The Best Supplements for the Gut Microbiome - According to Research
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- เผยแพร่เมื่อ 17 ต.ค. 2024
- Today I'm sharing what the research shows are the best supplements for the gut microbiome, so you know which ones are actually worth taking.
Join me.
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About me:
I’m a clinician, clinical researcher, and author working fervently to reform and improve the field of functional and integrative healthcare. My primary focus areas are digestive health and its impact on other facets of health, including energy, sleep, mood, thyroid function, and more.
My clinical and research team has published our research and clinical experience in peer-reviewed medical journals. We use this experience and research to inform the talks I give at integrative health conferences as well as the free resources available at drruscio.com/. I’m also an adjunct professor at the University of Bridgeport.
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.
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Get the Probiotic Starter Guide: drruscio.com/getprobioticsguide/ Thank you for watching!
Excellent video, thank you for this information. Do you have a recording of how to help caesarean born babies increase the microbiome please? Is breastfeeding alone effective enough for the gut flora?
I keep feeling when I watch your videos that people might get the wrong idea, that you're saying prebiotics are trash and useless. My interpretation of what you're saying is that while increasing prebiotics is not an effective intervention for dysbiosis, that doesn't mean that a diet that forms a good foundation for eubiosis will not be characterised by high-prebiotic factors. I hope that makes sense. This really helps explain for me that patchy response I've had from my persistent use of fibre and prebiotics, but at the same time I'm glad I don't have to give them up. (at least not permanently) I'll keep thinking about how I can incorporate probiotics for my IBS-D and likely dysbiosis, as I've started recently with the Saccharamyces fungi and I don't want to overdo it or miss something else important to my journey. Thank you for being here.
My doctor doesn’t believe in supplements at all. He gave me the triple antibiotics for one week (I was still very ill when I was finished with them), he told me nothing about probiotics. I had to figure all this out on TH-cam. I’m doing much better thanks to doctors like you!
I always take Probiotics when taking antibiotics to prevent the wicked vaginal infections afterwards!!
Your doctor should be fired 😮
There's no money in herbal supplements. Try oil of oregano for gut issue's.
Antibiotics destroy your immune system
He recommended:
Three families of probiotics together in balance.
Lacto-Bifido blend
Saccharomyces Boulardii
Soil-based Proɓiotics
NOTED
THANK YOU!
I was taking a probiotic specifically made for Sinus Infections. It was called Lactose Bacto. That and a watered down baby shampoo was the only thing that cured my chronic sinus infections!!
No confusion, everything is clear: when you have problem in large intestine, then prebiotics works, but when you have problem in large intestine AND in small intestine then prebiotics don't work because they help bacteria in large intestine but lead to even bigger overgrowth in small intestine. It's easy. That why very important to use Migrating Motor Complex (MMC) to the fullest. To move part of bacteria from small to large intestine. That's why today I am eating two times a day - to make more time for intestine to work, to move bacteria from small intestine. So looking forward on your new video - about Migrating Motor Complex!
This begs the question why the vast majority of the available probiotic blends contain only one of the three types of probiotics - even those who make a boast on combining multiple species for "maximum effect".
Thank you for saving me all the headaches I'm sure you went through reconciling all of this info into a digestible 30 min TH-cam video Doc. I appreciate your time and work
So glad you liked it! Appreciate your kind words.
@@DrRuscioDC doc probiotcs seem to help my stomach but for some reason make me dizzy and make my heart race its very weird but i seem to have this reaction with a few of them. Any suggestions ?
Thank you for your time & knowledge on this complex problem that is so common in our society today.
You're welcome. We are dedicated to research and sharing the information we find to be most helpful.
Excellent, in-depth information sending out much appreciation for your time and energy. Really really well balanced and thoughtful considering that there are so many parts involved with gastro issues 😁 I will be watching and listening to this one again
Im going to try your 3 strain probiotics! I have bloating, distention, sibo, diherea everyday of my life and if i get better or very good results i will promote you for the rest of my life!!!
