What is the BEST Way to Take Probiotics?

In this episode, you’ll learn the best way to take probiotics. Probiotics are a staple for many in their gut-healing journey-and for good reason. They have been shown to help improve digestive and non-digestive symptoms, ranging from diarrhea to brain fog.
While the benefits of probiotics are known, there remains uncertainty about how long to take them for, if they should be taken with or without food, and how often to take them.
Tune in to the episode to get clarity on how to take probiotics to improve your health.
Featured Studies
pubmed.ncbi.nlm.nih.gov/28008...
pubmed.ncbi.nlm.nih.gov/31277...
pubmed.ncbi.nlm.nih.gov/35433...
pubmed.ncbi.nlm.nih.gov/35820...
www.europeanreview.org/wp/wp-...
pubmed.ncbi.nlm.nih.gov/35659...
pubmed.ncbi.nlm.nih.gov/34287...
pubmed.ncbi.nlm.nih.gov/36705...
pubmed.ncbi.nlm.nih.gov/32317...
pubmed.ncbi.nlm.nih.gov/27296...
pubmed.ncbi.nlm.nih.gov/35433...
pubmed.ncbi.nlm.nih.gov/35355...
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/35255...
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/35545...
pubmed.ncbi.nlm.nih.gov/37032...
pubmed.ncbi.nlm.nih.gov/35578...
pubmed.ncbi.nlm.nih.gov/36630...
pubmed.ncbi.nlm.nih.gov/28267...
pubmed.ncbi.nlm.nih.gov/32005...
pubmed.ncbi.nlm.nih.gov/34385...
pubmed.ncbi.nlm.nih.gov/28008...
pubmed.ncbi.nlm.nih.gov/28653...
pubmed.ncbi.nlm.nih.gov/36178...
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/32524...
pubmed.ncbi.nlm.nih.gov/35663...
pubmed.ncbi.nlm.nih.gov/30854...
pubmed.ncbi.nlm.nih.gov/34955...
Continue Learning
Breaking Down the Different Types of Probiotics: drruscio.com/types-of-probiotics
Why Multi-strain Probiotics Are More Effective Than Singular Strains: drruscio.com/multi-strain-pro...
Signs You Need Probiotics: drruscio.com/what-are-the-sig...
Using Probiotics with SIBO: drruscio.com/sibo-probiotics/
Courses, free guides, and more: drruscio.com/resources?...
Timestamps
00:00 Intro
01:05 How Often Should You Take Probiotics?
03:02 With or Without Food?
06:39 How Long to Take Probiotics
16:57 Formulas & Dosing
21:42 Recommended Doses
22:54 What Type Should You Take?
26:19 Why Use Multiple Strains?
28:18 Summary of Recommendations
Get the Latest Updates
Facebook - / drrusciodc
Instagram - / drrusciodc
Pinterest - www.pinterest.ca/drmichaelrus...
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 KZbin by clicking the “Show transcript” button on the bottom right of the video.

[@DrRuscioDC]

Thanks for watching! For more practical, science-based insights and resources check out: drruscio.com/resources?.com_resources

[@sueforber9529]

Is milk kefir a suitable probiituc?

[@sueforber9529]

Also are they good for diverticulitis please?

[@wenly76]

kzbin.info/www/bejne/emmlgYhsm7BqhbM Fibalance™ PHGG (Partially Hydrolyzed Guar Gum) Fibalance™ represents an innovative line of partially hydrolyzed guar gum (PHGG) meticulously crafted by Zymebase Inc. through cutting-edge green biotechnology. This exceptional product boasts an impressive 85% soluble dietary fiber content, sourced from guar gum, and is backed by our unwavering commitment to quality assurance. Fibalance™ is proudly Non-GMO, free from any glyphosate residues, and holds a prestigious 100% gluten-free certification.

[@tycommenting8408]

Thanks Dr. Ruscio for bringing well-reviewed updates on the current landscape of probiotic research. I think it’s not too far fetched that 20 years from now, when we are all getting GI Maps and subsequently being prescribed customized probiotics for our individual microbiomes, and the pharmacist says “Oh by the way - you were going to get Alzheimer’s 15 years from now, but we put a little extra bacteria to take care of that for you,” we may look on this period of microbiome/gut health research like we look at cavemen discovering fire. But nonetheless, I have nothing but the utmost respect for medical professionals like yourself who are staying up to date and doing the best with the data we have at this point in time. Thanks for all you do!

