Prebiotics vs Probiotics - Which Is Best for Gut Health?
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- Опубликовано: 2 июл 2024
- Yes, there are important differences between prebiotics and probiotics - and knowing them will help you heal your gut and overall health. In this episode, I cover the differences between the two, and great sources of prebiotics and probiotics in food and supplements. Watch now!
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And if you have any questions or topics you would like covered in the future, let me know in the comments!
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Featured Studies
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📉Mechanisms and effectiveness of prebiotics in modifying the gastrointestinal microbiota for the management of digestive disorders:
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📉Gut-microbiota-targeted diets modulate human immune status:
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📉Efficacy of probiotics, prebiotics and synbiotics in irritable bowel syndrome: pubmed.ncbi.nlm.nih.gov/37772...
📉Rifaximin with partially hydrolysed guar gum is more effective than rifaximin alone in eradicating SIBO: pubmed.ncbi.nlm.nih.gov/20937...
📉Probiotics and Prebiotics in Subclinical Hypothyroidism of Pregnancy with SIBO: pubmed.ncbi.nlm.nih.gov/37032...
📉Prebiotic Intake in Older Adults: Effects on Brain Function and Behavior:
pubmed.ncbi.nlm.nih.gov/30888...
📉The Relationship between Prebiotic Supplementation and Anthropometric and Biochemical Parameters in Patients with NAFLD:
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DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.
Music featured in this video: "Modern Technology" by Andrew G, audiojungle.net/user/andrew_g
*Full transcript available on RUclips by clicking the “Show transcript” button on the bottom right of the video. 
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Helpful video. Thanks for sharing.
Glad to hear it! Thank you :)
Very informative video. In my case, the sour taste of fermented foods irritates my stomach since I have gastritis and acid reflux. So, currently, I am working on increasing my prebiotic diet. This is where your video is most helpful. Hopefully, my gut health improves and I will be able to consume fermented foods. Thanks.
You always do an excellent job with a more methodical approach! One thing I’d be curious about you going into would be Tribuytrin being maybe the most critical of all aspects to restore gut function and then moving into probiotics, then prebiotics/fermented foods/diverse soluble fiber rich foods.
Thank you so much for your kind words! I’ll pass that along to the team - might make for a good dedicated video in the future.
Your videos. Thank you 😊
Glad you like them!
Totally agree, one thing at a time which has been a challenge for me to do! What made huge difference for me when adding pre and probiotics is finding the the right formula selection and adding a digestive enzyme with each meal.
Which one?
That’s very understandable - when you’re eager to get well, and there are multiple things on your radar, it’s natural to want to try incorporating them at once, especially if you know they work well together. But you’re right, going one by one is better, especially if you find you have an intolerance to something new - it’s much easier to identify that way.
I’m so glad you’ve found a routine that’s helping you!
@@user-nt9rj8sz4m I have tried dozens literally, so many and HUM Flatter Me has been a miracle. I take one before each meal, amazing results. Everything works! I tried this brand on a recommendation and was so surprised. Never thought I would discover an enzyme that worked. It is available at Target, however I do the subscription with HUM to ensure I always have available.
Had a group discussion with my besties. The subject on digestive dysfunction in menopause came up and all the misinformation fuelled by fear from other health institutions was raised. I was shocked when doing research on what came up, basically instructions to do much of the activities you warn us not to take part in.
Maybe you can cover digestive dysfunction in female menopause?
Also experiencing occassional chills as an onset to flaring.
Hi there! That’s a great idea. I’ll pass your suggestion along to the team for a future video. Was there anything in particular you would want to see covered?
great video but . . . many prebiotics are FODMAPs and you do not explain the conflict between avoiding FODMAPs, versus using prebiotics
That’s a very good point - prebiotics can be difficult to digest for some, though there are low FODMAP alternatives found in whole foods. Thanks for your insightful comment!
Do not go for low foodmap, just add digestive enzymes, one capsule with each meal
@@DrRuscioDC thanks for your great videos. Your presentations are very organized and easy to follow. Perhaps you can make a new video, examining the point i raised
@@user-nt9rj8sz4mDon’t give advice.
Q. Hello respected sir share some more Indian Asian raw Fruits for better Gut health issues with Gallbladder chronic cystitis issues huge underweight issues 88lbs below the BMI
synbiotic? as your slide showed... or symbiotic?
Can you recommend any prebiotics I can buy in the UK as shipping costs and customs is way too expensive for me I'm afraid
Could you tell us which fermented foods contain lactobacillus gasseri? Thank you 🙏
Hi! L. Gasseri can usually be found in yogurt, so I’d start there if that’s a food you can tolerate. Most probiotic foods indicate which strains they contain somewhere on the label.
@@DrRuscioDC Much appreciated!
Thanks for the information. Can we consider Apple Cider Vinegar Liquid/Capsule as a prebiotic?
Apple cider vinegar “with the mother” contains probiotic bacteria, so more of a probiotic than a prebiotic, but definitely potentially useful for gut health.
@@DrRuscioDC Thanks
@@DrRuscioDC It is said that bacteria cannot survive in an acidic environment. How does it survive ACD “with the mother”?
