{"id":19281,"date":"2021-10-28T10:45:27","date_gmt":"2021-10-28T15:45:27","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19281"},"modified":"2023-03-06T11:53:13","modified_gmt":"2023-03-06T16:53:13","slug":"probiotics-what-to-know","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/probiotics-what-to-know\/","title":{"rendered":"Should We Stop Popping Probiotics?"},"content":{"rendered":"

If you religiously pop a probiotic pill every morning, you\u2019re not alone. Since they rose to prominence in the U.S. in the 1990s, probiotics, the strains of \u201cgood bacteria” found in foods like yogurt, have become a de facto miracle cure for gut health issues and other pesky ailments.\u00a0<\/span><\/p>\n

Around 4 million Americans<\/a> take probiotic supplements.\u00a0<\/span>Medical providers often prescribe them to patients with gut health issues, such as ulcerative colitis and inflammatory bowel disease. They might also recommend them to people with other conditions, including rheumatoid arthritis, eczema and even urinary tract infections. <\/span><\/p>\n

Today, the World Health Organization defines<\/a> probiotics as \u201clive microorganisms which, when administered in adequate amounts, confer a health benefit on the host.” <\/span>Some research suggests that doses of \u201cgood bacteria\u201d can fix imbalances in your gut flora, in turn helping ease some of these ailments. <\/span><\/p>\n

Despite years of popular usage, many of the studies on probiotics have been poorly designed, and supporting evidence remains <\/span>limited<\/span><\/a> in scope, due to the large number of probiotic strains that exist. <\/span>The <\/span>American Gastroenterological Association<\/span><\/a> recently cleared some things up. In a new report<\/a>, it stopped short of recommending probiotics for most common digestive conditions, like Crohn’s disease and irritable bowel syndrome, only suggesting use of the microbes in three different clinical scenarios. <\/span><\/p>\n

“Given widespread use and often biased sources of information, it is essential that clinicians have objective guidance for their patients about the appropriate use of and indications for probiotics,” the report reads.<\/a><\/span><\/p>\n

As this news comes to light, it’s essential for patients to understand why the supplements became so popular in the first place and where they should fit within medical advice going forward.\u00a0<\/span><\/p>\n

Putting the \u201cpro\u201d in probiotic\u00a0<\/b><\/h3>\n

\u201cProbiotics have been around for a really, really long time,\u201d says Lynne McFarland, an associate professor of medicinal chemistry at the University of Washington. Foods full of healthy bacteria, like kefir and kimchi, have been a natural staple in humans\u2019 diets for centuries. <\/span><\/p>\n

But science didn\u2019t technically catch on to their health benefits until the early 1900s. After studying a group of Bulgarian centenarians, Russian biologist <\/span>Elie Metchnikoff<\/span><\/a> claimed the “good bacteria” in their yogurt was helping them fight the impacts of aging, sparking a global craze for the tart treat. <\/span><\/p>\n

Yakult, the first commercially available probiotic drink, was born in Japan in 1935<\/a>, before scientists were even using the word “probiotic.”\u00a0<\/span>Researchers finally coined the term in the 1950s. “Probiotic” served as an antithesis to “antibiotic”; while antibiotics notoriously destroy gut bacteria, probiotics are supposed to restore it. Much of the field’s early research<\/a> determined which strains of bacteria could actually pass through the gut into the intestines to offer benefits to the patient.<\/p>\n

Given the popularity of Yakult, business leaders latched onto these findings, despite shaky research behind them, launching something of a probiotic revolution.<\/p>\n

Microbes, marketing and medicine<\/h3>\n

As probiotics infiltrated the commercial market, they also became more widely accepted in the medical community.\u00a0<\/span><\/p>\n

In 1994, American legislators passed the Dietary Supplement Health and Education Act, which allowed probiotic manufacturers to sidestep a lengthy FDA drug approval process and <\/span>fast-track<\/span><\/a> their products to shelves. \u201cWhen the dietary supplement law was passed, it was like opening Pandora’s box,\u201d says McFarland.\u00a0<\/span><\/p>\n