[@c.k.1958]

Thank you! 💯 Really appreciate the reminder of being patience 👍🏽

[@TheCambra]

I have severe methane overgrowth have over 100 on my breath test. I've been suffering with heart palpitations, dizziness, lightheadedness, memory loss, shortness of breath, extreme anxiety. This video helped me alot

[@patrickjuan6057]

how are doing now? are you doing any specific treatment?

[@TheCambra]

@patrickjuan6057 feel terrible nothing works

[@RobertFilatowDev]

@@TheCambra what kind of diet do you eat? Low Fodmap, or something else?

[@arianviruz6911]

@thecambra try carnivore for 2-3 months as it is the strongest form of elimination diet. Reintroduce foods slowly after having recovered with this protocol. Take 30 month fermented japanese apricots / plums, 1 before bed for 2-5 days. 1 teaspoon of psyllium husk or gummi arabicum(acacia fibre) + 1 teaspoon of bentonite+zeolite with 500ml of water 1 hour before every meal. Drink MORE water throughout the day than you are used to for this diet to work. Try taking probiotics as seen in the video, before every meal. Increase lacto/bifido blend probiotic dosage up to 50-100 billion cfu after first month or as soon as tolerated. I take Seed + Kijema53 for lacto/bifido blend ; megaspore biotic for sporebased ; and some saccharomyces boulardii 10-20 billion cfu with few additives. Hit me up for questions or guidance.

[@pakmail135]

I just found your videos. They are absolutely amaaazing!!

[@baroquefiddle4790]

Dr. Ruscio, your video's are fantastic! I was diagnosed with severe lupus, arthritis with seizure's when I was 35. After 3 years of immunosuppressive infusion's, chemo and a ton of pharmaceutical's I was very close to death both psychologically and physically. I started to listen to carnivore doctors on KZbin and gave that a go. I managed to get off all my meds on that diet and reversed all my chronic problems but was left with severe digestive problems. I introduced a probiotic once a day for a month and then twice a day which has made a tremendous difference. I'm nervous to stop taking it incase I get sick again, I've been able to tolerate other foods like, organic fruit, honey and raw dairy which I'm very happy about. I live in Ireland and can't get your products. Our local university developed 2 probiotics called Alflorex and Zenflore, I'm just wondering if you could check those out and give your opinion on them please.

[@raqueldebart5710]

The best explanation so far! Thank you very very much!!!

[@debbieminton5885]

This Doctor unravels it all.No waiting for I did my theses here or there or I was a big Cat dr. Takes you straight to it.Great Job!!!!!!!!!

[@ntrelis]

I have been taking probiotics for 12 years. They help with almost everything: overall health, sleep, mood, skin condition, weight management and prevent polyps in the gut. I have tried all kinds of probiotics. The other option is to eat fermented food, but I do not have enough time to make my own fermented food. So, I buy different kinds from different places. I love your brand as well. Dr. Mercola has great type of probiotics, too. Even inexpensive probiotics work well for me.

[@DrRuscioDC]

Totally agree with you. They help with a lot, and they don't have to be expensive either. Thanks for sharing!

[@ayadhussin6771]

Does it help hair regrowth?

[@nayangogoi6284]

​@@DrRuscioDCdoes continues usage of probiotic is really necessary and can it lead to health complications for long time usage ?

[@DrRuscioDC]

@@nayangogoi6284 Long-term usage is typically fine. I usually recommend finding the minimum effective dose (so cutting down as much as possible before you feel any symptoms). Hope that makes sense. :)

[@nayangogoi6284]

U doing Probiotics for 12 straight years . U mean it's a daily or like taking week off and so on ?

[@quantafitness6088]

This should be viewed a whole lot more. Wonderful, thank you!

[@DrRuscioDC]

Glad you enjoyed it!

[@funghouls5498]

Lots of info here. Thank you

[@darkprizm248]

Thanks for sharing. This threw my through a loop because my mast cell activation is primarily in my large intestine

[@ExtaTer]

I started using probiotics to suppress Clostridium Difficile after antibiotics, after 2 courses of Vancomycin for it. The best way I found for that is to do a probiotic retention enema. I disperse in water a capsule of 30 billion CFU, 12 strains Lactobacilli and Biffidobacteria. I do the enema and then keep my torso in upside-down position 15mins so that gravity pulls the probiotic water through the last segment of my large intestine, then lie on my right side for 15mins so that the liquid penetrates through the horizontal segment of my large intestine, if it gets to that. I don't usually pass a stool after all that, so the probiotic water is completely absorbed. I think that has prevented Clostridium Difficile from resurgence for 1.5 months so far. I do this enema twice weekly. I also take oral probiotics and eat yogurt every day but these are not capable of reaching the large intestine, where C. Diff. usually resides.

