Updating the concept of prebiotics

The cookies contain no personally identifiable information and have no effect once you leave the Medscape site.This multi-part series will help you understand what prebiotics are, what they do, and how they may improve the health of your patients. Fibers, starches and sugars are actually all carbohydrates.

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Total fiber is the sum of dietary fiber and functional fiber.

Is there a difference between prebiotics and fibers?

He suggested that “intestinal auto-intoxication” and the resultant aging could be suppressed by modifying the gut microbiota and replacing proteolytic microbes—which produce toxic substances including phenols, indoles, and ammonia from the digestion of proteins—with useful microbes.

He developed a diet with milk fermented with a bacterium that he called “Bulgarian bacillus.” Other early developments of this concept ensued.

Although these studies are heterogeneous with regard to strain(s), prebiotics tested, and populations included, accumulated evidence supports the view that benefits are measurable across many different outcomes.

Probiotics are live microorganisms that confer a health benefit on the host when administered in adequate amounts [1] (Table 1). Kefir improves the efficacy and tolerability of triple therapy in eradicating Helicobacter pylori.

He hypothesized that it would displace proteolytic bacteria that cause diarrhea. Minoru Shirota isolated strain Shirota to battle diarrheal outbreaks. Francavilla R, Polimeno L, Demichina A, Maurogiovanni G, Principi B, Scaccianoce G, et al.

A probiotic product with this strain has been marketed since 1935. Lactobacillus reuteri strain combination in Helicobacter pylori infection: a randomized, double-blind, placebo-controlled study.

Disorders of the intestinal tract were frequently treated with viable nonpathogenic bacteria to change or replace the intestinal microbiota. Lactobacillus reuteri in management of Helicobacter pylori infection in dyspeptic patients: a double-blind placebo-controlled randomized clinical trial.

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