Dr.

B’s Probiotic Guide

A Supplement to Fiber Fueled
If you’ve read my book Fiber Fueled, then you already know how I feel about
probiotics and where they fit in with our approach to digestive health and are
here to get that extra level of information that I promised you in the book.
If you haven’t checked out Fiber Fueled yet, I’d strongly encourage you to
give it a look in addition to reading this guide. I’ve prepared this guide as a
supplement to the information that you’ll already find in the book. In other
words, this is not meant to be a stand-alone, comprehensive tool. Instead,
it’s meant to take you beyond the book and allow me to deliver up to date
information.

WHAT ARE PROBIOTICS?

Probiotics are live microorganisms that, when administered in adequate
amounts, may confer a health benefit for the person taking them. They can
help support the bacteria that already live inside of us. This is particularly
relevant when our bacteria need additional support, such as in the setting of
digestive disease, poor diet, or while traveling.
 READING THE PROBIOTIC LABEL
SERVING SIZE:
The amount that
should be consumed
to obtain the benefit. NAMES OF INCLUDED
MICROBES:
Should include genus,
species AND strain. For
example, in Lactobacillus
plantarum AB2:
Lactobacillus is the
genus, plantarum is the
species, and AB2 is the
COLONY FORMING UNITS strain. Strain is important
because different strains
(CFUS): within the same species
The number of live can have different health
microbes in the product. benefits..
Ideally presented with a
count for each strain.

PREBIOTIC: MANUFACTURER:
Some probiotic Worth noting as a place to
supplements will also gain additional information
include a small dose of on the product, ask
prebiotic. It’s generally questions and report any
not enough alone. adverse effects.
 PROBIOTIC GUIDE DISCLAIMER
Probiotic strains were included if there was a study conferring strong
evidence to support the health benefits of the probiotic. We considered a
positive outcome from a systematic review and meta-analysis, randomized
trial or an observational study with a dramatic effect to be considered strong
evidence. Only adult studies were reviewed and included. Specific brands are
not provided as they may change and this table is not meant to be a direct
endorsement of any particular brand. This table is for educational purposes
only and should not be considered medical advice of any variety. The decision
to use probiotics should only be made after a conversation with a qualified
health provider. This document will be updated as new information becomes
available. Please contact me and share the relevant supporting study if you
are aware of a probiotic that should be included in this table and is not.

INDICATION PROBIOTIC STRAIN RECOMMENDED DOSE REFERENCE

J Gastrointest
Lactobacillus reuteri Liver Dis
Constipation 100 million CFU twice daily
DSM 17938 JGLD. 2014
Dec;23(4):387–91.

Gastroenterol
Bacillus coagulans 150 million CFU, three times Hepatol
and fructo-oligosaccharides daily Bed Bench.
2014;7(3):156–63.

Irritable Bowel
Aliment
Syndrome with
Pharmacol
Constipation
Ther. 2007 Aug
(IBS-C)
Bifidobacterium animalis 1;26(3):475–86.
10 billion CFU, twice daily
DN-173 010 Aliment
Pharmacol
Ther. 2009
Jan;29(1):104–14.
 INDICATION PROBIOTIC STRAIN RECOMMENDED DOSE REFERENCE
Cochrane
Diarrhea:
Saccharomyces boulardii 5 million CFU/capsule or 250mg Database Syst
Treatment of acute
CNCM I-745 twice daily Rev. 2010;
diarrhea in adults
(11):CD003048

Lactobacillus acidophilus JAMA. 2012 May

> 10 billion CFU daily
CL1285 and L. casei 9;307(18):1959–69

10 billion CFU/capsule twice JAMA. 2012 May

Lactobacillus rhamnosus GG
daily 9;307(18):1959–69
Diarrhea: Prevention
of Antibiotic- JAMA. 2012 May
Associated Diarrhea 9;307(18):1959–69
Saccharomyces boulardii 5x10^6 CFU/capsule or 250mg Aliment
CNCM I-745 twice daily Pharmacol
Ther. 2015
Oct;42(7):793–801

Diarrhea: Prevention Int J Infect Dis

of C. difficile- Lactobacillus acidophilus IJID Off Publ
50 billion CFU daily and 40
Associated Diarrhea CL1285 and Int Soc Infect
trillion CFU daily
(or prevention of L. casei LBC80R Dis. 2012 Nov;
recurrence) 16(11):e786-792.

