Which Probiotic Supplements and Drinks Are Best?

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Despite their lack of effectiveness for Some evidence suggests that when you are using a non-enterically coated probiotic, it may be best to take it shortly before or during a meal. Some ingredients in supplements are hygroscopic, i. With probiotics, how many CFUs should I look for as the dose? Far from being an attention grabber although it is that , this novel approach to gut

So what is a medical food?

The Benefits of a Plant-Based Diet

The dose in these studies ranged from mg to 2, mg daily, which was generally well tolerated. L-carnosine -- An mg daily dose of L-carnosine for 8 weeks in children with autism was found to significantly improve scores on the Gilliam Autism Rating Scale in a small clinical study Chez, J Child Neurol L-carnitine -- One preliminary clinical trial found that L-carnitine, taken daily 50 mg per kg bodyweight as a liquid supplement, significantly improved clinical measures of autism spectrum disorder in children Geier, Med Sci Monit Ubiquinol -- Some research on autism has proposed oxidative stress as a potential cause of neuronal dysfunction and clinical symptoms in autism Gvozdjakova, Oxid Med Cell Longev Ubiquinol, which is the active form of CoQ10, taken at 50 mg twice per day, at morning and lunchtime, for three months, was found to improve communication, sleep, and decrease food rejection in a small study of children with autism, based on parental reports Gvozdjakova, Oxid Med Cell Longev The authors noted that in the first days of supplementation, a small subset of children had increased anger, hyperactivity or sleep disturbance, which was managed by modifying the timing of the doses to morning and evening.

Omega-3 Fatty Acids -- Several very small, preliminary studies have linked supplementation with omega-3 fatty acids with decreased hyperactivity in children with autism or improvement in other autism symptoms. A preliminary study among young children with autism found that high-dose vitamin D reduced autism symptoms from moderate to mild. Vitamin C -- One small study found significant improvements in behavior in autistic children who received a high dose of vitamin C 8, mg per 70 kg of body weight daily when compared to placebo.

Dolske, Prog Neuropsychopharmacol Biol Psychiatry It is important to note, however, that taking such a large dose of vitamin C may cause diarrhea in some people. CLA conjugated linoleic acid. Cocoa and Dark Chocolate Flavanols. Dark Chocolate and Cocoa Flavanols. Epimedium horny goat weed.

Extra Virgin Olive Oil. Fish Oil Omega-3 for Pets. Folate Folic Acid, Methylfolate. Greens and Whole Foods Powders. Horny Goat Weed Epimedium. Joint Health for Animals. Olive Oil Extra Virgin. Omega-3 Fatty Acids for Pets.

Omega-6 Fatty Acids for Pets. Simply provide an email address below. You must provide a valid email address. Send me a copy. Your message has been sent. I am curious why some probiotics do not require refrigeration even though they contain some of the same bacteria in probiotics that require refrigeration?

Which probiotics need to be refrigerated? Proper refrigeration is critical for many probiotics, both before and after they are purchased. Are enteric coated supplements better than non-enteric coated ones? Enteric coatings help protect supplement ingredients from being released in the stomach and keep them away from stomach acid and enzymes.

This allows the supplement to stay intact until it reaches the less acidic small intestine where most nutrient absorption takes place. An enteric coating may also be desirable for ingredients which, for some people, otherwise cause an unpleasant aftertaste. Consequently, with ingredients that need protection it is sometimes worthwhile to purchase an enterically coated supplement.

However, enteric coatings are not always necessary or beneficial, and, in some case, may just be an expensive gimmick. There are also some concerns about enteric coatings of which you should be aware. When is the best time to take probiotics to prevent diarrhea from antibiotics - before, during, or after the course of antibiotic treatment? As discussed in more detail in the Probiotic Supplements Review, probiotics can be taken starting the first day of oral antibiotic treatment and continued for 2 weeks after the completion of antibiotic therapy.

