7 Must-Eat Fermented Foods for a Healthy Gut (2024)

Fermented foods like sauerkraut make great sandwich toppings, but did you know that you're also adding probiotics to your Ruben when you top it with the fermented cabbage? Probiotics are good bacteria that like to hang out in our guts and may improve digestion, boost immunity and help us maintain a healthy weight.

Research is still emerging on just how important these mighty microbes are for our health, and the results are promising. According to the National Institutes of Health's (NIH) National Center for Complementary and Integrative Health, research shows that probiotics may be helpful for a number of conditions, including diarrhea, irritable bowel syndrome (IBS), hay fever, infant colic and periodontal (gum) disease.

Fermented foods are packed with probiotics—the good bacteria grow during the fermentation process—and eating them is one way to boost your gut health (eating more foods that are high in fiber, particularly prebiotic-rich foods, is important for gut health, too).

Here are seven fermented, probiotic-packed foods. Add them to your diet for a healthy dose of good bacteria.

1. Sauerkraut

Simple Sauerkraut

7 Must-Eat Fermented Foods for a Healthy Gut (1)

Sauerkraut is good for more than just topping a hot dog. Made from just cabbage and salt, this fermented food delivers a healthy dose of probiotics and fiber. A 2018 study in Foods found that sauerkraut's microbiome (the colonies of bacteria) grows rapidly during the fermentation process and stays stable during packaging for commercial sale.

You can make your own or buy sauerkraut at the store. The kind sold in the refrigerated section will have more probiotics than shelf-stable canned or jarred varieties.

2. Kimchi

Homemade Kimchi

7 Must-Eat Fermented Foods for a Healthy Gut (2)

Recipe to Try: Homemade Kimchi

This spicy Korean side dish made from fermented cabbage and other vegetables is touted as having anticancer properties and other health benefits. For example, a 2018 review in the Journal of Nutrition and Health found that kimchi showed numerous health benefits including protective effects against cancer, hypertension, asthma and inflammation.

Look for kimchi in the refrigerated section near pickles and sauerkraut. Eat it on its own or try it as a burger topper or atop tacos.

3. Kefir

Berry-Mint Kefir Smoothies

7 Must-Eat Fermented Foods for a Healthy Gut (3)

A fermented milk drink similar to drinkable yogurt, kefir is full of calcium and probiotics. A 2021 review in Frontiers in Nutrition suggests that kefir may be useful for diabetes, cardiovascular disease, immunity and neurological disorders.

Just as with yogurt, the probiotics in kefir help break down lactose, so it may be easier to digest for people with lactose intolerance. Kefir is delicious in smoothies or by itself.

4. Kombucha

Lemon-Ginger Kombucha co*cktail

7 Must-Eat Fermented Foods for a Healthy Gut (4)

Credit: Photographer / Brie Passano, Food Stylist / Annie Probst, Prop Stylist / Holly Raibikis

Kombucha is a tangy, effervescent, fermented tea that's rich in good-for-you yeast and bacteria. The drink is often flavored with herbs or fruit. You can find kombuchain natural foods stores, farmers' markets andyour regular grocery store. A 2019 study in the journal Nutrients highlights kombucha's antioxidants, in addition to its good bacteria.

A tiny amount of alcohol is sometimes produced during fermentation—usually less than 0.5 percent alcohol by volume (although some have been found to have closer to 2-3 percent).If you're not into the sour taste, try different brands and flavors—you might find one that works for you.

5. Miso

miso vegetable soup

7 Must-Eat Fermented Foods for a Healthy Gut (5)

Recipe to Try:Miso Vegetable Soup

A fermented paste made from barley, rice or soybeans, miso adds a nice umami flavor to dishes. It's a bold taste, so a little goes a long way (which is good because it's also high in sodium). Besides being loaded with good bacteria, miso is also high in protein, isoflavones, minerals and fiber, according to a 2021 review in the Journal of Food Science.

Miso is typically found in soups, but also makes salad dressings and marinades even more delicious and gut healthy.

6. Tempeh

Korean BBQ Tempeh Grain Bowl

7 Must-Eat Fermented Foods for a Healthy Gut (6)

Tempeh is made from naturally fermented soybeans. It's similar to tofu in that it's a plant-basedprotein made from soy, but unlike tofu, tempeh is fermented. It also has a firmer texture and a slightly nuttier flavor profile. Because it contains all the essential amino acids, it's a complete source of vegetarian protein.