[@venetaborissova8735]

Hello , please could you share, is the enema with probiotic made any diffrence?! Thank you!!

[@ExtaTer]

@@venetaborissova8735 Yes the probiotic enemas stopped C. Diff. recurrence but you have to keep doing it twice per week for months. Before that, you should try antibiotics for recurrent C. Diff.: Vancomycin with 20-40 days Rifaximin chaser.

[@Mandance]

I just found your channel but I really like it so far. I like your no nonsense approach to uphold the scientific literature, I like that you don’t try to withhold information behind paywalls, you don’t overly try to sell anything, this is a breathe or fresh air for what’s on KZbin these days and I feel I’m learning a lot from your videos so thank you!

[@DrRuscioDC]

That's awesome to hear. Thank you!

[@kimberleyhollier9768]

Thank you Doctor....just subscribed

[@paisley1134]

Oh wow, Thank you so much. I needed to find this and I learned so much.

[@DrRuscioDC]

That's awesome to hear. Glad you liked it!

[@cindilacasa3291]

Great video. I also get a lot out of your videos and really like your book. What would you recommend for someone like myself that's had 4 feet of my colon out? Are probiotics useful in the situation? Thank you. Cindi

[@leannshort2211]

I can’t express how freaking happy I am that I found your channel, new subscriber here!! You make so much sense and I love that you list the articles you’ve researched. I’m reading them now too. I’ve been dealing with all sorts of leaky gut issues for years, probably a couple decades at least by this point. I got Covid in April 2021 and it tanked my immune system! I have also decided that getting a comprehensive stool test done is probably a waste of time. I appreciate you being honest about those and how they’re really not necessary. I was seriously going to purchase one in a couple weeks, but I think now I’ll pass and try the probiotic route and maybe some digestive enzymes. 👍🏻 I was going to try Betaine HCL w/ Pepsin. However I have some Respiratory issues due to my leaky gut and was diagnosed last year with “Asthma” at 41! The in-hailer I’m on doesn’t work so it’s uncontrolled Asthma. I had a suspicion after reading and doing much research that I could possibly have Eosinophilic Asthma that was triggered by allergies thanks to my leaky gut, because I also have been having food allergies/ sensitivities/ histamine intolerance for the past 2.5 years since Covid! 😑 I had bloodwork last year that showed elevated Eosinophils. I had bloodwork again yesterday that has it now over 1000 higher than last year! I am seeing a Pulmonologist soon for this to find out what’s going on. All this to say that I read an article that states you shouldn’t take Betaine HCL w/ Pepsin if you are also taking Prednisone. Which sometimes I have to because the symptoms become too much and I can’t breath. The only thing that helps right now are the systemic steroids. I hate taking them because I know they also are not great for the gut. I feel like I’m stuck between taking prednisone and healing my gut! Any advice? I did go ahead and purchase a good probiotic, so I’ll be starting that in a few days. I went ahead and purchased digestive bitters also because the article said that would be a safer choice. Thank you so much for all the info you share!! ❤

[@elizabethtencer7950]

I'm not going to give you advice but eosinophils are elevated in the presence of parasites. Have you checked that? Also very important is to use specialized lab because most regular labs totally missed to detect them.

[@leannshort2211]

@@elizabethtencer7950 Yes I have read that also. I do have chronic Lyme and co-infections so I guess that’s considered a parasite. I’m in treatment for it, but it will take time. I have also read that it’s caused by allergies, which I also have due to a leaky gut. So I’m working it at all angles lol. Thank you for the advice! I know exactly what you mean about the run of the mill labs, been there, done that. I will talk to my Naturopath to see if he thinks I should do further parasite testing!

[@wenly76]

kzbin.info/www/bejne/emmlgYhsm7BqhbM Fibalance™ PHGG (Partially Hydrolyzed Guar Gum) Fibalance™ represents an innovative line of partially hydrolyzed guar gum (PHGG) meticulously crafted by Zymebase Inc. through cutting-edge green biotechnology. This exceptional product boasts an impressive 85% soluble dietary fiber content, sourced from guar gum, and is backed by our unwavering commitment to quality assurance. Fibalance™ is proudly Non-GMO, free from any glyphosate residues, and holds a prestigious 100% gluten-free certification.

[@lorrainehardwicke1977]

@@leannshort2211I would look into Ivermectin too..may help your Lyme disease. As parasite prevention

[@Pdk764]

The most concise well made video I have seen on this topic so far.

[@DrRuscioDC]

Thanks! I appreciate that a lot.