Awesome! Let me know how it goes! I have a Probiotic Guide that you can download if you need more info or instructions. drruscio.com/getprobioticscornerstone/ Page 30 is where the triple therapy instructions start. And please reach out to help@drruscio.com if you have any questions or need help. (You'll get a quicker response there) :)
@@DrRuscioDC I may end up seeing you specifically Dr Ruscio, My story I think will intrigue you and I think you would be determined to help. I had NO Gi issues and went to the ENT because I am allergic to my cat, PA scoped my nose and thinks I had silent reflux, put me on max dose ppi - two week later my life changed. A nightmare of a story. And I need the best to help me desperately, The ENT ruined my life.
Thank you for this information and especially for including/explaining the research data. Looking to add probiotics to my gut healing journey. I was going to add pre-biotics as well but after watching your video, I’ll start with just the probiotics. Before I make a purchase I’ll be sured to check out your guide! 🙏🏽
@@portlandgeek I appreciate that. Please let me know how it goes after you try probiotics for a while! And good luck!
Try eating fruit yogurt n taking mushroom supplements😊
Oh, my goodness, so clear and helpful. Thank you!!
So easy to understand! Thank you very much for this content. I am saving this video.
It would be great to hear your recommendations for those with resistant SIBO that’s causing leaky gut and histamine intolerance. Balancing between histamine producers and liberators is challenging.
Thank you so much for this video! Yes, I was wondering about prebiotics or fiber that's supposed to be good for constipation but I thought it's hard to digest and gives me gas and bloating! Your video had just cleared up my confusion. Also, I had been using a probiotics supplement because I had been diagnosed with IBS some time ago but never really knew what it was doing for me. I didn't know if it helped. So now I know what to observe and look for. Thanks again Dr. Ruscio! 😊
Can’t thank you enough for such an amazing video. Only we know how debilitating this disease is . I have noticed when I have flare up , my face looks bloated and dull Which makes me look aged . If any one in the comment section is suffering from gut related face bloating , please leave a reply . Thank you
Same problem is here with me can you plz Help me?
Your channel is adding many enriching layers to my understanding and experience of all things related to the gut. Thank you Dr. Ruscio.
Do you have any thoughts about the question of the over-activity of 5-HT in IBS-D? I'm enaging with the scant number of studies on this topic, and am getting the impression that supplements such as L-Tryptophan would be considerably contraindicated for IBS-D. Your thoughts would be greatly appreciated.
🇦🇺
Great (and helpful) info!
Thank you Michael! 💯😊
Thanks for all the effort research and time you put into these presentations, they are helpful and very informative
Glad you like them!
What herbal antimicrobials do you recommend? Thank you.
Oregano Oil
Great video. Subbed! Like the camera setup and recording space
Thanks a lot! It's definitely been a process getting it to here so I appreciate that feedback!
This is amazing information. Would you be able to link the research articles you are discussing in the description of your videos?
I have diverticulitis . Worried about trying them since they may cause constipation and worsen my condition . Which probiotic would be the best for me . Thanks a ton 😊
That was super interesting. Thanks for sharing. What about people who claim total resolution from going hardcore carnivore with elimination of all fibre. I know some people who push back on this cute one study stating an increase in a very inflammatory gut microbial bacteria known as Bilophila wadsworthia in participants fed a meat only diet for 5 days vs those fed a all vegetable diet for 5 days. Some people claim that this is bad given that Bilophila wadsworthia, is known to contribute to colitis, and a variety of inflammatory bowel disease, in mice. The key operative word there is mice. No human studies have been done to support this finding in humans, and the interestingly anecdotal infirmation from people switching to a all carnivore diet to resolve such conditions would suggest that after many years of following such diets, they have experience no flareups. That suggests an interesting paradox given they have likely dramatically increased the genesis of Bilophila wadsworthia. Also, I have read much information suggesting that fermented vegetables, kefir and kombucha may be a better way to get needed probiotics vs supplements as supplements do not survive stomach acid. And for the record, I am not a carnivore or plant exclusive vegan, I just try to look at both sides of the debate objectively and call out BS from either side.
Awesome information Dr. Thank you ❤
Thanks for watching! And if you have something you're interested in hearing more about, feel free to let me know :)
In your research have you looked into bacteriophages? As a benefit to diversity in the gut? Thanks for the video.
Thank you so much Dr Michael Ruscio !
Any time!
I would like to take these research articles to my doctor. Thank you!
Thanks for the video Dr. Very informative.
