Probiotics: Should you be taking one for gut health?

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After graduating from George Mason University in 2017 with a double major in Journalism and French, Sara started her journalism career near Washington, D.C. reporting for USA Today\u0027s entertainment and travel sections. She then helped launch the newspaper\u0027s wellness vertical, covering intersections of culture, mental health and lifestyle trends. She has covered everything from stigma against LGBTQ patients to the latest problematic TikTok trends and has interviewed celebrities from Lady Gaga to Michael Phelps. Now she brings her passion and knowledge of health reporting to CBS News\u0027 HealthWatch.","sameAs":"https:\/\/x.com\/https:\/\/twitter.com\/SaraMoniuszko","knowsAbout":["Health","Men\u0027s Health","Women\u0027s Health","LGBTQ+","Mental Health","Culture of Wellness"],"affiliation":{"@type":"Organization","name":"CBS News"},"worksFor":[{"@type":"Organization","name":"CBS News"}],"publishingPrinciples":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/"}],"editor":[{"@type":"Person","familyName":"Ruiz","givenName":"Joe","name":"Joe Ruiz"}],"publisher":{"@context":"https:\/\/schema.org","@type":"NewsMediaOrganization","@id":"https:\/\/www.cbsnews.com\/","name":"CBS News","foundingDate":"1927-09-18","sameAs":["https:\/\/www.cbsnews.com\/","https:\/\/www.facebook.com\/CBSNews\/","https:\/\/instagram.com\/cbsnews\/","https:\/\/twitter.com\/CBSNews","https:\/\/www.youtube.com\/CBSNews","https:\/\/en.wikipedia.org\/wiki\/CBS_News"],"logo":[{"@context":"https:\/\/schema.org","@type":"ImageObject","height":60,"width":600,"url":"https:\/\/www.cbsnews.com\/assets\/standalone\/cbsnews-logo-white-600x60.png"}],"url":"https:\/\/www.cbsnews.com\/","parentOrganization":{"@type":"Organization","name":"Paramount Global","@id":"https:\/\/www.paramount.com\/","sameAs":"https:\/\/www.paramount.com\/","legalName":"Paramount Global"},"actionableFeedbackPolicy":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#1d4ed2b9-ade8-4203-a4e4-115dd34c0735","correctionsPolicy":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#751608ae-9468-457c-9dbe-1f9400a7f428","ethicsPolicy":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#a0060f90-73b0-4a57-b756-ca7a7f26cc7d","Masthead":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#5fd9a80d-2c6c-4d38-8b1e-4144650d5963","missionCoveragePrioritiesPolicy":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#4ffda755-6b47-49e1-b98c-24b737906aca","ownershipFundingInfo":"https:\/\/www.paramount.com\/company-history","unnamedSourcesPolicy":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/#de41886e-07ed-4887-ad05-4b2c79edf857","publishingPrinciples":"https:\/\/www.cbsnews.com\/news\/cbs-news-publishing-principles\/"},"articleBody":"Probiotic supplements line store shelves, but should you be taking them?Scientists\u0027 understanding of probiotic supplements is evolving. Once viewed as a useful daily dose of commercially manufactured mixtures meant to replicate the healthy bacteria found inside our bodies, now some experts say these products might not be as helpful as once thought.\u00a0\"Each probiotic is very specific and each person is very specific in terms of what they need, especially if they\u0027re having some GI symptoms caused by microbiome imbalance or dysfunction,\" says Dr. Aditya Sreenivasan, a gastroenterologist at Lenox Hill Hospital. And since a test doesn\u0027t yet exist to give someone an exact answer of what their gut may be lacking and what probiotic can help, it\u0027s \"really a trial and error situation,\" he says.\u00a0That\u0027s why he says he almost never tells people to stop taking them if they\u0027re finding some benefit from it, but also rarely advises people to start.\u00a0\"If they\u0027re already taking something, and it has made some symptom get better, then great ... especially if you have like significant IBS that\u0027s not responding to (other options like) change in diet, trying probiotics is reasonable,\" he says. \"My caution about that is they\u0027re really expensive, and I feel like the majority of people end up just wasting their money.