When is the best time of day to take probiotics? | lifestyle

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Deborah T. writes:

“I enjoy reading your columns in our local newspaper because they are informative and relevant. Would you write a column about when to take probiotics? , a nurse and numerous friends. Everyone has a different answer (or no answer at all). Take them half an hour before you eat. Take them two hours after you eat. Take them in the morning. Always on! There seems to be controversy over how enough probiotics can get into the gastrointestinal tract alive for them to do their job. Thanks.”

Great question, Deborah.

It seems that the exact time of day that you take a probiotic is not as important as other considerations, such as when you are taking a probiotic. B. Why you are taking it in the first place. Most research focuses on the effects of different strains of probiotic on certain health conditions, not the exact time of day they are taken. (More on this in another column.)

For example, there is good evidence from at least 19 published studies that taking probiotics within a day or two of starting antibiotic therapy was the most effective way to prevent Clostridium difficile (C. diff) infection in hospitalized patients. C. diff is a bad beetle that causes severe diarrhea.

The effective doses of probiotics for different diseases vary depending on the disease condition – and the respective probiotic strain – one to three times a day, according to an in-depth report by the World Gastroenterology Organization (WGO) on the subject.

Probiotic manufacturers usually recommend a dose or two a day depending on why you’re taking them. For example, a product label says to take one capsule a day. But “when you travel, take two capsules (one in the morning, one in the evening). Take one capsule twice a day while taking antibiotics and continue for 10 days after you have finished taking antibiotics. “

Another manufacturer states that it doesn’t matter what time (time of day) you take their product – just take it as part of your daily routine at a time that is easy to remember. That makes sense.

And don’t forget that we can also get probiotics in fermented foods like yogurt. Whatever the source, remember that only products with live cultures are effective for promoting health.

Living organisms can also die. Therefore, look for products that indicate the total number of Colony Forming Units (CFU) on the expiration date or on the expiration date. Avoid products that list CFU counts “at the time of manufacture,” advises the International Scientific Association for Probiotics and Prebiotics, as this information does not take into account the limited lifespan of these good beetles.

(Barbara Quinn-Intermill is a registered nutritionist and certified diabetes educator for the Monterey Peninsula Community Hospital. She is the author of Quinn-Essential Nutrition (Westbow Press, 2015). Email [email protected].)