[@nilasor0710]

Again an other very interessting and helpful video - thank you Dr Ruscio! My "only" symptoms are visceral hypersensitivity, bloating and flatulence which begins every day around afternoon. I'm on week 2 of the triple therapy and do not feel a lot of change, but I keep going and hope for the best. Is it allowed to take probiotics, especially triple therapy, during pregnancy? Did you make any experience with that in you clinic?

[@marjoriejohnson6535]

After having 4 intestional operations in one year, i didn't have 1 dictor suggest i take probiotic..even 😢after mass doses of antibiotics. ( appendics broke inside and didnt go to hospital until enough pain...intestines were full of holes as they were " eaten" .).lived following 14 years in pain, with intestines closing. Then got myself into Mayo.....5th operation. Found that i had an intestional by pass and intestions pretty much sewn together. Again , no one suggested probiotic or prebiotic. I still have intestional pain if eat anything that had a hard time getting thru. Have tried pre/ probiotics and greek yogurts but maybe not long enough...going to try now for extended period.

[@user-pt7bv6li6d]

You didn’t touch on can you develop a dependency, I would love to hear on that please. And also what happens if you keep going beyond the 3 months if you’re already improved but want to maintain. Thank you for the info

[@jaesthoughts1369]

Thanks a lot doc

[@loribakergirl6438]

Dr. Ruscio, I’ve just recently found you on KZbin and have been listening to your helpful videos!! Thank you for all of the amazing info your providing to us out here! I wondered if you could tell us - can a person cure H. pylori naturally?

[@praveenkumartnpraveenkumar6044]

Thanks for the information

[@DrRuscioDC]

Anytime! :)

[@naamamaria4188]

Wonderful, thank you. I arrived to the conclusions that are consistent with this video via my own experience, trying different probiotics. I only want to ask you to add more languages for automatic subtitles, so I could share this video with those who's english is not strong enough. I have family members who would watch this if there were subtitles in russian/ukrainian, it would be so helpful because hearing those things from me doesn't feel scientific to them))

[@richmvaughan]

Great video, but B. coagulans also produces lactic acid.

[@krissto22]

Hello! I really like your videos Dr. Ruscio so I subscribed. After watching one of your other videos on gut health I ran out to Walgreens and got some Garden of Life probiotics. I’ll give it a try and see what happens. I’ve been limiting certain fruits and veggies lately as I’ve noticed they make me sick. Reducing carbs and dairy is also helping. Thanks doc. Your advice is greatly appreciated. I finally found info I can understand👍

[@DrRuscioDC]

I'm so glad it resonated with you. Let me know how it goes after some time!

[@krissto22]

@@DrRuscioDC I sure will. Started my probiotic this morning on an empty stomach. Made myself homemade egg mc muffin about an hour or so later and a collagen smoothie with some berries and some psyllium husk fiber for a midday snack, and my stomach has been quiet so far. Not sure if it’s my mind but I feel lighter today. Well, the day isn’t over yet. Going out for dinner later so that will be a challenge since Italian restaurants have lots of pasta on the menu, lol, and I love pasta dishes. Well, not tonight. I’ll probably have some chicken with rice. Have to watch what I eat lately, in fact, I was going to fast for 2 days to let my gut heal but it’s hard to stay away from food especially on weekends. Monday or Tuesday would be a better day. What do you think Dr. Ruscio of fasting? Do you recommend fasting for gut health? Update: I think I added too much banana to my smoothie because my blood glucose spiked to 144 an hour later, so I will have to experiment with this little more as I’m trying to keep my bg at around 120. Stomach still okay😉

[@krissto22]

@@DrRuscioDC hello doc, it’s been a month and as I was getting better I got really bad gallbladder attack after eating Culver’s chicken tenders and some ice cream (I don’t do fast food but this was a night out with our grandkids) So long story short I just had the surgery to remove it. It’s been only 5 days so I’ve been up and down with my stomach. Waiting to get better and resume my healthy diet regime as right now they want me to eat light meals. My gallbladder was full of gallstones and sludge. Sometimes I wonder if it was due to years of eating low fat diet that my gallbladder bile was turning into this sludge. Not sure how long does it take but something must have caused it. Anyway, I’m still on probiotics and will be adding some enzymes too. Thought you’d enjoy my update😉

[@frankiegunnz8066]

​@@krissto22hello, so what's the 7 month update?

[@SS-yq9ku]

Hi doc! Great video! What type of probiotic do you recommend for combating candida and related-symptoms?

[@JMRWIGGLES]

sacchrmyese boulardi

[@venushhc]

Thank you

[@pedrosousa8512]

Hey Dr Michael, amazing video, very informative and helpful. Can you tell me which is the best probiotic for hydrogen SIBO? I tried Boulardii and it gave me a lot of swelling. Do you have a video about SIBO hydrogen? Thanks from Portugal

[@DrRuscioDC]

Any of the three categories, listen to your body/systematic response to determine which or all (check this with your doctor first).

