Do probiotics have side effects?

People often worry about taking live bacteria in a supplement, but probiotics are natural food supplements and not a medicine or drug. As they’re natural residents in our bodies, there aren’t any expected side effects when taking new supplements, and those that do occur are rare. A large number of clinical studies highlight that probiotic supplements are completely safe for human consumption, and research shows that it is very difficult to overdose on them.

What is normal?

As previously explained, side effects are not typically experienced when taking probiotics, but it is always a good idea to take note of how your body responds to any new supplements, foods, or medications.

Our gut microbiome is as unique as our fingerprints, there are no two exactly the same1. This can influence the response you may have to your probiotic supplement. Most people won’t notice any effects; however, a few people may notice some digestive changes to start with. These digestive changes occur as our gut microbiome adjusts to the introduction of new friendly bacteria. Probiotics encourage a more hospitable environment for other friendly bacteria to grow and facilitate the displacement of more harmful bacteria in the gut. Learn more by reading How do probiotics work? on the Probiotics Learning Lab site.

Woman with tummy ache

Individuals who are new to taking probiotics, and those with a significant imbalance between the good and bad bacteria in the gut, are more likely to notice some effects but however, this still depends completely on the individual.  Any effects are usually mild and subside with continued use as the body adjusts to the introduction of friendly bacteria2. The most reported initial side effects include bloating, increased flatulence or bowel pattern alterations. It is worth noting that taking a very large amount of the friendly yeast Saccharomyces boulardii may slow down stool transit time in those prone to regularity issues.

What can I do if I experience any side effects?

If you tend to be sensitive to new foods and supplements, or experience any initial effects, then it’s best to phase your new supplement in gradually. Just take half a capsule or sachet every other day to start with, and then gradually increase.  It’s fine to open the capsules and just take half the contents. If you need to, stop the supplement for a few days and then reintroduce in small amounts. This can help reduce the risk of disrupting the gut bacteria populations too much, and large numbers of bad bacteria dying off all at once as the good bacteria are introduced.

What is Die-off?

You may have heard the term ‘die-off’; this is thought to happen when there’s a lot of bad bacteria in the gut (dysbiosis) and they die off due to the use of certain medicines or supplements which might displace them, including probiotics. It’s believed that this phenomenon can result in a whole variety of different effects; however, if you experience unusual symptoms whilst taking a probiotic, don’t assume that these effects are related to the supplement. It is best to discuss any unusual symptoms with your doctor.

To learn more about dysbiosis and gut health, read the article Gut health – all you need to know on the Probiotics Learning Lab.

Health professionals can read more about side effects of probiotics in-depth over in the Professionals area.

Finding the best live cultures strain

As with different foods, some bacterial strains suit some people better than others. Again, no significant effects should be noted but you may just find that you get on better with some strains more than others. Finding the right type of friendly bacteria for the right person is usually straight forward but for some, it can involve trying a couple of different live cultures until they find the right fit. If you are unsure then our Nutrition Team are here to advise you – contact them on advice@optibacprobiotics.co.uk

OptiBac probiotics range
There is an OptiBac supplement to suit everyone

Side effects from prebiotics

Some people find that prebiotics (the food source for friendly bacteria) can cause minor discomfort, bloating or wind during the first few days of taking them. However, flatulence can simply be a sign that the body's good bacteria is being stimulated and these symptoms should disappear and improve with time. As such, the benefits of taking prebiotics generally outweigh the minor discomfort you may experience initially. In the rare case that symptoms do not decrease after a few days, consider reducing your dose of prebiotics before gradually building it up again.

Visit the Probiotics Learning Lab to find out more about prebiotics

Note: Probiotics are not recommended for those with serious medical conditions e.g. those who are severely immunosuppressed, have pancreatitis, are in the ICU, have melaena, have a central venous catheter, infants with short bowel syndrome, or to patients with open wounds following major surgery; unless under a doctor's care. Furthermore, pregnant or breastfeeding women should consult their doctor before taking Saccharomyces boulardii supplements. To read more about the contraindications, you may wish to read 'When should I not take probiotics?'

References

  1. Grice EA, Segre JA. The human microbiome: Our second genome. Annu Rev Genomics Hum Genet. 2012;13:151-170. doi:10.1146/annurev-genom-090711-163814
  2. Williams NT. Probiotics. Am J Heal Pharm. 2010;67(6):449-458. doi:10.2146/ajhp090168
  3. Mego M, Bendezú A, Accarino A, Malagelada J-R, Azpiroz F. Intestinal gas homeostasis: disposal pathways. Neurogastroenterol Motil. 2015;27(3):363-369. doi:10.1111/nmo.12498
  4. Mego M, Accarino A, Tzortzis G, et al. Colonic gas homeostasis: Mechanisms of adaptation following HOST-G904 galactooligosaccharide use in humans. Neurogastroenterol Motil. 2017;29(9). doi:10.1111/nmo.13080

Author: Beverly Richards, DipION Nutritional Therapist