It may be advisable to take probiotics and antibiotics at least 2 hours apart to reduce the possibility of the antibiotic killing the probiotic organisms.

Have you heard of the probiotic, Keybiotics? Does it do what it claims, and is it worth the money they charge? Keybiotics is a branded probiotic blend promoted as "the most powerful probiotic supplement ever created. Although it does not break out the amount for each strain, it claims to provide a total of The recommended intake for probiotic supplements varies by strain and use, but tends to be about 1 billion to 10 billion CFUs per day.

While the type and amount of healthy bacteria in this product is certainly in line with what ConsumerLab. Keybiotics is also not among the probiotics tested by ConsumerLab.

The bacterial strains in Keybiotics include Bifidobacterium lactis , which has been shown to be helpful for diarrhea and irritable bowel syndrome, Lactobacillus plantarum , which may be helpful for cold and flu, Lactobacillus rhamnosus , which may be helpful for vaginal infections, Lactobacillus casei , Lactobacillus salivarius , Lactobacillus bulgaricus , Bifidobacterium breve , Lactobacillus paracasei , Lactococcus lactis , Streptococcus thermophilus , Lactobacillus brevis , Bifidobacterium bifidum and Bifidobacterium longum.

Bifidobacterium longum has been shown to reduce anxiety, especially when taken with Lactobacillus helveticus R; however, Keybiotics does not contain Lactobacillus helveticus R You can learn more about the effects of these individual strains in ConsumerLab.

One clinical study did establish that this strain survives well in the digestive tract, although not as well as Lactobacillus casei , another strain included in Keybiotics. Interestingly, the same study noted that these strains did not survive long-term in the digestive tract, but became undetectable 8 days after subjects stopped taking them, suggesting that these bacteria need to be taken on an ongoing basis to maintain a benefit. In fact, a number of probiotic supplements available on the market provide a similar number and variety of bacterial strains as offered in Keybiotics , and in doses of up to billion.

While this is within the range of prices for comparable products, less expensive products with a similar amount and range of bacteria, and which have passed ConsumerLab. Can probiotics help lower cholesterol? The probiotic I am taking looks pink. Does this mean it is spoiled or no longer "active"? The probiotic material in powders, capsules and tablets is usually white or off-white.

However, some probiotic strains can interact with preservatives used in a supplement, resulting in a pink color , which is not harmful and does not indicate that the probiotic is spoiled or inactive. Which supplements have been shown to be helpful for autism? While no supplement can treat or cure autism , some supplements may be helpful in reducing certain symptoms: Which supplements are best for seasonal allergies?

Supplements shown to help with seasonal allergy symptoms include butterbur, bromelain, nettle, spirulina and conjugated linoleic acid CLA. When taken with a daily antihistamine, one particular strain of probiotic was found to improve ocular but not nasal allergy symptoms. Curcumin from turmeric may improve seasonal allergy symptoms such as sneezing, runny nose, and nasal congestion, and decrease levels of certain inflammatory mediators. Pycnogenol , a branded pine bark extract, may be helpful for birch allergies if taken far enough in advance of allergy season.

Laboratory research suggests stinging nettle Urtica dioica extract may bind to histamine receptors and inhibit certain inflammatory processes associated with seasonal allergy symptoms Roschek, Phytother Res However, two of the twenty-one people who took stinging nettle dropped out of the study after their symptoms worsened.

Participants took mg of freeze-dried stinging nettle leaf at the onset of allergy symptoms and mg as needed for one week averaging about 3 doses per day Mittman, Planta Med Preliminary evidence suggests quercetin may help to inhibit the release of histamine, however, there do not appear to be any studies demonstrating its effects on allergy in people.

Interestingly, low blood levels of vitamin D are associated with an increased risk of allergies, including birch, oak and ragweed allergies, in children and adolescents, but not in adults.

In fact, people who are allergic to ragweed, daisies, sunflowers, and other flowers may be more likely to have an allergic reaction to echinacea.