According to a 2021 review in Comprehensive Reviews in Food Science and Food Safety, tempeh has shown potential health benefits for numerous conditions, including gut health, cancer, cognitive function, lung health, cardiovascular health, liver health, bone health and type 2 diabetes.

7. Yogurt

Ricotta Yogurt Parfait

7 Must-Eat Fermented Foods for a Healthy Gut (7)

Yogurt is made by fermenting milk. Yogurtlabeled with the "Live & Active Cultures" seal guarantees 100 million probiotic cultures per gram (about 17 billion cultures in a 6-ounce cup) at manufacturing time, according to the International Dairy Foods Association. Even yogurts without this seal contain probiotics. The probiotics in yogurt help digest some of the lactose (milk sugar), so if you're lactose intolerant you may still be able to enjoy yogurt. Many companies also make dairy-free and vegan yogurt options that contain probiotics.

A 2021 review in Nutrition Reviews states that there are consistent associations between yogurt consumption and reduced risk of breast and colorectal cancers and type 2 diabetes, as well as improved cardiovascular, bone and gut health.

The Bottom Line

Fermented foods contain probiotics, which are good bacteria. Bacteria like to hang out in our guts and can influence our health. Fermented foods also often contain other health boosters, like protein, vitamins, minerals and antioxidants. Including fermented foods in your diet can mean better overall health, so try adding some to your plate each day.

7 Must-Eat Fermented Foods for a Healthy Gut (2024)

FAQs

What are the top 10 fermented foods? ›

Top fermented foods you can add to your diet
  • Kefir.
  • Kimchi.
  • Kombucha.
  • Sauerkraut.
  • Yogurt.
  • Miso.
  • Cheese.
  • Sourdough.
Feb 13, 2023

Can you give me a list of fermented foods? ›

What are fermented foods?
  • cultured milk and yoghurt.
  • wine.
  • beer.
  • cider.
  • tempeh.
  • miso.
  • kimchi.
  • sauerkraut.
Aug 20, 2018

Is apple cider vinegar considered a fermented food? ›

Apple cider vinegar is indeed a fermented food, but it does not have probiotics, as yogurt does. Instead, beneficial gut bacteria form. Apple cider vinegar goes through the fermentation process twice – first, to change the apples to a cider with alcohol, and then into vinegar. Apple cider vinegar has tons of benefits!

Is coffee a fermented food? ›

Well, coffee's not a fermented beverage per se, but fermentation does play a part in the creation of this drink we love, and since we are insatiably curious about every step in the process we have attempted to learn and absorb as much as we can about the importance and the impact of fermentation on coffee quality and ...

What fermented food has the most probiotics? ›

Top Foods With Probiotics
  • 1 / 11. Yogurt. It's one of the most familiar sources of probiotics -- "good" bacteria that keep a healthy balance in your gut. ...
  • 2 / 11. Sauerkraut. Choose the unpasteurized kind. ...
  • 3 / 11. Miso Soup. ...
  • 4 / 11. Soft Cheeses. ...
  • 5 / 11. Kefir. ...
  • 6 / 11. Sourdough Bread. ...
  • 7 / 11. Acidophilus Milk. ...
  • 8 / 11. Sour Pickles.
Mar 28, 2022

What cheese is fermented? ›

Cheddar-type Cheeses

Since cheese is a fermented dairy product, a key feature of its manufacture is the metabolism of milk sugar (lactose) to lactate by selected cultures of lactic acid bacteria.

What is the highest consumed fermented food in the US? ›

Yogurt and kefir are unique dairy products because they are highly available and some of the top probiotic foods that many people eat regularly. Probiotic yogurt is now the most consumed fermented dairy product in the United States and many other industrialized nations too.

What is the oldest fermented food? ›

History and prehistory

The earliest archaeological evidence of fermentation is 13,000-year-old residues of a beer, with the consistency of gruel, found in a cave near Haifa in Israel.

Are pickles a fermented food? ›

Are Pickles Fermented? Quick pickles are not fermented, but lacto-fermented pickles are fermented. Quick pickles, the most common type of pickle found in grocery stores, are not fermented because they use an acid, such as vinegar, in their pickling brine.

