Q. Why do I struggle with gut dysbiosis and have bacterial imbalance in the gut?

Hello doctor,

I have struggled with gut dysbiosis for over a decade. Whenever I take probiotics especially lactobacillus, it makes the heaviness even worse. I got a gut test done and it says that I am low in lactobacillus. I cannot figure out what I should do because I am afraid that taking it will make my issues flare-up. It also says that I am low in faecalibacterium, blautia, bifidobacterium, and akkermansia. The test said I am in a normal range for other beneficial bacteria, and did not find any unhealthy ranges of bad bacteria. Should I take the other four and avoid lactobacillus for now, then try adding it later or should I take all five of them together with probiotics? Can you please suggest on this? For the last ten years, I got rid of the worst symptoms by eating a healthy diet, but I still suffer from bloating and gas if I eat fibrous foods and especially if I have anything with live cultures like yogurt, or any supplement with lactobacillus in it. Whenever I try to eat vegetables or anything with live cultures, my symptoms increase. I do not have any issues with dairy or gluten, and it got worse when I tried to eat a FODMAP diet because I limited my diet extremely that it took years to be able to eat those foods again. I take a mediterranean diet, but cannot seem to incorporate whole vegetables. So, I consume vegetables in liquid form, other than lettuce and cooked greens.