[@suzannahjames526]

Hi and thank you for the great information. Can probiotics get rid of H Pylori? Has the usual treatment of antibiotics twice, but the critters are still giving me havoc and living rent free. 🎉

[@DrRuscioDC]

Good question. I'll attach an article of mine about H pylori here that touches on probiotics: drruscio.com/h-pylori-probiotics/ Hope that helps!

[@walidoulondon8107]

Very informative video Dr you deserve a million subscribers ❤

[@DrRuscioDC]

Thank you so much 😀

[@jogiencke2476]

Thank you 👏

[@DrRuscioDC]

You're welcome 😊

[@Boshamus1222]

Thank you Dr. So in theory, no harm is done by taking probiotics on an ongoing basis as long as benefits are being seen, correct?

[@CJ-gu1gs]

Thank you. Very informative video.

[@DrRuscioDC]

So glad you thought so!

[@fidrewe99]

Is 1-10 billions the optimal range of colony-forming units per bifibobacterium or lactobacillus species, or for all species together in a blend?

[@sgtnik4871]

What about taking 2 different lacto/bifido products, one in the morning, one in the evening? might be a good idea? -> two different multi strains -> might work faster than 2 month?

[@rafataziz401]

Hi doc, If I want to try triple therapy should I be taking all three capsules at the same time or should I rotate?

[@CarleneZumpano]

I have been diagnosed with clostridium difficult after taking antibiotics. My gastroenterologist now prescribed another antibiotic for this condition. I am presently taking 50 billion CFU probiotics and am not sure about taking the additional antibiotic. Any recommendations please??

[@user-nw8gs2bc9s]

How many CFU per day do you recommend for a 2 years old 10kg? Lacto Bifido I mean. Thank you for the video!

[@gailbancer1571]

What about Candida Albicans? Same or different protocal?

[@katyg7959]

For triple therapy, what should the dosage of each, be?

[@trishaann777]

Is GutMate brand of probiotics good for Methane SIBO?

[@RB31557]

I got benefit after taking it for 3 months. I suffered from ISB, alternating diarrhea constipation for 35 years. My big question is this: Is it OK to take it for life? I am 67

[@MyselfandComics]

Weird enough as someone who is add ideas since I was 14 and is 27 now, I took a tolerance test for the very first time, and it said that I am actually intolerant to some very specific types of lactobacillus. So I wonder if I should even take probiotics at all or if I should go to some company where I can make a probiotic for myself using types that wouldn’t negatively affect me?

[@DrRuscioDC]

You can get non-lactobacillus probiotics at the store! I have an S. Boulardii probiotic that's popular: store.drruscio.com/products/sacchromyces-boulardii-probiotic, but you can often find this strain in your local store too. Or soil-based probiotics as well. I wouldn't want you to waste your money with a company when you don't need to!

[@Higher-self222]

I just finished my regime of three medications for H-Pylori , it was found when by samples taken while scoping that they found I have a 6cm hiatal hernia . After 14 days of the medication , on the fifth day uncontrollable diarrhea , I went to the health food store and got vital flora 100 billon live cultures and 100 billon strains of probiotics . I am on the 3rd day , as you said in your video it takes 7-10 days to see a difference , I am thankful to have come across your video . A little concerned that perhaps I got the best of what I thought I needed , do you think I should have gotten a lower 50 Billion instead ? Thank you .

[@frankiegunnz8066]

How did It worked for you?

[@XZoZoX2020X]

So your saying enteric coated capsules don’t work as well?

[@tylerheiny3603]

How is it that killed probiotics are equivalently as effective as live probiotics? If the organisms are dead, how do they have any efficacy? Great content, thank you!

[@DrRuscioDC]

Great question. I just wrote an article about this same topic: drruscio.com/does-heat-kill-probiotics/ Hopefully that gives more insight on that. :)

[@tonysaenz]

Is there a difference in heat killed probiotics vs acid killed probiotics? My best guess is hydrochloric acid destroys / neutralizes the benefits of the microorganisms to the point where you don’t get as much benefit as if you applied heat to kill them.

[@sla1xyz]

When will you be changing your Probiotic triple dose sachets to a smaller dose? Heard that in a podcast, will it go forward?

[@DrRuscioDC]

I'm not sure yet. It's a pretty new idea, so it may take a while to formulate the probiotics differently, get them sourced, packaged, etc. But if/when I do I'll definitely let you all know!