What are everyday fermented foods? ›

  • Kefir. Kefir is a type of cultured dairy product. ...
  • Tempeh. Tempeh is made from fermented soybeans that have been pressed into a compact cake. ...
  • Natto. Natto is a staple probiotic food in traditional Japanese cuisine. ...
  • Kombucha. ...
  • Miso. ...
  • Kimchi. ...
  • Sauerkraut. ...
  • Probiotic yogurt.

What are fermented foods at the grocery store? ›

Fermented foods like pickles, sauerkraut, and yogurt are thought to be more easily digestible and have some nutrients more available for use in the human body. Furthermore the "good" bacteria (or probiotics) that are live and well in your living fermented foods are thought to mimic the "good" bacteria in your gut.

Which brand of pickles are fermented? ›

Bubbies Pickles are probably the most well-known brand of fermented pickles. They have been around for 30 years. Bubbies Pickles are a family-owned business, and they make their pickles in small batches to ensure the best quality.

Is Bragg's apple cider vinegar a probiotic? ›

Apple cider vinegar is a fermented food, so it does contain bacteria. But there isn't adequate research yet to show whether these bacteria survive digestion. Therefore, although many consider apple cider vinegar is a probiotic food, it is technically not a probiotic.

Who should not eat fermented foods? ›

If you struggle with digestion issues, histamine intolerances, food sensitivities, or food allergies you may want to avoid eating too many fermented foods and should consult with your primary care physician or a registered dietitian before making any big changes to your diet.

Is cucumber a fermented food? ›

Vegetables, especially cucumbers, that have been submerged in hot vinegary brine and heat processed for sterility and long shelf life, are sour from the vinegar and flavored with added pickling spices such as dill. They are not fermented and are a little less nutritious than when they were raw.

Are cucumbers fermented? ›

Cucumbers are fermented as an economical means of storage in a well-preserved state between harvests, making them available for processing into finished products year round. Cucumber plants take only a couple of months to reach maturity and can produce many fruits.

Is pasta a fermented food? ›

The standard manufacture of pasta does not include a fermentation step. Technological efforts that are addressed to decrease the contamination of wheat in gluten-free products and, in general, to decrease the potential toxicity of cereal-based products have a medical, nutritional, and economic interest.

What is the #1 probiotic? ›

The probiotic strain in Culturelle® - Lactobacillus rhamnosus GG (LGG®) – is the #1 most clinically studied strain of probiotic. Considered the premier probiotic in the world, over 1,000 scientific studies and over 30 years of research have demonstrated the safety and efficacy of Lactobacillus rhamnosus GG (LGG®).

What fruit has the most probiotics? ›

What fruits are high in probiotics?
  1. Bananas. Bananas are a popular yellow fruit that is easily available in the market. ...
  2. Custard Apples. Custard apples are rich in antioxidants and are extremely beneficial for heart and brain health. ...
  3. Watermelon. ...
  4. Grapefruit. ...
  5. Almonds.
Oct 7, 2022

Is it better to take probiotics or eat fermented foods? ›

There are two ways to get more good bacteria into your gut: fermented foods and dietary supplements. Fermented foods are the most natural source. Probiotic supplements, which are typically sold over the counter, are reserved to treat specific ailments as suggested by your doctor, and not recommended for everyday use.

Does Philadelphia cream cheese have probiotics? ›

May have probiotic effects

Cream cheese is made using a starter culture from lactic acid bacteria. Some of these strains of bacteria are probiotics, which are friendly bacteria that offer health benefits ( 12 ).

What cheese has the most probiotics? ›

A short list of probiotic-rich cheeses includes aged, traditional cheddars, Gouda, and Alpine cheeses like Gruyère. For soft cheeses, try raw milk washed rinds like Rollright from King Stone Farm or Slyboro from Consider Bardwell Farm.

Is parmesan cheese a fermented food? ›

Why it's good for you: Some fermented cheeses, like parmesan, contain lactic-acid bacteria that can create gut-healthy probiotics. Cheese also contains important nutrients like protein and calcium.

Why do Koreans eat so much fermented food? ›

Over the years, they have evolved from the culture, country's geography, and traditions of the people of the Korean peninsula under various effects. To keep the body warm and healthy, the Koreans have developed fermented foods that improve metabolism. Korean gastronomy has been established on healthy food.