What are your thoughts on a negative SIBO test but classic SIBO symptoms???
Thank you!
I typically recommend people treat the symptoms, rather than focus on lab results. It might not be SIBO, it might be SIBO. But it seems gut-directed therapies are likely to help either way. :)
@@DrRuscioDC Thank you so much for taking the time to reply. It means a lot.
What supplements or probiotics should I take after a course of antibiotics?
Hi, sacromyces boularddi (I’m
Sorry I know I haven’t spelled that correctly 🫣) I heard this from Dr. William Davis here on TH-cam if you look it up hope you can find the correct strain. Best wishes ❤
Kefir
Doc why is maltodextrin used in your elemental when it is known to cause dysbiosis?
Thank you
Are the just as effective if you have a gallbladder removed?
Dear Doc,
Which herbal antimicrobials would you suggest to improve the SIBO.... plse help.
🙏
Oregano oil
Fasting 2 days better 3
Narine a probiotic
Intermittent fasting
Potassium chloride
Spirulina
Vitamin c
Antibiotics causes GERD which probiotic can i take to remedy this
very very useful information ❤
So glad to hear that! Thank you. :)
In this case, why do COPD patients who use antibiotics increasingly frequently die from drowning in their cytokines? I have observed in many people that antibiotics worked at first and then caused a huge disaster, I also that probiotics stopped my persistent cough. I think the intestines are not working the way you describe. Antibiotics are certainly not innocent.
So many supplement s on your site. Which one do I get? I have irregular bowel movements and each time I’m on the toilet for an hour before I feel relief. I have gut inflammation and anxiety I take a Friska men’s daily
What about yoghurt, kimchi, kefir, cambucha and sauerkraut?
Great question! I'm actually releasing an episode that touches on the exact foods you listed. So keep an eye out!
These foods must be RAW!
I I took rifaximin paired with metronidazole for IMO back in December and it completely destroyed my gut. It’s almost June now and I still haven’t been able to recover.😩
Unreal timing of this release
hey doctor could you pls tell me about l glutamine does it really works and if does then how should we take it in context of leaky gut
Question: I’ve been on the specific carbohydrate diet for about 6 weeks and am having great results. No more chronic diarrhea, and a surprising improvement in energy and cognitive function. But not finding a lot of discussion about this. What is your take? I’d love to see a video about this. Thank you for your information and well thought out videos!
I'm happy that it's working for you! Sounds like such great results, and I love hearing what works for people as everyone is so different. Honestly, I don't have much to say about it at the moment, but I'll definitely make a note to look into/consider it more. Appreciate you asking!
@daphneorlando2441 I have been in remission for a while now but 2 weeks ago i started again having a flare. I eat clean clean, no processed foods, sugary foods etc. During normal daily life i would have probiotics, yogurt loaded with probiotics, Sauerkraut 2 spoons in the morning, grass fed bone broth like if it was my coffee or organic jasmine tea no te bag (i don't drink coffee) i buy/eat prebiotics foods, good fats and good carbs sweet potatoes, quinoa all in moderation small portions, chix (protein) wild caught salmon (omega) wild caught tuna etc etc
But because right now I am having a ulcerative colitis flare i stop all of it and having chix, fish etc but with white rice, white smashed potatoes (no milk no butter) squash soup which i put 2 potatoes cooking it with bone broth, ginger root, leaks (prebiotics) then put all of it in the blender. My point with this is.. that YES eating carbohydrates during a ulcerative colitis flare does help your gut, your colon. It stops your colon for over working and letting it rest = less going to the bathroom. Now..i never ever eat this type of food refined carbohydrates but because of my flare right now i had to change asap my foods.
My gastro also gave some samples of probiotic pills. She said they are doing studies with this probiotic and they sell it in the pharmacy but need to go and ask the pharmacy clerk behind the counter. So far I haven't be able to find it at Walgreens, went to 3 pharmacies but need to go still to CVS and others and ask.