\"Dr. Shilpa Ravella, transplant gastroenterologist and assistant professor of medicine at Columbia University, has also had patients who \"swear that probiotics make them feel better,\" but thinks supplements are best used to help with specific issues with a doctor\u0027s guidance.\u00a0\"There are specific clinical scenarios in which probiotics are prescribed,\" she says, including things like inflammatory bowel disease, irritable bowel syndrome or antibiotic-associated diarrhea.But experts say to be mindful before using them.\u00a0While probiotics are safe for almost everyone, if you have certain health conditions, such as being immunocompromised, Crohn\u0027s disease or ulcerative colitis, \"I would use them with caution,\" Sreenivasan says.The Food and Drug Administration does not classify probiotic capsules as drugs, which means they do not have to be proven \"safe and effective,\" CBS News chief medical correspondent Dr. Jon LaPook reported. When added to anything, probiotics only need to meet a lower standard: \"generally recognized as safe.\"Ravella says the best option is to talk to your gastroenterologist about a probiotic that could help you if you have a certain condition or symptoms.But, if you\u0027re not having any outlying symptoms, she advises focusing instead on eating whole, plant foods to support your gut health before reaching for supplements.\u00a0How to improve gut health, according to experts4 food groups to focus on for gut health","alternativeHeadline":"What\u0027s the deal with probiotics? Should you be taking one?","video":{"@context":"https:\/\/schema.org","@type":"VideoObject","mainEntityOfPage":{"@type":"WebPage","@id":"https:\/\/www.cbsnews.com\/video\/probiotics-good-bacteria-60-minutes-2020-06-28\/"},"name":"Probiotics: Should you be taking them?","description":"Probiotics, manufactured mixtures of \"good bacteria\" that help digest food, have become a growing multibillion-dollar industry. 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class="lazyload embed__frame" data-width="1920" data-height="1080" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen" id="probiotics-good-bacteria-60-minutes-2020-06-28--hero" title="Video: Probiotics: Should you be taking them?" data-sort-time="1593384684000" data-update-time="1593384684000"></iframe> </div> <div class="player-overlay--draggable-handle"></div> </div> </div> <figcaption class="embed__caption-container"><a href="https://www.cbsnews.com/video/probiotics-good-bacteria-60-minutes-2020-06-28/" class="embed__headline-link" data-invalid-url-rewritten-http=""> <span class="embed__icon"> <svg viewbox="0 0 32 32" aria-hidden="true"><use xlink:href="#icon-video"></use></svg></span> <span class="embed__headline">Probiotics: Should you be taking them?</span> <span class="embed__video-duration">13:01</span> </a> </figcaption></figure><section class="content__body"><p><span class="link"><a href="https://www.cbsnews.com/news/probiotics-may-not-be-that-helpful-and-could-actually-do-some-harm/" target="_blank" data-invalid-url-rewritten-http="">Probiotic supplements</a></span> line store shelves, but should you be taking them?</p><p>Scientists' understanding of <span class="link"><a href="https://www.cbsnews.com/news/probiotics-good-bacteria-60-minutes-2020-06-28/" target="_blank" data-invalid-url-rewritten-http="">probiotic supplements is evolving</a></span>. Once viewed as a useful daily dose of commercially manufactured mixtures meant to replicate the <span class="link"><a href="https://www.cbsnews.com/news/gut-health-microbiome-experts/" target="_blank" data-invalid-url-rewritten-http="">healthy bacteria found inside our bodies</a></span>, now some experts say these products might not be as helpful as once thought. </p><p>"Each probiotic is very specific and each person is very specific in terms of what they need, especially if they're having some GI symptoms caused by microbiome imbalance or dysfunction," says Dr. Aditya Sreenivasan, a gastroenterologist at Lenox Hill Hospital. And since a test doesn't