Exploration of how and when to optimally take probiotics to maximize the gut healing and digestive benefits.
Our digestive system is home to at least 500 different bacterial strains.
Ideally, 85% of the bacteria in our gut are the “good guys”, in other words, beneficial to our health.
When the vast majority of gut flora is of the friendly variety, the remaining 15% which are pathogenic bacterial strains and yeasts are easily handled and kept under control.
In fact, in a well-balanced gut, the friendly bacterial strains can actually harness some of the pathogenic strains to perform helpful functions!
The problem is that most people today have this proportion reversed with the majority of gut flora of the unfriendly variety.
This tipping of the balance in favor of pathogens occurs due to antibiotic use, the birth control pill and other meds that negatively affect the gut flora.
In addition, the consumption of processed foods and high amounts of sugar feed pathogens and candida.
The health consequences of a pathogen-dominated gut are many.
Diarrhea, constipation, excessive gas, bloating, allergies, eczema, irritable bowel, inflammatory bowel, kidney stones, ear infections, strep throat, colds, vaginal yeast infections, Crohn’s disease, lactose intolerance, thrush, athlete’s foot, cancer, and the list goes on and on.
The good news is that proactive steps can be taken to rectify the situation to tip the balance back in favor of the friendly bacteria and beneficial yeasts.
How?
Homemade fermented foods are one very smart practice, but for many people, the first baby step back to intestinal health involves taking a daily probiotic.
The Benefits of Probiotics
What are probiotics?
They are friendly bacteria, literally thousands of strains, that prevent the overgrowth of pathogenic bacteria, yeast, and fungus in the gut.
Here is a laundry list of some of the beneficial functions performed by probiotics in the gut.
- Produce substances that normalize cholesterol
- Enhance the protective barrier of the digestive tract to prevent leaking of gut contents into the bloodstream (which produces an unpredictable mix of autoimmune symptoms).
- Produce Vitamin K1
- Lower blood pressure
- Aid in the digestion of lactose
- Prevent cavities
- Neutralize pre-cancerous compounds
- Lower the pH of the intestines
- Utilize oxalates in foods like spinach to prevent kidney stones
- Detoxify carcinogens that are consumed
- Produce beneficial compounds which inhibit the growth of tumors
- Much much more!
No wonder Hippocrates, the Father of Modern Medicine, famously said:
“All disease begins in the gut”.
The Brand You Choose Matters!
Once the decision to repair the gut is made, the selection of the appropriate probiotic is a must.
This article on the best probiotics outlines the selection process in detail and how to ensure you get all the basic types that perform different functions in the gut.
Note that the probiotic industry has done a bait and switch on consumers in recent years, favoring patented, lab-created strains in their products instead of natural versions.
Buyer beware!
Here is a list of top-quality, vetted brands with only natural strains to consider. This can make the selection task easier given the dozens of brands on the market with many containing undesirable synthetic strains:
- Seed
- Gut Restore (SBOs and candida-busting strains)
- Ultimate SBO (high dose candida busting strains)
- Pure Encapsulations
- Prescript-Assist
- Trenev Trio
- Yeastbiotic (take with antibiotics and for a few weeks after)
- Baby Probiotic Powder (both lactobacillus and bifidobacteria)
- Infant Probiotic Powder (bifidobacteria only for making homemade formula)
- Pediatric Probiotic
Optimal Method for Taking Probiotics
Once you have your chosen brand in hand, how to take the probiotic for maximum effect?
Morning or night?
On an empty stomach or with food?
These are very common questions!
The answer depends on the probiotic manufacturer, according to the staff at Biodynamic Wellness, which specializes in helping people recover their gut health.
Some probiotic brands (such as this one) are packaged in time-release capsules and others are not.
Finding out this information may require a phone call to the manufacturer. When in doubt, assume that they are not time-release.
Since it is possible that the high acid environment of the stomach could destroy some of the probiotic bacteria:
<< It is recommended to take probiotics at the END of a meal >>
Does this mean that it isn’t beneficial to take a probiotic on an empty stomach?
It just means to play it safe to ensure the probiotics are protected from any reduction in potency due to stomach acid by taking them after eating.
If you are using a time-release probiotic, then feel free to take it whenever is most convenient.