And one more little detail that i have not tried because I couldn't find it: The white Champagne RAW KEFIR (not from the stores) so i found a farm here in Florida Delray Beach that have the cows that eat grass, hens etc and they make the Kefir, however the public can't go inside the farm no allowed because in USA it is not legal to sell Raw Kefir in the stores because it needs to be pasteurized which that's not what we want us with this problem. So you ordered online and then wait a week, then pick it up in their store/establishment on the weekend Saturday because they need to make it, kefir needs to go thru the process. My point with this is if you suffer from this terrible decease do a research and try to find a farm or place where they sell the white champagne Raw Kefir. Waiting for this Saturday to pick up my order and let's see! Good luck everyone and hope you all find the way to feel better!
Yes, it's disheartening when you are doing all you can and then out of the blue a flare occurs 😢
@@Jackie-us6sl I hear they now are selling raw milk for animals! Whole Foods may be getting it soon. It is not hard at all to make your own kefir or yogurt using any milk you want. . You just mix about a quarter cup into a liter of milk in a Glass (sterilized) jar. Leave it out overnight or for two days if you like it more sour (more probiotics). I leave it in my cold oven that has a pilot light and is thus slightly warmer than room temperature. I like to mix berries & powdered stevia in it. I like the now brand. Hope this helps!
@@Jackie-us6slThank you! You may consider stopping all seafood especially Tuna bc Mercury content which taxes your GI and replace with organic canned chicken salad and see how you do. I'm on this journey too so Just a thought. you do what's best for you. And best wishes.
I am suffering from chronic constipation since my childhood. Will any probiotic help me Dr? Love from India.
Probiotics definitely have potential to help. I'll attach an article of mine about that for you: drruscio.com/probiotics-for-constipation/ Hope that helps!
Fasting
Drink more water destilliered one
Flaxseeds
Potassium chloride
Very helpful 🙏
So glad you think so!
Thank you would be a good idea if you share your informations in bold or big writing. Can be very complicated otherwise.
Noted. Thank you for the feedback
OK I'm only interested in what as the title of the video says is "The Best Supplements for the Gut Microbiome" so that I can quickly find out what they are and where to get them. I browsed through this long video but couldn't find this information - all I see is explanation why these supplements are the best which is fine but what are they and where do I get them? Please, provide a short answer!
Hi there. Check out 26:30, there is a good graphic to answer there for you!
What is the best healing protocol after a regiment of Xifaxan for SIBO.
Fasting destilliered water
Spirulina
Flaxseeds
Potassium chloride
Is there any place in the EU i can order thoose triple probiotics?
VLS 3 probiotics is the best in Europe! Strongest best proven used by hospitals even
I have something called N-A-G supplement. When I feel I have a mysterious head hypertension problem I look to my gut.
Thank you, Dr!
You're most welcome!
Can you do a unit conversion into CFU/ colony forming unit values?
Our probiotic packaging in South Africa are beginning to use that measurement.
I have hydrogen and methane sibo I’ve started a probiotic and homeopathic toner treatment based off the analysis my naturopathic doctor gave me. I was prescribed rifaxmin but was scared it would cause worsening effects so I tried the natural route first. My bloating has gotten better but it’s not optimal, I still have slow gut motility, slow excretion of waste I’m always tired I’m anemic and I’ve lost so much weight. What do you recommend I do?
How did you do your test of Sibo, I ask to my GI doctor they didn’t even know what sibo test is. Even I ask to the lab about this and they also said that they don’t know about sibo. I have the same symptoms as yours
Thanks DOC💕✨🫧
Thank you for this video - it pointed me towards the Clostridium butiricum probiotic which is used in Asia against Clostridium Difficile infections. I don't want to do the Saccharomyces Boullardi since there were rare cases of fungemia with it.
I'm glad it was helpful to you!
What herbals?
What supplements are the best for silent reflux?
Baking Soda gargle is your ultimate answer. 🙂
Acv pills got,rid of mine over course of several months, but could tell in just a few days it was working. Also cardio helps a lot
Can you specify which herbal medicine helps ibs? Thanks
I'll attach the study I referenced here: www.ncbi.nlm.nih.gov/pmc/articles/PMC4030608/. There were different types used and they're listed under the "Treatment" section. If you want a more comprehensive protocol for IBS, I do cover it in my book "Healthy Gut, Healthy You". I'll also attach an article here that might be useful to you: drruscio.com/ibs-pain/ Hope that helps!
Do you have any videos on candida?