yet exist to give someone an exact answer of what their gut may be lacking and what probiotic can help, it's "really a trial and error situation," he says. </p> <aside class="newsletter_signup "> <figure class="embed embed--type-newsletter-widget embed--float-none embed--size-large embed--type-iframe" data-ads='{"wordCount":50}'><div class="embed__content-wrapper"> <div class="embed__resizer"></div> <iframe class="embed__content lazyload" data-src="/embed/newsletters/widget/m40186?v=e3aa8b4a58817620ee227c79202c9709&view=compact#tVXLjts2FP0VgcvCjPW0Hpt0GidoNo2RTldxx7giKZsdSRRIysZk4H%2FvpSRbjrMpBijgDc9933N0%2FUpUZ6VqDSleScMUF6QgTewH2YosyFGKE76ZajpgFoFOGencEXwwRljvN8VfyHlBrAb2LNu9SyPNxxbKWnBSWN2LBQFtJavFQ28PSn9G%2BBuJkzQqxQpoGAKn%2BAJaroKIxmmWx3kUrNJVSP6%2BC%2F0DGuGCDWjwGtXK3nx%2FVjduLjeBbJVWIgtomYoQE%2BYpLVnmU1FlUQYQBgEvyTVk05drsG7q0A8j6if48wK%2F8P0iDMhdA7ilu%2BKLf5TwdC%2B%2Fz65%2FCqZaDvrlGvNt7vAjl3bAXknMgjypIKWQBzmN83hFsyqIaRxVuAOeByKKsd61wPma5FHa2nXcaVVKhZApPHNQfc29F9V7pfAsODI81QqvUtrb99Y7CKjt4f3c5%2BNLJwZyWytau5tQtHNxlOxi5sI8W9UhLM1aHN2enA5gf3FoxcnspBUNwiiOYcJRIb2ZoN%2Bl0I63sYUTWHZwpDkTLmvyvjWOtqmAFqZDgcqj8E7CMYftSDZQnZVQpgx8WiW4vThKfVoGjNE0j4M84lAlXFwCRvHclemN0FMZaLGNBallIy0p4rGFL1ru5XWWC8Gq12xYXWk8Nz6aSg0t39Rgcd3N0Bsah9W4NLt5i8zVkQzqDdgDum2Xzmu7nLmkI5UUqaTIo6DIIkUG6dj6dnmb5S9du6Gs7UyxXW6Xp9Pp3VT5HX62b8tuLgp%2BdIszd9TdeA8s%2FuD8mQ%2FuEIk0CCGmK5EiMZBnNCs5p5CyGCJIQ59zF%2Bx0NBHztlZ3mznDNHfxxqEnxa0H9f%2Bku6enp5lE57vRssGpvxo5sS2n%2Bs6IPmh8Fha%2Fwg%2B16vkXvR9UEfjrKAjDJAmTT5%2BSNPcf4txfx%2BtfH7gqUW57R65qDFNauCPBQgyKfD%2Fxh4PM4nlOx6%2BDVgj90vZ1jY8W9WZ3%2B8t3OSLQ7cBpuN0u4epj7F0mPC9iOE6I%2F5fT5BXeze1zQ%2F9IwwR%2BGP9SZtDiymXfuOFEexyvGHcnRatK1je%2Bwx7Po0b%2BB5mfz%2F8C" data-width="auto" data-height="205" frameborder="0" loading="lazy" scrolling="no" data-optanon-category="social" allowfullscreen="allowfullscreen"></iframe> </div> </figure> </aside> <p>That's why he says he almost never tells people to stop taking them if they're finding some benefit from it, but also rarely advises people to start. </p><p>"If they're already taking something, and it has made some symptom get better, then great ... especially if you have like significant IBS that's not responding to (other options like) <span class="link"><a href="https://www.cbsnews.com/news/how-to-improve-gut-health/" target="_blank" data-invalid-url-rewritten-http="">change in diet</a></span>, trying probiotics is reasonable," he says. "My caution about that is they're really expensive, and I feel like the majority of people end up just wasting their money."</p> <div id="mpu-plus-outstream-middle" data-ad="mpu-plus-outstream-middle" class="ad-mpu-plus-outstream-middle ad-wrapper " data-ad-unit='"mpu-plus-outstream-middle"'> </div> <p>Dr. Shilpa Ravella, transplant gastroenterologist and assistant professor of medicine at Columbia University, has also had patients who "swear that probiotics make them feel better," but thinks supplements are best used to help with specific issues with a doctor's guidance. </p><p>"There are specific clinical scenarios in which probiotics are prescribed," she says, including things like inflammatory bowel disease, irritable bowel syndrome or antibiotic-associated diarrhea.</p><p>But experts say to be mindful before using them. </p><p>While probiotics are safe for almost everyone, if you have certain health conditions, such as being immunocompromised, Crohn's disease or ulcerative colitis, "I would use them with caution," Sreenivasan says.</p> <div id="leader-plus-inc3" data-ad="leader-plus-inc" class="ad-leader-plus-inc ad-wrapper " data-ad-unit='["leader-plus-inc",3]'> </div> <p>The Food and Drug Administration does not classify probiotic capsules as drugs, which means they do not have to be proven "safe and effective," CBS News chief medical correspondent <span class="link"><a href="https://www.cbsnews.com/news/probiotics-good-bacteria-60-minutes-2020-06-28/" target="_blank" data-invalid-url-rewritten-http="">Dr. Jon LaPook reported</a></span>. When added to anything, probiotics only need to meet a lower standard: "generally recognized as safe."