Aliment
Symptomatic Lactobacillus casei 24 billion lyophilized bacteria Pharmacol
Diverticular Disease subsp. DG daily Ther. 2013
Oct;38(7):741–51.

Clin Gastroenterol
Hepatol. 2014
Lactobacillus plantarum, Jun;12(6):1003–
Lactobacillus casei, 1008.e1.
Lactobacillus acidophilus,
Am J
Lactobacillus delbrueckii
Gastroenterol.
Hepatic subsp. Bulgaricus, 100 million CFU three times
2012
Encephalopathy Bifidobacterium infantis, daily
Jul;107(7):1043–
Bifidobacterium longum,
50.
Bifidobacterium breve, and
Streptococcus salivarius Clin Res Hepatol
subsp. thermophilus Gastroenterol.
2015
Dec;39(6):674–82.
 INDICATION PROBIOTIC STRAIN RECOMMENDED DOSE REFERENCE
NASH (Non-Alcoholic Bifidobacterium longum Dig Dis Sci. 2012
5 billion live bacteria once daily
Steatohepatitis) W11 + FOS Feb;57(2):545–53.

World J
Gastroenterol.
2012 Aug
14;18(30):4012–8.
Lactobacillus plantarum 299v
10 billion CFU once daily Am J
(DSM 9843)
Gastroenterol.
2014
Oct;109(10):1547-
1561

Lactobacillus rhamnosus
NCIMB 30174, L. plantarum Aliment
NCIMB 30173, L. acidophilus Pharmacol Ther.
10 billion bacteria
NCIMB 30175, and 2014 Jul;40(1):51–
Enterococcus faecium NCIMB 62.
Irritable Bowel 30176
Syndrome

J Clin
Saccharomyces boulardii 5 million CFU/capsule or 250mg Gastroenterol.
CNCM I-745 twice daily 2011
Sep;45(8):679–83

Am J
Gastroenterol.
2006
Bifidobacterium infantis Jul;101(7):1581–
100 million CFU, once daily
35624 90.

Gut. 2010
Mar;59(3):325–32.
 INDICATION PROBIOTIC STRAIN RECOMMENDED DOSE REFERENCE
J Gastrointest
Postoperative
Lactobacillus acidophilus, Surg Off J Soc
Sepsis in elective
L. plantarum, and 2.6 x 10^14 CFU daily Surg Aliment
gastrointestinal
Bifidobacterium longum BB Tract. 2016
surgery patients
Jun;20(6):1123–31.

Lactobacillus plantarum,
Lactobacillus casei,
Lactobacillus acidophilus, Dis Colon
Lactobacillus delbrueckii Rectum. 2007
Pouchitis Dec;50(12):2075-
subsp. Bulgaricus,
– treatment of 900 billion bacteria daily 2082; discussion
Bifidobacterium infantis,
active disease 2082-2084.
Bifidobacterium longum,
Bifidobacterium breve and
Streptococcus salivarius
subsp. Thermophilius

Lactobacillus plantarum,
Lactobacillus casei,
Lactobacillus acidophilus,
Lactobacillus delbrueckii Cochrane
Pouchitis
subsp. Bulgaricus, Database
– maintenance of 1.8 trillion bacteria daily
Bifidobacterium infantis, Syst Rev.
remission
Bifidobacterium longum, 2015;11:CD001176.
Bifidobacterium breve and
Streptococcus salivarius
subsp. Thermophilius

Gut. 2004
Nov;53(11):1617–
Ulcerative Colitis 23.
Escherichia coli
– maintenance of 50 billion bacteria twice daily Lancet Lond
Nissle 1917
remission Engl. 1999 Aug
21;354(9179):635–
9.
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