Under the law, companies that make dietary supplements, including vitamins, protein powders and probiotics, can make <\/span>health claims<\/span><\/a> on their labels with little proof of their validity. But McFarland estimates that about one-third of the probiotic supplements out there either don\u2019t have the strains they claim to have on the label or don\u2019t have enough of the probiotic strain needed to have an effect.\u00a0<\/span><\/p>\n

The label’s commercial success seeped into the medical world. From 2006 to 2012, probiotic usage<\/a> in hospitals in the U.S. nearly tripled, illustrating just how popular the microbes had become among medical providers. <\/span><\/p>\n

Today, there are studies<\/a> that suggest that probiotics, in the form of a pill or foods like yogurt, can be helpful in restoring good bacteria after a dose of antibiotics. <\/span>But questions still remain about their efficacy. Many health care providers remain skeptical<\/a> that one<\/span> dose of a few probiotics can really influence a person’s unique microbiome, made up of billions of strains of different bacteria.\u00a0<\/span><\/p>\n

\u201cThere are hundreds of species and trillions of cells in the gut microbiome,\u201d says molecular biologist Emma Allen-Vercoe, a professor at the University of Guelph. \u201cYou might be orally taking a capsule of one species, and it’s got to transverse through your guts, and by the time it gets to where it’s going, some of it or most of it will be dead, and the rest will be in competition with a whole army of other microbes or other species inside you.\u201d\u00a0<\/span><\/p>\n

To kick or keep?<\/h3>\n

We\u2019ll likely never see probiotics stamped from the landscape. While their hype is overblown, certain strains and combinations can offer health benefits. Doctors continue to recommend them to patients because the risks are generally pretty low.\u00a0(You can find a list of clinically recommended strains here.<\/a>)\u00a0<\/span><\/p>\n

Going forward, there’s still so much more research to be done on probiotics and the human microbiome. As scientists pick up the pace on these investigations, we’ll likely see more recommendations from medical bodies on the use of microbes for health.<\/span><\/p>\n

In its new report, the AGA cautions gastroenterologists against recommending probiotic supplements to patients if there is no clear benefit. And there is some evidence that the risks of probiotics are greater than previously thought: A small 2019 study<\/a> shows that taking probiotics can sometimes interfere with patients’ immune systems.\u00a0 <\/span><\/p>\n

No matter what, if you\u2019re considering taking a probiotic supplement to help with a medical condition, talk to your doctor.\u00a0<\/span><\/p>\n

Dietitian Jerlyn Jones, for instance, recommends a food-first approach to her clients with gut health issues. She advises they try yogurts and kefir products before picking up a bottle of pills at the drugstore.\u00a0<\/span><\/p>\n

Meanwhile, <\/span>Melissa Prest,<\/span><\/a> a dietitian and spokesperson for the Academy of Nutrition and Dietetics, tells her patients that probiotic supplements can\u2019t hurt. She gives them guidelines so they can be discerning about what they\u2019re purchasing. \u201cWe need to be mindful of what health conditions we are treating and with which strain of probiotics,\u201d she says.\u00a0<\/span><\/p>\n

If you simply want to take a probiotic to boost your health, Allen-Vercoe says don\u2019t bother. Over and over, evidence suggests that probiotics offer little benefit to already healthy people.\u00a0<\/span><\/p>\n

\u201cIt’s very tempting to say, ‘I’m just going to take this probiotic and everything will get better,’\u201d says Allen-Vercoe. \u201cThe reality is we all have to take a bit more care of ourselves through diet and exercise.\u201d\u00a0<\/span><\/p>\n

\n

Ready to book a doctor’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

New research suggests they aren\u2019t that effective, so how did they become so popular in the first place? <\/p>\n","protected":false},"author":65,"featured_media":19287,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[229],"tags":[17,200,81,132,83],"class_list":["post-19281","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-trends","tag-chronic-illness","tag-gut-health","tag-preventive-care","tag-research","tag-wellness","reviewer-dr-nassim-assefi"],"yoast_head":"\nShould We Stop Popping Probiotics? - Healthcare Trends<\/title>\n<meta name=\"description\" content=\"New research suggests they aren\u2019t that effective, so how did they become so popular in the first place?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/probiotics-what-to-know\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Should We Stop Popping Probiotics? 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