Prebiotics, Probiotics: Does Your Gut Really Need Them? (2024)

One commercial swears their product is loaded with probiotics essential for good gut health, and another contends their prebiotic product is necessary to promote optimum gut health. So which is a must have to maintain a healthy gut? The answer is that they are both important. Prebiotics along with probiotics provide an essential one-two punch for a healthy gut.

What is the Importance of a Healthy Gut?
Keeping your gut happy is important in your overall health. Shore Medical Center Outpatient Registered Dietitian, Mackenzie McCune, said, “Gut bacteria help to increase nutrient absorption, ward off pathogens and recent studies show that the bacteria in our intestines can directly affect our mood and our brain chemistry.” Susan O’Donnell, Shore Medical Center Clinical Nutrition Manager, added, “More evidence is emerging that shows when humans have strong healthy microbiota in the gut there are definite health benefits related to digestion. Strong microbiota can also decrease the need for antibiotics and alleviate constipation.”

How Prebiotics and Probiotics Function
Prebiotics are “good bacteria promoters,” according to McCune. “They are naturally occurring, non-digestible food components that are linked to promoting the growth of helpful bacteria in our gut. They can help to improve gastrointestinal health. These active cultures help change or repopulate intestinal bacteria to balance gut flora.”

McCune suggested there are a number of ways to maintain a healthy gut through diet. Consuming adequate fiber, fluid, fruits and vegetables can help regulate the GI tract, and the addition of some fermented foods can provide added value. She added, “In fact, 70-80 percent of our immune system is contained within our digestive tract.” Gut bacteria can help by aiding to harvest inaccessible nutrients or energy from the diet, assist with the synthesis of vitamins, support drug metabolism and increased bio-availability, assist in gut cell renewal, and act as a barrier against gut pathogens.

The Difference between Prebiotics and Probiotics
Metaphorically speaking, O’Donnell said, “I like to explain it as prebiotics are like the stage hands getting the stage ready for the actors to perform. Probiotics are the actors who can have a more effective performance with the stage hands’ input.”

McCune added, “Ultimately, prebiotics promote good bacteria and probiotics are the good bacteria. They work together.”

Is One More Important?
According to O’Donnell, both prebiotics and probiotics assist in good gut bacteria. “A mixture containing a blend of probiotics and prebiotics is called a symbiotic. Together they work synergistically; the prebiotics feed the probiotics and probiotics maintain a healthy gut.”

How Food Affects the Gut
The food we eat along with other factors can cause “bad” bacteria overpopulation. This includes antibiotics, illness, stress, poor dietary habits such as high fat high fructose foods, like deli meats, as well as poor lifestyle habits, such as smoking and excessive alcohol consumption. McCune offers the following tips for maintaining a healthy digestive tract:

  • Top your cereal with probiotic yogurt instead of milk to increase probiotic bacteria in the diet.
  • Drink plenty of water and exercise regularly to increase bowel movements.
  • Enjoy a cup of peppermint tea after a meal to improve digestion.
  • Snack on bananas, which are loaded with prebiotics.
  • Chew food thoroughly and eat slowly.

To include more prebiotics in our diet, McCune recommends eating more fruits, vegetables and whole grains such as garlic, onions, leeks, artichokes, asparagus, wheat bran, bananas and chicory root.

Probiotic foods that are a good choice to include in your diet include fermented dairy products such as yogurt, kefir products and aged cheeses that contain live cultures, including bifidobacteria and lactobacilli. Other fermented non-dairy foods include kimchi, sauerkraut, tempeh and cultured non-dairy yogurts.

Before Taking any Supplement Consider…
McCune cautioned that because fermented foods may interfere with some medications, you should check with a physician or a registered dietitian if you are taking multiple medications before adding them into your diet. Likewise, when considering whether to take a supplement she advised to consider your individual health needs, especially if you have a weakened immune system or any gastro intestinal issues.

Meal Planning
Both O’Donnell and McCune agree that a healthy meal plan includes being mindful of contributing to a healthy gut. They suggest people include a variety of fruits, vegetables, dairy (if tolerable) and whole grains in their diet which contain prebiotics and probiotics. O’Donnell suggests a daily serving of yogurt along with 25-30 grams of fiber daily that includes a variety of fruits and vegetables.

According to McCune, when considering your personal diet, there are a few things to keep in mind regarding prebiotics and probiotics. Everyone’s gut microbiome is unique and there are not established guidelines for intake. Overall, a balanced diet that includes a variety of foods is recommended for the improvement and maintenance of gut health.

For help with your individual nutrition plan, schedule an appointment with a member of the Shore Medical Center Outpatient Nutrition Counseling Team by calling 609-653-4600.

