Probiotics Starter Guide

Taking probiotics doesn’t need to be complicated.


How Do Probiotics Help You?

The Journal of Clinical Gastroenterology[1] and the journal Trends in Microbiology[2] offer insights regarding how probiotics make you healthier.

Probiotics can:

  • Increase healthy bacteria[3]
  • Fight harmful bugs
  • Recover from imbalances
  • Promote a healthy immune response in your gut[4,5]
  • Reduce gut inflammation[6]
  • Reduce leaky gut[8,9.10]

Unhealthy Gut Bacteria = Inflammation 
Inflammation = Symptoms


The Benefits of Probiotics

Here is a science-based summary of the therapeutic benefit of probiotics.

Research to date provides high-level scientific support for:

  • IBS: Gas, bloating, diarrhea, constipation, abdominal pain
  • IBD: Crohn’s and ulcerative colitis
  • Mood: Depression and anxiety
  • Gut microbiota imbalance: SIBO, H. pylori, candida/fungus, pathogens
  • Leaky gut aka gut damage and permeability

We have limited, but encouraging, scientific support for:

  • Cognition
  • Sleep
  • Thyroid health
  • Female hormones
  • Autoimmune conditions
  • Metabolism
  • Blood pressure and cholesterol
  • Brain fog
  • Sleep

Simplifying Probiotics

Taking probiotics doesn’t need to be complicated. Yes, there are a lot of different probiotic strains, but all you really need to know are the three main probiotic categories. Nearly every probiotic product can be classified into one of these categories[11].

CATEGORY 1
Lactobacillus & bifidobacterium species predominated blends
These are the most well-researched, with over 500 trials assessing their validity.  These live microorganisms are also known as lactic-acid producing probiotic  bacteria.  They typically do not colonize the host, but do improve the health of the host.
CATEGORY 2
Saccharomyces Boulardii (a healthy fungus)
The second most researched probiotic, with over 100 studies.  Saccharomyces boulardii (S. Boulardi for short) is not a normal part of human microbiota, meaning it does not colonize us but does improve the health of the host.
CATEGORY 3
Soil-Based Probiotics using various bacillus species
The third most researched category of probiotics is soil-based probiotics. This group has roughly 14 clinical trials evaluating their effectiveness. This category is also known as spore-forming bacteria. This category of probiotic can colonize the host[12].

This is great news.  This means you don’t need to try every probiotic strain on the market, but rather you can pay attention to the category and pick one quality formula from each.

You also don’t need to match specific probiotic strains to specific symptoms.. All probiotics work in a similar way by addressing the underlying reasons for your symptoms.


The 3 for BALANCE Probiotic Protocol

Many people don’t seem to achieve balance in their microbiota with just one strain of probiotic. Some lucky people do, but for many, one probiotic won’t suffice. I have seen the best results with my patients following a protocol that includes all three probiotic categories. For many patients who have tried probiotics in the past, this approach makes all the difference.

What you need to do – easy as 1, 2, 3

  1. Try a quality formula probiotic from category 1, category 2 and category 3take all three together.
  2. Monitor your symptoms for 3-4 weeks. If you’re improving, stay on the 3 for Balance protocol until your improvements have plateaued.
  3. Once you’ve seen your maximum improvement (you’ve plateaued), stay here for about a month to allow your system to calibrate to these new improvements. Then reduce your dose and find the minimal effective dose. Stay on the minimal effective dose.

Take Probiotics When It’s Convenient for You

Despite advice that you might read elsewhere, taking probiotics is simple:

  • You can take them with or without food.
  • You can take them at any time of the day.
  • You can (and should) take probiotics with antibiotics.

If you haven’t noticed any change in your symptoms after 3-4 weeks, you can stop taking probiotics and feel confident that you have fully explored probiotic therapy. There’s no need to go shopping for other probiotic strains.


Quality Matters

Quality assurance practices do matter. Probiotic manufacturing is not highly regulated and some labels claims do not stand up to scrutiny. Consider the results of these investigations into probiotic quality:

  • Of 26 commercial probiotics assessed in this study, none fully supported label claims, and some of them contained unacceptable microorganisms [13].
  • One study found only half of the probiotics examined had the specific strain listed on the label [15].
  • Another study found 43% of the probiotics assessed contained less than half the amount of probiotic listed on their labels [16].

What to Look for in a Quality Probiotic Supplement

If a company follows quality assurance practices, a probiotic supplement will meet its label claims and not contain potentially harmful organisms.


Our Recommendation

Dosing Your Probiotics

Each probiotic has a dose range.  Anywhere in the range is fine, more isn’t better.  Some like to start at the lower dose, wait a few days and then try the higher dose.  Others like to go right to the high dose.  Do whatever appeals to you.

NameDoseTimes/Dayw/Food
Lacto-Bifido Probiotic Blend1/4 tsp. OR 4 pills1-2N
Saccharomyces Boulardii Probiotic2-4 pills1-2N
Soil-Based Probiotic1-2 pills1-2Y

Here are the standards that we follow and crucial aspects to look for when buying probiotics:

Independent Laboratory Analysis

All probiotic raw materials and final products undergo independent laboratory analysis ensuring probiotic quality and fulfillment of GMP requirements. This ensures the probiotic meets its label claims.

Genetic Identification

To ensure the strain of probiotic meets the label claim, thus protecting you from using a frankenstein probiotics or harmful organisms. Harmful organisms is one of the most common problems with probiotics.

Free of Major Allergens

Probiotics should be grown on media which are free of the common allergens: wheat, gluten, milk, casein, eggs, fish, shellfish, tree nuts, peanuts and soybeans. A quality probiotics will also be free of artificial colors, flavors, or preservatives.

Validated Potency

Probiotics should always meet their labs claims upon testing. Certain probiotics should be stored by the manufacturer and shipped in refrigerated conditions to retain the potency list on the label claims.

Good Manufacturing Practices (GMP) Manufacturing

GMP are a set of best practices for dietary supplement manufacturing in the United States. This includes utilizing a state-of-the-art facility where temperature and air quality are tightly controlled. This produced a consistent quality and purity of product.

You don’t need to purchase the most expensive probiotic supplements.  But, you should be wary of a probiotic that is substantially cheaper than the rest.  This usually indicates corners have been cut in the quality assurance standards.

All three of the probiotic supplements that I sell and also use in my practice, meet these quality standards.


Get Started

The above probiotic protocol can be very  effective in addressing the underlying cause of many health ailments.  I encourage you to try the protocol today.  

Please remember, while probiotics can be very helpful for a variety of health conditions, they are not a cure-all and sometimes other, more advanced, therapies are needed.  


Want to Learn More?

I’ve recently published a comprehensive, 43-page guide to getting the most out of your probiotic supplements. Check out the guide below.