Is it best to take probiotic supplements with or without food? It seems like everyone has a different recommendation. Some evidence suggests that when you are using a non-enterically coated probiotic, it may be best to take it shortly before or during a meal. Once I've taken probiotics for a few months, will the positive bacteria remain in my system, or do I have to keep taking them?

In general, probiotics will only survive in your system for a limited amount of time. I've seen the bacteria in Activia listed as Bifidobacterium animalis, Bifidobacterium lactis and Bifidus Regularis.

I eat one to two cups of Greek yogurt every day. Do I still need to take a probiotic supplement? Many clinical studies of probiotics in Asia and Europe have, in fact, been conducted with yogurts and other cultured dairy products to which probiotics have been added.

I see it is an ingredient in some probiotic supplements. I have low blood pressure. Are there any supplements I should avoid? Certain supplements can cause decreases in blood pressure and should be used with caution if you already have low blood pressure.

These are melatonin , arginine and large doses of magnesium. Calcium may also cause a very small decrease in blood pressure. Preliminary studies have found black cohosh may lower blood pressure in animals, but it is unclear whether it has this effect in people. There are also a number of supplements that have been shown to lower blood pressure in people with hypertension high blood pressure.

These include fish oil and omega-3 fatty acids , garlic , potassium , flaxseed , certain strains of probiotics , and green coffee bean extract. While much of the evidence for these is focused on people with high blood pressure, they could potentially lower blood pressure in others.

So, if you take one of these supplements and find your low blood pressure becomes even lower, try eliminating the supplement and see if your blood pressure improves. Note that sexual enhancement supplements with undeclared drugs, such as sildenafil Viagra or tadalafil Cialis may also lower blood pressure see the list of Recalls and Warnings for supplements found to contain these drugs. For more about using these supplements, including the evidence, potential side effects, and our tests of products, use on the links above.

How do I choose the best probiotic supplement? There are so many different strains of bacteria! Since the effects of individual bacteria strains vary, the first thing to consider when choosing a probiotic supplement is the reason you are taking it.

Certain strains, for example, may help with weight loss, lower cholesterol or reduce allergy symptoms, while others have been shown to help with digestive issues, such as diarrhea from antibiotics and irritable bowel syndrome. The uses and evidence for various strains are summarized in a reference table in the Probiotic Supplements Review be aware that certain strains should be avoided by people with milk allergies or people taking certain medications.

Once you have identified the right strain or strains, it's important to find a product that provides a dose that's been shown to be effective, and that contains it's labeled dose ConsumerLab. Do any supplements help relieve stress? Fish oil may blunt some of the effects of mental stress, such as increased heart rate and nervous activity.

Several clinical studies show ashwagandha may help to relieve symptoms in people with anxiety. And, interestingly, a particular probiotic has been shown to lower levels of the "stress" hormone cortisol, and measures of psychological distress such as depression and anger. L-theanine , an amino acid found in black and green tea , has been shown to reduce stress responses without causing drowsiness, and there is some evidence that the herbs passionflower and lemon balm may be helpful for anxiety.

One clinical trial found mg of holy basil leaf extract taken twice daily significantly reduced measures of anxiety in men and women Bhattacharyya, Nepal Med Coll J See the Encyclopedia article about Ayurvedic medicine for other uses for this herb - which is listed by its scientific name, Ocimum sanctum.

Ginseng is sometimes promoted for reducing stress, although one clinical study found it did not have an effect on cortisol levels. There is weak evidence that valerian supplements may produce a calming effect in stressful situations. Be aware that low blood levels of iron and vitamin B6 have been associated with stress responses such as hyperventilation and panic attacks in women Mikawa, Acta Med Okayama , so be sure you're getting sufficient intake of these nutrients.

There is some evidence that daily supplementation with a multivitamin-multimineral supplement may help people to cope with stressful situations.