[@evgeniakotsifos7878]

What probiotic should I take for leaking gut damaged from antibiotics? Kefir did not sit well with me

[@rafataziz401]

Hi doc, does S Boulardii cause constipation ?

[@savin1999]

I've started taking a natural probiotic, kefir, from last 20 days. There has been slight changes observed but still a long way to go in healing journey

[@DrRuscioDC]

Healing takes time. Let me know how it goes after more time!

[@keithparris2600]

Do they help with Histamine Intolerance??

[@veheeo720]

I had wondered if citrus, myrrh, or goldenseal have a negative effect on the strains...👀

[@motomatta1]

What are your thoughts on bentonite clay & charcoal, I have extreme watery diarrhea and I am taking both with food, which helped with my condition but now I am afraid to stop cause of loose stools, I also take prebiotic, will the clay&charcoal take the benefit from prebiotic?

[@rickallen4127]

I have the exact symptoms and use charcoal and clay as well. I am still searching for a solution. I understand your frustration .

[@jennielunn2226]

Get rid of all grains 😢. Dr Peter Osborne KZbin.

[@motomatta1]

@@jennielunn2226 been grain free for over 10 years

[@maheshtanay]

Hi doc, how often take probiotics after taking antibiotics due to sibo? I have leaky gut since nearly one year. Pls advice.

[@DrRuscioDC]

Good question. I'll attach an article of mine that covers this: drruscio.com/should-you-take-probiotics-with-antibiotics/ Hope that helps!

[@romi2910001]

How about just kefier and suarkraut ?

[@user-ll4vl2ni4y]

Hello , thank you for the video. After the 3 month use of probiotics, how long do we take a break for before using again?

[@DrRuscioDC]

Great question. So you can take a break if you want, but you can also take them continuously or you can find your minimum effective dose, which just means reducing your dose overtime until you find the minimum you need to relieve symptoms. Up to you!

[@LATSRN]

Could you do a video about probiotics during pregnancy please?😊

[@Monjagetitonya]

Hi… just wanted to say, please make sure you have no vaginal infection before you give birth. Your Dr will test you a week or so before and if you do they will give you an antibiotic. And when u give birth your baby will NOT get the coating of bacteria from your birth canal that your baby needs. My daughter had this happen to her and my grandson is autistic. Studies are finding that C section and babies born vaginally with not bathed in this vaginal coating causes many issues for babies! Breastfeeding is also so important for this bacteria your baby needs! I hope this helps… I wish my daughter had known! Blessings to you and your precious new baby! GOD bless! Also… if you know ahead of time and a c-section is required, your OBGYN can insert gauze in the birth canal and rub it on your baby after birth, into mouth, nose, ears and skin!

[@LATSRN]

@@Monjagetitonya manny thanks for this information, very interesting 👏 I will do all that 👍

[@jacobmontroy3980]

What about seed?

[@thekeeks58]

If one is on the Elemental Diet, should I also take probiotics? I’ve been told that taking probiotics will worsen the SIBO because the Elemental Diet it starving out the bad bacteria

[@louisebakley8445]

The one I just purchased the lowest dose is25 billion, so should this be taken every other day? Thank you

[@BizQ96]

Once the three month mark is reached should you stop? Or reduce the frequency of supplementation?

[@DrRuscioDC]

Great question. You can take a break if you'd like but you don't have to. You can take them continuously or you can find your minimum effective dose. So a dose reduction, rather than a frequency reduction. It's up to you and what you'd like to do. You can also run it by your practitioner to get their recommendation for your specific needs.

[@skyjed1469]

What is m23 known as for the soil based formulation please??? Searching for m23 doesn’t come up with anything.

[@DrRuscioDC]

Hey there, L. acidophilus M23 is a specific strain. However, if you're simply looking for a soil-based probiotic, I offer one in the shop: store.drruscio.com/products/soil-based-probiotic Hope that helps!

[@moshiurrahman3469]

When should take probiotic?? Before or after meal or with meal??????? Plz reply...

[@DrRuscioDC]

Hey there. So you can take a probiotic whenever is best for you, before or after a meal.

[@06XTOR]

Hello Dr. I have a friend that is giving me some ED heal next week. What are your thoughts on using ED with low fodmap foods to help with Sibo and try to gain back some weight. Get some nutrients into the body. Wish I had enough meat on my bones to do ED for 2 weeks. I just don't. Thanks for you reply

[@DrRuscioDC]

I just want to clarify, you mean Elemental Heal, right? In that case, you can definitely pair it with low FODMAP. That sounds like a great idea for your situation. And when you feel up to it, you can do an Elemental gut reset even for 2-4 days. It doesn't have to be 2 weeks (and shouldn't be without a practitioner's supervision). I'll attach an article here that goes into it a little bit more. Hope that helps! drruscio.com/elemental-diet/

[@06XTOR]

@@DrRuscioDC Thanks for your reply, Honestly I don't know which brand it is. My friend was going to do the Diet with another friend for emotional support.. Lol. She gave up after a couple days. Haha. She knew I am having gut issues as well as her other friend and offered to give me what she had left.