@@kandasamyrajan The bacteria in ACV is the type that can survive the fermentation process and live in an acidic environment. But you’re right that the acid does kill some kinds of microbes.
@@DrRuscioDC Thanks for the information. Some companies advertised their "ACD capsules with mother". As far as I know bacteria will not survive in dry environment. How far this company's advertisement is authentic?
i can only have some vegetables and plain meat with digestive enzyme and betaine hcl.. if i have any carbs i get bad wind, headrush, foggy head, incredible fatigue etc. Ive tried prebiotics and cannot tolerate them too, ive been taking probiotics recently and taking oregano oil and berberine but have had no joy, im stuck what to do i have been ill 12 years and completely intolerant to exercise. If i do the slightest thing i get mood change, depression, agitated and really achey especially the morning after. I dont know what else to do have you any ideas? ive had previous tests done which ive kept in a file
Did you check for celiac disease?
@@mirkop.7992 yep havnt had gluten for 10 years
I’m so sorry you’ve been struggling like this. Have you had any testing done? These symptoms could be attributed to multiple conditions. I can only imagine how hard it is, but hang in there. I really hope you start feeling better soon.
@@DrRuscioDC I've had Geneva metabolomix test, a stool test 4 years ago with OAT test and multiple other tests but don't know what to do to help :( because I had pain under my ribs I had my gallbladder removed but have the same problems after
In my experience of researching and dealing with gut issues for 10 unfortunate years: Prebiotics are typically very problematic for those with moderate-severe dysbiosis and auto immune disease. It's why carnivore diet works so well. For the healthy population, prebiotics seem fine. If you have any moderate or severe gut dysbiosis, best to use a probiotic with NO prebiotics. Prebiotics used to destroy me
I listened 3 times but still didn't get if you recommend probiotics in yeast & candida cases or not, please?
Hi there! Yes, probiotics can be very helpful against yeast and candida, inhibiting the growth of fungus. Definitely worth a try if you haven’t incorporated them yet.
@@DrRuscioDC and what about prebiotics please ? In candida cases
@@aurorab6553 Prebiotics are a little trickier. We don’t necessarily recommend them (especially in isolation) to patients with sensitivities or who have significant microbiome imbalances, which a yeast overgrowth could be. Probiotics may be the better course of action - bringing in the good bacteria first, then feeding it with probiotics down the line (vs potentially feeding the imbalance if you go with prebiotics first). Does that make sense?
@@DrRuscioDC Yes, it does, thank you so much for replying! So do you recommend taking probiotics first for 2-3 months & then prebiotics ? Or a month of taking probiotics will be enough before I can add prebiotics? Thanks in advance 🙏
Why do you have the harmful ingredient maltodextrin in your meal replacements?
Hi there! Maltodextrin is a common ingredient in elemental and semi-elemental diets because it’s a highly digestible, simple carbohydrate. Elemental diets are made up of essentially pre-digested nutrients, and for that reason they’re primarily carbohydrate-based. They’re mostly intended for people experiencing acute GI symptoms who can’t tolerate or digest whole foods. Rather than as part of a daily diet, these products are intended for short-term, focused courses of treatment (though they’re safe for daily or regular use as well).
Sorry if I’m telling you things you already know. But that’s why we’re somewhat limited in what ingredients we use if we also want the product to serve its purpose. If you look at comparable elemental diet and similar medical products, like Physician’s formula, they contain simple carbohydrate sources like maltodextrin and dextrose pretty much across the board.
@@DrRuscioDC
My daughter had SIBO, is there a specific type of probiotics for this condition or is it better not to take any
@@LauraMogollon-je6jjI’m so sorry to hear she’s been suffering with that. We recommend probiotics as part of our three-step approach to SIBO, ideally a mix of the three main types (lacto/bifido species, s. boulardii, and soil-based strains). More on that here: drruscio.com/sibo-treatments/. It’s especially helpful during a course of antibiotic or antimicrobial therapy. But some people who have SIBO have variable reactions to probiotics alone, so we always recommend trying it in combination with at least an elimination diet, if not also antimicrobials. If it’s not too personal to ask, what has she tried already for SIBO treatment? I hope she’s feeling better.
@@DrRuscioDC
Doctor told her to follow the FODMAP diet and prescribed XIFAXAN? Waiting for the insurance approval.
Prebiotics go with Prebiotics
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What are the implications if you were to take maltodextrin out of you're meal replacement?
@@brianbellamy5678I’m sorry I don’t have a more complete answer for you. This post on our site sums it up well and links out to studies that might be helpful references: drruscio.zendesk.com/hc/en-us/articles/360050245014--Why-does-Elemental-Heal-contain-Stevia-and-Tapioca-Maltodextrin. Part of the rationale behind using whey in the original formula is that it helps balance the carbohydrate load - but that also means it’s semi-elemental, not truly elemental like our whey-free version is.
I also want to clarify that it’s not a typical meal replacement so much as it is medical food. Elemental diets aren’t indicated for everyone, but they can be a lifesaver for people who are struggling to eat, get nourished, and absorb nutrients, and that’s why they’re formulated as they are.
They don't fix the underlying issues.