Do the Chinese eat fermented foods? ›

In different parts of China, a variety of beans - broad beans, soy beans, black beans - have been fermented (usually with rice and salt in deep earthenware vats) to create a sauce/paste that, like the fermented bean curd, is used as both ingredient and condiment.

Which fermented foods have the most bacteria? ›

Fresher products such as yogurt and other cultured dairy products tended to have higher levels of friendly live bacteria than older cheeses, for example.

What is the easiest fermented food to eat? ›

Easiest Fermented Foods to Start With
  • Kombucha. Tea, sugar and a good old' SCOBY, these are the ingredients for having your own Kombucha on tap. ...
  • Sourdough Bread. You should see the look on people's faces when we tell them that sourdough bread is alive. ...
  • Vegetables. You can ferment just about any vegetable. ...
  • Yogurt.
Dec 7, 2016

What country eats the most fermented foods? ›

If there were a country whose cuisine excels in the realm of fermented foods, it's Japan. Referred to under the catch-all term hakkо̄ (fermentation), these foods form the very basis of gastronomy in the island nation.

What Native American foods are fermented? ›

Use of sour-tasting fermented foods was widespread. The Cherokee “bread” consisted of nixtamal wrapped in corn leaves and allowed to ferment for two weeks. Manzanita berries and other plant foods were also fermented. The Indians also enjoyed fermented, gamey animal foods.

Can oatmeal be fermented? ›

Fermenting oats is an easy way to to make them more nutritious, deliciously creamy and shorten the cooking time. The process of fermenting grains breaks down the proteins, fats and carbohydrates; making the nutrients more bioavailable, and creating a healthy, rich, flavorful breakfast porridge.

Are olives a fermented food? ›

Abstract. Table olives are one of the main fermented vegetables in the world. Olives can be processed as treated or natural. Both have to be fermented but treated green olives have to undergo an alkaline treatment before they are placed in brine to start their fermentation.

Is store bought sauerkraut fermented? ›

Fermentation Time - Store-bought sauerkraut undergoes a shorter fermentation time compared to homemade sauerkraut, which takes at least 20 days to ferment. As a result, the sauerkraut contains a lower probiotic count.

How many times a week should you eat fermented foods? ›

Zanini, a spokeswoman for the American Academy of Nutrition and Dietetics, often recommends two to three servings of fermented foods per day. “But you need to listen to your body,” she says.

What happens when you start eating fermented foods? ›

Fermented foods are considered safe for most people. However, some individuals may experience side effects. Due to the high probiotic content of fermented foods, the most common side effect is an initial and temporary increase in gas and bloating ( 32 ).

What if I ate sauerkraut every day? ›

Eating sauerkraut every day can help maintain regular and healthy digestion for two main reasons. First, sauerkraut provides natural probiotic bacteria to balance the gut microbiome. Second, sauerkraut contains a lot of enzymes, bioavailable nutrients, essential vitamins, and minerals.

Are pickles good for gut health? ›

Pickles are also high in particular types of fibre that feed beneficial gut bacteria, acting as prebiotics – food for the probiotic gut bacteria. Studies have shown that adding fermented vegetables to your diet may help with digestion and manage symptoms of constipation and diarrhoea3.

Is cottage cheese a fermented food? ›

Cottage cheese is fermented. Like all dairy products, cottage cheese begins as milk. Adding enzymes or live, active cultures (probiotics) converts milk sugars (lactose) into lactic acid. The lactic acid separates the curds (the milk solids, fats, and proteins) from the whey (the liquid).

Are pickles a good probiotic? ›

Pickled cucumbers are a great source of healthy probiotic bacteria, which may improve digestive health. They are also low in calories and a good source of vitamin K, an essential nutrient for blood clotting. Keep in mind that pickles also tend to be high in sodium.

Are Claussen refrigerator pickles fermented? ›

What makes Claussen PIckles different from canned pickles? Claussen pickles, whether homemade or store bought, are a half sour pickle recipe. That means they're fermented instead of heat processed. That's what gives them such great texture.

What are the healthiest pickles to eat? ›

Pickles made through fermentation have added health benefits compared with non-fermented pickles. “If they're fermented, they're a good source of probiotics,” notes Peart. “Probiotics have really solid health benefits, such as being good for your brain, and good for gut health.”

