeter" and eating whole fruits, vegetables, meats, and dairy is recommended. Eating potato chips, taking probiotic pills, and drinking is bad for you.