[@valentinadehtiyar9548]

Doctor, will a lot of xylitol cause bad bacteria overgrowth ?

[@audreyhepburn8633]

What about probiotics and MCAS ? Thank you ..

[@DrRuscioDC]

Good question. I touch on this in an article of mine, which I'll link here for you: drruscio.com/mcas-diet/ Hope that helps!

[@audreyhepburn8633]

@@DrRuscioDC thank you very much .. I was wanting to know the strains to avoid in case of MCAS because I’ve taken some probiotics and it made me feel like I was going to die. Thank you Sir !

[@lilychan201]

Does the bacteria stays? After seeing effects of probiotics can i stop taking them?

[@fouad5151]

What about the refrigerated probiotics versus the other ones? Which is recommended?

[@DrRuscioDC]

Either is effective. Some brands recommend refrigeration, some don't. For example, my probiotic powder sticks don't need refrigeration. I have a video about how even heat-killed probiotics were found to show health benefits. So it's really up to the brand that looks best to you and what's easiest for you to be consistent with.

[@fouad5151]

@@DrRuscioDC Great, thank you.I hope that you make a video about Inulin and whether it should be part of the probiotics also.

[@DrRuscioDC]

@@fouad5151 Noted!

[@kellyjones1957]

Just wondering do I have to take a probiotic with a pre- probiotic together?

[@DrRuscioDC]

You do not. Many probiotics have prebiotics in them (they're called synbiotics), so it's up to you if you want the prebiotics or not. They can often upset people with unresolved gut conditions. I typically suggest keeping the prebiotic amount under 3 grams.

[@lori3637]

If you’re treating Candida start with a smaller dose of probiotics-I recently started taking 90 billion Garden of Life and I had horrible Candida die off symptoms as I am also taking a natural anti fungal. It can be too much for your body all at once.

[@JenMarco]

Nestle bought Garden of Life. I would find another reputable company. Maybe Dr Axe or another good company who cares about their customers health

[@phwshopping1426]

What if you have sibo and slow motility, would you be at more risk to put more bacteria in the small intestine by taking probiotics?

[@DrRuscioDC]

Probiotics are good bacteria, that often help balance the gut's microbiome and can help reduce "bad" bacteria. So, no, not really. I'll attach an article here about SIBO and probiotics that goes deeper into the science there. :) drruscio.com/sibo-probiotics/

[@nathanwilson6183]

Hi all. What probiotic brands have proven most effective for you? Specific names of probiotics please. Thanks

[@raewise6345]

I take probiotics from OC Integratives' (Dr Rajsree Nambidripad) the IgG seems to be a massive bonus for me, as well!

[@user-fq5wq6lr4y]

Metagenics

[@user-fq5wq6lr4y]

Clare labs

[@hazelwindsor2769]

Isnt the dose determined on the size of the person? My 13 year old son is 6,3”. Wouldn’t he need more than a petite person? His weight is already 100kg (he is not overweight but muscular, he is Scandinavian Viking type of 😂). He is much taller than me and I imagine his intestines larger/longer too? How does this work? Thank you 😊

[@00Tenrai00]

Woah 6’3 at 13

[@lwar6558]

I have gastric problem like bloating burning sensation and i'am feeling very uneasy,. Can l take probiotics tablets?

[@DrRuscioDC]

You likely can, but you should run it by your doctor to make sure it's right for you at this time.

[@nayangogoi6284]

Burning sensation exactly which area

[@tammyrickert3130]

Are the probiotics in yougart sufficient? Does it matter if it's no fat or whole milk?

[@gentleoldmoviefan5680]

You might want to look into fermented vegetables, such as kimchi , or real sauerkraut (i.e., that has living bacteria in it) for food-based probiotic benefits. Maybe some such products are created with specialized, or intentional, probiotic strains in them. The best such products might need to be kept refrigerated until consumption (eating it). Such products are likely to be found at a good natural foods store. This approach might have a higher number of Colony Forming Units (CFU's), in effect, compared to taking even a well-designed probiotic supplement. I doubt that there will be studies and research to confirm the benefits of regularly (often) eating probiotic foods (such as Kimchi and Sauerkraut). However, I could be wrong on that last point. Scientific studies might not have been done sufficiently to show /prove a nutritional benefit, because there would be no money it it. Thus, no motivation for the study to be done in the first place. Good luck in finding your health solutions.