What are the best pickles to eat for gut health? ›

Fermented + Probiotic Pickles

The trending “healthy pickles” (and healthy pickle juice) you keep hearing about are lactic-acid fermented pickles, or simply fermented pickles. These are the gut healthy, microbiome-boosting superfood pickles that you should be consuming everyday, three times a day.

Who should not take apple cider vinegar? ›

If you have low potassium levels (hypokalemia), too much ACV could make the condition worse. That's because large amounts of ACV can decrease potassium levels. Avoid overuse of ACV if you have kidney disease, since your kidneys might not be able to handle high levels of acid.

What medications should not be taken with apple cider vinegar? ›

Some medications, including insulin, digoxin, and certain diuretics, may interact with apple cider vinegar.
...
A few medications may interact with apple cider vinegar:
  • Diabetes medication. ...
  • Digoxin (Lanoxin). ...
  • Certain diuretic drugs.

Can you drink Braggs apple cider vinegar everyday? ›

ACV is generally safe when consumed in moderation — no more than 1 to 2 tablespoons (tbsp) daily. But drinking excessive amounts of ACV can decrease potassium to hazardous levels. ACV may interact with some medications (including diuretics, laxatives, and certain medications for diabetes and heart disease).

Who should not eat sauerkraut? ›

If you're pregnant or immunocompromised, you should avoid eating unpasteurized sauerkraut. If you take MAOIs, have blood pressure concerns, or have food intolerances or allergies, speak to your doctor before eating sauerkraut.

How often should you eat fermented foods for gut health? ›

Kirkpatrick says people who eat a single serving a day tend to have healthier gut bacteria. Zanini, a spokeswoman for the American Academy of Nutrition and Dietetics, often recommends two to three servings of fermented foods per day.

Do fermented foods actually help gut health? ›

Stanford researchers discover that a 10-week diet high in fermented foods boosts microbiome diversity and improves immune responses. Stanford researchers found that eating a diet high in fermented foods such as kimchi increases the diversity of gut microbes, which is associated with improved health.

What fermented foods are best for inflammation? ›

While inflammation is a normal part of the healing process, constant strain that leads to chronic inflammation can have serious health effects. Experts say eating foods that are fermented such as kefir or kimchi (but not alcohol) can improve overall microbial diversity, which may help lower inflammation.

What happens when you first start eating fermented foods? ›

Due to the high probiotic content of fermented foods, the most common side effect is an initial and temporary increase in gas and bloating ( 32 ). These symptoms may be worse after consuming fiber-rich fermented foods, such as kimchi and sauerkraut.

Which is healthier kimchi or sauerkraut? ›

Kimchi is healthier than sauerkraut due to its higher probiotic content and increased nutrients.

What happens if you eat fermented foods everyday? ›

4) Improves digestion and gut health: Fermented foods improve gut health by balancing the composition of your gut flora to help you better digest and absorb the food you eat. Foods fermented are also full of digestive enzymes that can help you more easily break down and absorb what you put into your body.

Is drinking apple cider vinegar good for gut health? ›

Raw apple cider vinegar also contains: Natural probiotics (friendly bacteria), which may help with your immune system and gut health. Antioxidants, substances that can prevent damage to your body's cells.

Is sauerkraut better than probiotic? ›

For one, fermented foods are far more potent than probiotic supplements. To give you an idea, 2 ounces of sauerkraut has more probiotics than 100 capsules. 4-6 ounces of fermented vegetables has around 10 trillion bacteria, compared to the average probiotic supplement that contains around 10 billion.

What is the #1 best drink to reduce inflammation? ›

Orange, tomato, pineapple and carrot juices are all high in the antioxidant, vitamin C, which can neutralize free radicals that lead to inflammation. Tart cherry juice has been shown to protect against gout flares and reduce OA symptoms.

What is the miracle food for inflammation? ›

Start now by increasing your intake of these inflammation tamers:
  • Omega-3-rich fish and nuts. ...
  • Berries, such as blueberries, strawberries, and raspberries. ...
  • Cherries, especially tart cherries, contain a unique combination of plant compounds shown to reduce inflammation.

What is the best natural gut anti-inflammatory? ›

Good sources of anti-inflammatory fats include extra-virgin olive oil, avocado oil, walnut oil, hemp oil, flaxseed oil, as well as avocadoes, nuts, seeds (e.g., ground flaxseeds, chia seeds, hemp hearts), and the omega-3 fats found in wild fatty fish such as salmon, mackerel, and sardines.

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