Probiotics for Oral Health
The above recommendation does not pertain to the use of probiotics before bed (typically on an empty stomach) to assist with the balancing of probiotics in the ear, nose, and throat.
This is commonly referred to as the oral microbiome.
Beneficial flora seeks to dominate and protect every tissue of your body, not just your gut!
There are plenty of beneficial bacteria in your mouth, throat, nasal passages, and ears too!
When they are dominant over pathogens, healthy gums, teeth, fluid-free/non-itchy ears, and congestion-free sinuses are the result.
To this end, Dr. Natasha Campbell-McBride MD recommends emptying a probiotic capsule into the mouth and swishing it around before swallowing.
Be sure the chosen brand contains strains that thrive in the ear, nose, and throat such as L. salivarius.
Nothing should be consumed (even water) after you do this.
This article on a natural sinus remedy using probiotics explains more about this procedure.
Summary
In conclusion, when consuming a probiotic to improve gut health, it is best to take them after a meal. This minimizes the effects of stomach acid.
If you are using a time-release probiotic (brand I use), feel free to take it on an empty stomach as well.
Whether you take a probiotic in the morning or evening does not really matter.
Emptying a probiotic capsule in the mouth before bed that contains strains found in the oral microbiome can be helpful for improving the health of the teeth, gums, ears, sinuses, and throat.
Traveling soon? This article on how to take probiotics while away from home provides additional insights for keeping you well on the road.
More Information
How to Repair Your Gut During and After a Round of Antibiotics
Are Antibiotics Always Necessary for Strep Throat?
Why Fermented Foods are Not Enough to Heal the Gut (and the Probiotic Boost they Need)
The Benefits of Prebiotic Foods
How to Choose the Best Probiotic for Your Family
Why Antibiotics Today Could Threaten Your Life Tomorrow
How the Pill Can Harm Your Future Child’s Health
How to Kick Strep Throat Fast
Samia
Thank you so much for mentioning probiotics for oral health. I didn’t even know there was such a thing and we in my household do need this.
Sandy
Hi Sarah, have you checked into prescript assist since they changed the formula years ago? I tried Seed awhile back. Didn’t really notice any changes in gut health. Now looking for something else to try.
Sarah Pope
Here’s my recently updated and vetted probiotic list. https://www.thehealthyhomeeconomist.com/resources/#6
Yes, definitely try one of the other ones if one formulation is not producing results. Everyone’s microbiome is a bit different!
Elisabeth Williams
I’m a bit confused as to why the price for these probiotics vary so much. Some brands come out to more than a dollar a capsule while others are only fifty cents and the dosage for each is about the same. What’s up? My urge is to buy the cheapest one!
I’d like to hear your thoughts on MegaSporeBiotic…I’ve heard it’s the best and listened to a Wise Traditions podcast about it.
Beth Kwong
I suffer from diabetes, high cholesterol, and hypertension and recently I have diagnosed with fatty liver and mild kidney infection. I heard from friend about this PROBIOTICS(Pro15) but seems of my conditions, do you think that it is safe for me to take this supplement added to my medications? Any suggestions on how proper way to take this supplement along with my other medications? Thank You!
From Hongkong
Sarah Pope MGA
That is a question for the practitioner who prescribed your meds.
Mary
Hi ! My Acid is going into my ears causing me balance problems! I take pro tonic and. Acidbaccillas probiotic with oatmeal nuts and yogurt and my ears drain and I feel better! And spit up whatever is draining from my ears! Can you please tell me what else to do!
Sarah Pope MGA
Try this acid reflux remedy. https://www.thehealthyhomeeconomist.com/natural-reflux-remedy/
camilla
Which food to eat and avoid while taking probiotics
Sarah Pope MGA
Eat whole foods only and definitely avoid all forms of sugar. Keep fruit and fruit juices to a minimum.
Raymond Cooper
I’ve been thinking of getting a probiotic to take to increase my overall health. It’s good to know that I should take it after a meal to help make sure stomach acid doesn’t break down the live cultures in the probiotic. I’ll keep this in mind since I want to get the most out of a probiotic supplement as possible.
Dolores Supernaw
Is it safe to take twice a day? I suffer from Pustular Psoriasis and was advised to take 1 pill twice a day to help clear up my gut.
Sarah
Yes, it is actually very beneficial to take twice per day. This is recommended by Dr. Natasha Campbell-McBride MD.