[@CaroleAdrover]

Is there a probiotic that relieves allergies, specifically allergic rhinitis?

[@TheCambra]

But I've been trying to figure out the cause of my sibo and I can't pinpoint any of it

[@DrRuscioDC]

I'm sorry you're struggling with that. You're always welcome to work with us at the clinic for individual care. Or I recommend checking out my book, which has a lot of comprehensive info in it about gut health and includes a step-by-step protocol: store.drruscio.com/products/healthy-gut-healthy-you And I also have quite a bit of content on my site (drruscio.com) about SIBO, if you want to give that a quick search as well. The first article I'll point you to is about is this one: drruscio.com/sibo-probiotics/ It does cover probiotics, but it also goes into more of the background and other treatment options. Hope that helps!

[@lyudmiltsvetanov2385]

I have SIBO and probiotics bloat me so much. Can I get around this?

[@phwshopping1426]

same and no one ever addresses it

[@ZsuzsaKarolySmith]

I’m trying some herbal anti microbials to kill off SIBO (along with a low FODMAP diet) and then supplement with probiotics. Early days, I’m not sure if it’s working yet. Going lactose free seems to be helping.

[@jsterling6805]

@@ZsuzsaKarolySmith Could you share what you have chosen to kill Sibo?

[@daisycofresi7252]

What probiotic can a 7 yr. Old take? And what exams can be done to know what 7 yearold has or what condition. They have her on miralax. Please whatcan be done.

[@DrRuscioDC]

drruscio.com/kids-probiotic is a great source to help answer those questions.

[@shannoncosner9012]

The lacto ones cause really bad diarrhea for me! Any thoughts regarding that?

[@DrRuscioDC]

Depending on how long that lasts it could be an adjustement. Otherwise I'd say stick to other strains, like S. Boulardii, or soil-based. Those will still give you benefit. :)

[@philipkuriakose1368]

Hi I am Prabal i have been having gut issues since last few years which were tolerable But 4 months back i noticed i get stomach ache as soon as ibeat something and then sometimes nausea and even head confusion I have gone to several doctors but no relief The only thing thst gives dome relief is bacillus clausi probiotic Eating after which i noticed my head becomes more clear snd some stomach relief also I dont know what is ip with me please help i am really worried

[@DrRuscioDC]

Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to have you.

[@darkprizm248]

VSL #3 has some good data and those are 112 billion per capsule😅

[@stoobe]

It's hard to imagine the heat killed probiotics would have long lasting effects though. Immunomodul'r

[@ZsuzsaKarolySmith]

I wonder if probiotics can be taken in conjunction with herbal anti microbials - and if so what would be the best timing. My worry is that the anti-microbials against SIBO might kill off the probiotic bacteria as well. How does this work, does anyone know?

[@DrRuscioDC]

I actually cover this in my book, Healthy Gut, Healthy You. I have a protocol with the detailing of steps and timing. I'll link it here if you're interested. :) drruscio.com/gutbook/

[@chickenbites8877]

Can pro-biotics help cure my chronic allergies?

[@DJSTOEK]

❤

[@babygonda1226]

Taking Kefir

[@randomvidz512]

What if I drink activia 2 times a day Serious question

[@DrRuscioDC]

You should check out my video about probiotic foods! I cover this idea. :) kzbin.info/www/bejne/hYbLhp9jrLKAbqc

[@Rsysas]

S Boulardii

[@Who63]

No video ever tells you how many billions to take.

[@juliomerino]

Probiotics works well for everything but ISIBO and SIBO METHANE

[@DrRuscioDC]

Incorrect :)

[@dorinaferaru8509]

Didn't understand anything you were saying 😅

[@DrRuscioDC]

No worries. These things can be very difficult to understand. Here is a Q & A that will help you get a better idea of these concepts. drruscio.com/probiotic-qa/

[@phwshopping1426]

All probiotics cause bloating for me. Thinking, does this mean I still have sibo? The bloating doesn't subside at one month mark (treated sibo with Rifaxamin three times). Also, I have terrible histamine intolerance so Lacto and Bifido probiotics scare me as they raise histamine! Saccharomyces Boulardii bloats me too :/ I just can't keep taking them and be bloated everyday it ruins my life so I stop every time. I would love to take your triple probiotic though 🥹

[@ayadhussin6771]

Try antibiotic in 3 months and then after that, reintroduce probiotic for recovery

[@bristephens9642]

❤