For more information, use the links above, and see the Encyclopedia article about Stress. Is it true that NAC can help clear nasal passages? Although NAC has mucus-thinning properties when directly inhaled, there is little evidence that oral supplementation can reduce the thickness or volume of nasal congestion.

If you are suffering from nasal congestion due to a cold, taking a zinc lozenge may reduce the duration of nasal discharge and nasal congestion if taken within 24 hours of onset of symptoms. Certain probiotics have also been shown to reduce the duration of cold symptoms such as a runny nose. Do probiotics that come in different forms, like gum or lozenges, really work?

There is some clinical evidence showing that probiotic gum or lozenges may be beneficial for conditions affecting the mouth or throat, such as gum disease and throat infections. There do not appear to be studies on their effects on gastrointestinal symptoms, as shown with probiotic pills, drinks and powders. You can learn more about probiotic gums and lozenges, plus evidence of other uses of probiotics, and our tests of popular products, in the Probiotic Supplements Review.

Do any supplements help with gum disease or periodontitis? My dog is getting older and his veterinarian recently recommended giving him a glucosamine supplement for his joints. We've published a complete report, including information about use and evidence, dosage, tips for buying, potential side effects, and our tests of popular products in the Review of Joint Health Supplements for Pets and Animals with Glucosamine, Chondroitin, MSM.

A separate report on Joint Supplements for people is also available. One possible reason for those benefits is that a plant-based diet can improve blood lipid levels. Shifting to a vegan diet led to even more dramatic change. A Mediterranean-style diet, based on produce, legumes, grains, and healthy oils , with small amounts of fish and meat, is connected with better brain health in older adults, according to a study in the journal Neurology.

Those who favored fruits and vegetables along with some fish had less brain shrinkage—linked with a reduced risk of cognitive decline—than those who ate more meat. Eating no more than 3. But can changing your diet after age 50 still make a difference? Absolutely, according to experts.

Any step you take will help, but the more plants and fewer animal foods, the better. Try these easy tips to help you design a plant-based diet: If only you knew what to eat. Lunch Quinoa tabbouleh with chickpeas: Cooked quinoa, chopped tomatoes, chopped cucumber, chopped parsley, olive oil, lemon juice, black olives, garbanzo beans.

Corn tortillas, black beans, roasted cauliflower, jarred corn salsa, pico de gallo, cumin, salad greens. Rachel Meltzer Warren, M. Please call Member Services at Welcome to Consumer Reports. You now have access to benefits that can help you choose right, be safe and stay informed.

But in the long term, success rates were not different from people who are on a more 'traditional' diet. These results don't change ADA's recommendations for achieving healthful weight that can be sustained over a lifetime. Archived from the original on 2 February These diets are generally associated with higher intakes of total fat, saturated fat, and cholesterol because the protein is provided mainly by animal sources.

Beneficial effects on blood lipids and insulin resistance are due to the weight loss, not to the change in caloric composition. High-protein diets may also be associated with increased risk for coronary heart disease due to intakes of saturated fat, cholesterol, and other associated dietary factors. Archived from the original on 29 August The Heart Foundation found that subjects in research studies achieved more weight and fat loss on the VLCARB [Very Low Carb] diets than on the conventional low fat diets, but this was only in the short term.

The Heart Foundation's major concern with many VLCARB diets is not their restriction of carbohydrate or increase in protein, but their high and unrestricted saturated fat content, which may contribute to cardiovascular risk.

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Journal of Agricultural and Food Chemistry. Low-carb products could be barred with new labelling rules". Retrieved 12 February Letter On Corpulence, Addressed to the Public 4th ed. Retrieved 2 January Proceedings of the Connecticut State Medical Society: Total dietary regulation in the treatment of diabetes. The Rockefeller Institute for Medical Research.

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Omnivore Entomophagy Pescetarian Plant-based. Bodybuilding supplements Meal replacement Therapeutic food. Liquid diets Very low calorie. Category Commons Cookbook Food portal, Health and fitness portal.

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