Not yet, but I have a couple articles about it! drruscio.com/strongest-candida-killer/ and drruscio.com/candida-overgrowth-test/ Hopefully those can help in the meantime :)
@DrRuscioDC what product do you recommend after two week course of antibiotics and microbiome testing confirming low to no bifidobacteria?? Thank you.
Hey there. I can't really diagnose or treat individuals on this platform. I'll attach an article I think will be helpful though: drruscio.com/taking-probiotics-with-antibiotics/ And if you would like personalized advice or guidance, you can make an appointment with our clinic (ruscioinstitute.com/). Hope that helps!
I have ibs d plus my pancreati doesn’t produce digestive enzymes . Help I don’t know what to do anymore . Dr has come up with taking Creon . Hasn’t helped me at all
Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to have you
What Herbal Antimicrobial one needs to take doctor?
This article takes a look at some of the research behind a few antimicrobials and the conditions they can help treat: drruscio.com/antimicrobials/. I hope this helps!
@@DrRuscioDC Thanks a lot doctor.With respect and blessings from India 🙏
probiotics are transient, they do not rebuild your commensal microbes. Butyrate and tributyrine work for many, but not for all, its complex and we all need to sort out what is best for us as individuals. antibiotics often cause our gut issue in the first place.
Does you have a probiotic supplements for anxiety and depression?
B complex
Probiotics, in general, may help mental health. You don't have to get too specific about the strain.
What are the herbs tho?
Doesnt the stomach acids kill the probiotics.
It depends. A lot on the market are false claims. There are only so many that work.
Which probiotic are safe to take by SIBO/IMO?
Narine
But you have to fast
Intermittent fasting
Thank you for the video. What about having probiotics through food, as yogourt with special strains, milk or water kefir, fermented vegetables or kombucha?
So getting probiotics from food is great! It's just almost impossible to get a truly therapeutic dose. I wrote an article about probiotic beverages, but I touch on food in there as well: drruscio.com/probiotic-drinks/ So feel free to check that out if you want a little more info :)
@@DrRuscioDC Thank you for your answer.
Is this probioc ok for people treating SIBO with formal diet?
@Linda pelle I could not do anything fermented or probiotics when I had SIBO.
@@roxannebudd1978start slow, like 1/8 tsp once per day. Understand if you get an upset stomach, it’s from bad bacteria dying off. Keep going - just go slow. Skip a day or two, if you have to, when you start, but keep going as your body will adjust. Good luck!🍀
Could you make a video about akkermansia?
Noted!
What do you think of colustrum as a supplement?
If diet, stress reduction, probiotics, and digestive support haven’t helped an issue after a few weeks colostrum is something to consider. :)
Some may see improvement by simply trying a carnivore diet. My gut significantly improved after 2 weeks & it occurred w/out probiotics.
Can you recommend a herbal remedy for sibo?
I have a video about this that I'll link here for you: th-cam.com/video/jzHaYRQZ9wI/w-d-xo.html :)
I spend the last 8 months or so trying to fix my gut using all the information I can get from your book and website ,but still I'm not 100% recovered, my main reasons why I can not be a patient at your clinic is because I don't speak English language very well (and im located in Saudia Arabia) please help me Dr Ruscio.
I'm sorry to hear that you're still struggling. I don't know that I can help outside of all the resources I have on DrRuscio.com, because I can't give you medical advice without you working with the clinic. Is there a topic I can point you to? More information about gut-healing maybe?
Where in Saudi Arabia are you?
any tips for EBV reactivated
Ever since I started eating healthier I don’t experience much constipation. Mainly severe anal dryness which causes friction making hemorrhoids and fissures. I’m looking for a supplement that promotes peristalsis so there is natural lubricant. Do you think these supplements will help my situation? I already take vitamin c b and magnesium. Still very dry.
Hi dr , I have been taking probiotic of 4 weeks and now I feel boated and constipated, I'm confused, I have leaky gut
Check out L-Glutamine, low sodium organic beef and chicken bone broth, moringa powder, matcha powder, wheat grass powder and drink warm lemon water first thing in morning.
Be careful with L-Glutamine. It can make you feel worse. It gave me anxiety!!! It didn’t even matter how small dose, with or without food.
