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HomeAnswersMedical GastroenterologyprobioticsWhich probiotic is good?

Can you recommend a good probiotic?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At May 26, 2020
Reviewed AtJanuary 12, 2023

Patient's Query

Hello doctor,

I am looking for a good probiotic. I have read conflicting results online and do not know which ones are a rip-off or legitimate. It seems for one to be effective, one needs to survive the trip to your intestines, and too many make that claim without knowing if it is true. Can you recommend one that gastroenterologist recommend that does not cost a fortune? Thank you so much in advance.

Medical history: I am healthy with no gastro problems that I know of. The only medication I am on is Zyrtec.

Answered by Dr. Ajeet Kumar

Hello,

Welcome you to icliniq.com.

Well, it is very hard to define which probiotic is the best one. Since microbiota (pooled microorganisms in your gut) is completely different from the other person, and for one to know what range of microbiota is present in your gut, you have to get it tested by giving a fresh stool sample and ask for stool mapping for microbiota. Once you have the reports in hand, anybody can tell which good bacteria are short and should be replaced and which bad bacteria are present to be removed. Actually, there is no specific regimen of probiotics developed to empirically replace with probiotics. Studies have largely seen Bifidobacterium bifidum, Bifidobacterium breve, Streptococcus thermophilus, Bifidobacterium longum subsp longum, and other lactobacillus species such Lactobacillus rhamnosus, Lactococcus lactis, Lactobacillus casei, Lactobacillus paracasei, Lactobacillus plantarum, and Bifidobacterium longum all work well. But there is no single capsule that can fit all.

You have to take probiotics which can anticipate and fulfill your need. The one which I commonly prescribe is Ecotec twice daily besides good diets, including fruits, green vegetables, and yogurt. Avoid the use of antibiotics as possible. The probiotic use comes after a good healthy diet and avoidance of antibiotics commonly used for common infection of the gut and flu.

I hope this will help.

Regarding follow up

Follow-up if you need to discuss more about different diet and life style modifications required to keep your gut healthy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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