Prebiotics, Probiotics: Does Your Gut Really Need Them? (2024)

FAQs

Prebiotics, Probiotics: Does Your Gut Really Need Them? ›

The answer is that they are both important. Prebiotics along with probiotics provide an essential one-two punch for a healthy gut. What is the Importance of a Healthy Gut? Keeping your gut happy is important in your overall health.

What happens if you take probiotics without prebiotics? ›

Prebiotics are non-digestible fibers and compounds that selectively serve as food for probiotics and other beneficial gut bacteria. Without prebiotics, the probiotics cannot 'eat' and thrive in the microbiome. Here are some examples of prebiotic foods: whole grains, garlic, bananas, soybeans, greens, and artichokes.

Why do cardiologists warn against probiotics? ›

But, when it comes to pre-and probiotics, cardiologists are warning they aren't a treatment for elevated blood pressure, cholesterol, or other heart health markers. The health benefits of probiotics are also strain-specific, so taking any probiotic off the shelf won't guarantee results.

Do probiotics actually make it to your gut? ›

After oral administration, probiotics pass through the GIT, from the mouth, through the stomach, to the small intestine and colon.

Are probiotics really necessary? ›

Your body doesn't need probiotics. You already have healthy bacteria in your gut. But it usually doesn't hurt to take them, and adding them to your diet might help.

Are prebiotics really necessary? ›

Just like probiotics, prebiotics are an important part of your gut health. The lining of your gut is covered in microscopic organisms and bacteria that create a micro-ecosystem called a microbiome. These bacteria help you digest food and take in nutrients.

What happens if you suddenly stop taking prebiotics? ›

There have been no rigorous scientific studies that look specifically at what happens when healthy individuals stop taking probiotics. However, if you stop populating your gut with “good” bacteria — either through supplements or food — the delicate balance can be disrupted and “bad” bacteria may begin to take over.

Which is the most compelling reason not to take probiotics? ›

The risk is that a probiotic product might contain a harmful type of microbe along with the helpful types. Microbes are very small, so it's possible for the wrong kind to slip in under the radar if a product isn't rigorously tested. This is rare, and it's not a serious risk for most people.

Is there a downside to taking probiotics? ›

Possible harmful effects of probiotics include infections, production of harmful substances by the probiotic microorganisms, and transfer of antibiotic resistance genes from probiotic microorganisms to other microorganisms in the digestive tract.

Can probiotics cause gut problems? ›

When first using probiotics, some people experience gas, bloating, or diarrhea. Changes in the gut microbiota can result in bacteria producing more gas than usual, which can lead to bloating. However, these side effects usually clear up within a few days or weeks of taking the probiotics.

What do gastroenterologists think of probiotics? ›

When should someone take probiotics? The American Gastroenterological Association recommends use of probiotics in three specific situations: (1) to prevent gut infections while taking antibiotics, (2) in preterm infants, and (3) in people with inflammatory bowel disease who have a condition called pouchitis.

Can you overload your gut with probiotics? ›

Tamara Duker Freuman, a registered dietitian in New York, explains, “Different bacteria feed on different dietary compounds in the gut, and they produce gas as a byproduct.” An overload of probiotics may cause an interaction with the fiber, starch, and sugar in the gut, leading to gas, bloating, nausea, or diarrhea.

What is the best probiotic to heal your gut? ›

Best probiotic strains for gut health
  • Bifidobacterium bifidum.
  • Lactobacillus acidophilus.
  • Lactobacillus plantarum.

What is the number one probiotic recommended by doctors? ›

Culturelle Daily Probiotic is our top pick for anyone who wants to buy a probiotic supplement at the drugstore, as it is widely available and budget-friendly. Culturelle keeps things simple by including just one strain, Lactobacillus rhamnosus, which has been researched in hundreds of studies.

Is apple cider vinegar a probiotic? ›

Apple cider vinegar contains prebiotics and probiotics. Both of these can support a healthy gut microbiome. The gut microbiome includes all the good bacteria in your gut that help with digestion — and keep the rest of your body running smoothly. First, ACV contains acetic acid that has prebiotic properties.

Do I need to take a prebiotic if I'm taking a probiotic? ›

They exist as food for the probiotic bacteria that you're putting into your body. The use of prebiotics and probiotics together is called microbiome therapy. You don't need to take a prebiotic for probiotics to work, but taking them might make your probiotics more effective.

Can you heal your gut with just probiotics? ›

Many people take probiotics to help relieve diarrhea, constipation or stomach pain. Over the long term, probiotics should improve your overall gut health, including your bowel regularity and digestion, reducing discomfort.

Can you just take probiotics? ›

Probiotics are "good" bacteria touted to help maintain digestive health and boost the immune system. You can take them in a dietary supplement or get them from food sources, such as yogurt.

What happens to your body when you start taking prebiotics? ›

By stimulating the growth of bacteria like Lactobacillus and Bifidobacterium, prebiotics may help improve digestion, ease constipation, increase mineral absorption, regulate cholesterol, and strengthen the immune system.

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