Fasting drinking destilliered water
Vitamin c
Spirulina
Flaxseeds
Potassium chloride
I have silent reflux but im reacting to probiotic mix and also single strain acidophilus whenever i take them. The only one i didnt is S bourladii. What is wrong with my system?
I can't say for certain, as I don't know your case. But I'll link some of my articles here about silent reflux that I think could be of use to you:
drruscio.com/lpr-treatment/
drruscio.com/lpr-symptoms/
drruscio.com/lpr-diet/
Hope that helps!
They all produce lactic acid , this causes and increases reflux and silent reflux.
I am the same and found they also histamine producers .. I’m on low histamine and low salicylate .
Hi! I have been watching your videos for quite some time and find them to be super informative..
I have a question..
I have an autoimmune skin condition VITILIGO along with Hypothyroid...If I were to buy a probiotic suppliment what specific bacterias should I be looking for that would help improve my condition
Thank you. And good question. However, I don't think you need to be too worried about strain specificity. I often recommend people take a multi-strain probiotic or probiotics from different categories, that way you'll be most likely to get benefits. The thing to watch out for here, is that brands will often fund studies about their probiotic strain, see benefit, and then frame it as though their probiotic is uniquely beneficial, when most probiotics work the same way. So sometimes strain specificity is more a result of marketing than science. Hope that all helps!
i use vsl3 probiotics
What can be given to a six year pld child who needs a probiotic. Doctor do not help. She is constipated and have her on miralax. A video for children would be great. Doctors are really no help.Please an idea would be greatly appreciated
Good question. I have an article about this! drruscio.com/kids-probiotic/ Hope that helps!
Thank you will try.
I try talking to staff but no answer. Please l need some help will pay how can l contact some staff of yours to make it easy and pay. I do not want bouncing from one place to another. They send me someowhere else. 😢
I'm 66yrs old I've had Silent reflux/ gerd & CONSTANT diarrhea for almost a yr not sure what probiotic to take! Im on zinc L carnosine, ginger, Dgl licorice, Artichoke & Aloe Vera juice, Nothing is helping!!!
Hey there. I'm sorry to hear that. I'll attach an article about starting probiotics: drruscio.com/probiotics-starter-guide/ And I'll also attach a video where I discuss a simple protocol (probiotic types and doses): th-cam.com/video/W_K8wLoji9Y/w-d-xo.html Hope that helps!
Thank you so much for getting back to me, I will take this info into consideration!
what kind of probiotic need for psoriasis
You can likely take whichever probiotic you'd like. Strain-specificity seems to be less important than we thought.
What do you use for biofilm buster when you take antimicrobials? And do you take it before you start treatment or during?
The best biofilm I found is Modified Citrus Pectin. What I used prior to that did not work!
Another good one is rock rose, you can find it as a tea and a tincture I think but I use the tea and it works well for me
@@mariejimpowerfulsorry for being ignorant but what is a biofilm buster
@@saffronslsorry for being ignorant but what is a biofilm buster ?
@@watchyourplate9150 biofilm is a structure made by the bacteria so they can hide in it so treatments won’t work unless you tear down that structure
Subscribed done...
Can a dna test help to diagnose small intestine issues?. Thank you sooo much for this information
Of course! And you should actually watch my other video about this: th-cam.com/video/feXQBF6TWgU/w-d-xo.html That should give you a good idea of the research and efficacy of that :)
@@DrRuscioDC oh great! Thanks
If Americans would quit sugars & carbs and eat real food, that would be a good beginning...
That intro jingle is obscenely louder than the rest of the video. Please scold the person responsible for this idiocy.
Probiotics waste of money, drink raw kifer instead .
I drink raw a2 organic so good for my belly
You're like the Andrew Huberman of the "second brain."
Your intro music is way too loud. Please normalize the volume.
Thank you for the feedback.
Copper.
What you mean by copper?
@@ayadhussin6771 copper supplements.
😂🎉😢😢😮😅😅😊
It's my understanding that Saccharomyces Boullardi can aggravate yeast/candida so I've been afraid to take it. Do you know anything about this side effect?
I've heard that, but it isn't necessarily true. I'll attach an article of mine here about candida killers, one of which is probiotics: drruscio.com/strongest-candida-killer/ I hope that helps!
Thanks so much. I really appreciate the information@@DrRuscioDC