</p><p>Ravella says the best option is to talk to your gastroenterologist about a probiotic that could help you if you have a certain condition or symptoms.</p><p>But, if you're not having any <span class="link"><a href="https://www.cbsnews.com/news/how-to-check-gut-health/" target="_blank" data-invalid-url-rewritten-http="">outlying symptoms</a></span>, she advises focusing instead on eating whole, plant foods to<span class="link"><a href="https://www.cbsnews.com/news/how-to-improve-gut-health/" target="_blank" data-invalid-url-rewritten-http=""> support your gut health</a></span> before reaching for supplements. </p><ul><li><span class="link"><a href="https://www.cbsnews.com/news/how-to-improve-gut-health/" target="_blank" data-invalid-url-rewritten-http="">How to improve gut health, according to experts</a></span></li><li><span class="link"><a href="https://www.cbsnews.com/news/gut-health-diet-food-groups/" target="_blank" data-invalid-url-rewritten-http="">4 food groups to focus on for gut health</a></span></li></ul><aside class="component list recirculation component--type-recirculation "><div class="component__heading-wrapper"> <h3 class="component__title">More from CBS News</h3> </div> <div class="component__item-wrapper"> <div class="item" id="inline-recirc-item--id-1"> <a class="item__anchor" href="https://www.cbsnews.com/news/smart-ways-to-deal-with-creditors-when-you-cant-pay/?intcid=CNR-02-0623" data-invalid-url-rewritten-http=""> <span class="img item__thumb item__thumb--crop-0"><img src="https://assets1.cbsnewsstatic.com/hub/i/r/2024/11/26/729d826d-0d52-4b2c-9c0a-7642ecdabdf8/thumbnail/1200x630/3a3a846794b9b115597c98941226e5c2/gettyimages-1188905432.jpg?v=e3aa8b4a58817620ee227c79202c9709#" alt=" " layout="fill" height="90" width="140"></span> <div class="item__title-wrapper"> <span class="item__hed"> 3 smart ways to deal with creditors when you can't pay</span> </div> </a> </div> <div class="item" id="inline-recirc-item--id-2"> <a class="item__anchor" href="https://www.cbsnews.com/news/iga-swiatek-suspension-doping-case-tennis/?intcid=CNR-02-0623" data-invalid-url-rewritten-http=""> <span class="img item__thumb item__thumb--crop-0"><img src="https://assets3.cbsnewsstatic.com/hub/i/r/2024/06/08/14dcd7df-6454-4776-95d0-234f587bec0a/thumbnail/1200x630/038584eea3064fe89b50455a2e2c1d07/ap24160520568779.jpg?v=e3aa8b4a58817620ee227c79202c9709#" alt=" " layout="fill" height="90" width="140"></span> <div class="item__title-wrapper"> <span class="item__hed"> Tennis star Iga Swiatek gets one-month suspension in doping case</span> </div> </a> </div> <div class="item" id="inline-recirc-item--id-3"> <a class="item__anchor" href="https://www.cbsnews.com/miami/news/thanksgiving-weight-loss-drugs-ozempic-wegovy-zepbound/?intcid=CNR-02-0623" data-invalid-url-rewritten-http=""> <span class="img item__thumb item__thumb--crop-0"><img src="https://assets3.cbsnewsstatic.com/hub/i/r/2024/11/26/4a730c20-8885-4827-87dd-a7e87a48fa1e/thumbnail/1200x630/e0beb582a400699c7f0527dc4baaf630/gettyimages-142589503.jpg?v=e3aa8b4a58817620ee227c79202c9709#" alt=" " layout="fill" height="90" width="140"></span> <div class="item__title-wrapper"> <span class="item__hed"> Why Thanksgiving may feel different for Americans on weight loss drugs</span> </div> </a> </div> <div class="item" id="inline-recirc-item--id-4"> <a class="item__anchor" href="https://www.cbsnews.com/colorado/news/thanksgiving-food-cats-dogs/?intcid=CNR-02-0623" data-invalid-url-rewritten-http=""> <span class="img item__thumb item__thumb--crop-0"><img src="https://assets3.cbsnewsstatic.com/hub/i/r/2024/11/25/1beb9f62-a9e0-4315-95ab-9a49083b4f1a/thumbnail/1200x630/4edaeccb523d1105bed8afda592c46b3/gettyimages-1402522363.jpg?v=e3aa8b4a58817620ee227c79202c9709#" alt=" " layout="fill" height="90" width="140"></span> <div class="item__title-wrapper"> <span class="item__hed"> Thanksgiving foods cats and dogs can (and can't) eat</span> </div> </a> </div> </div> </aside><style type="text/css"> .component--type-recirculation .item:nth-child(5) { display: none; } #inline-recirc-item--id-a867fe81-b7e2-4797-bc80-ef838aa211db, #right-rail-recirc-item--id-a867fe81-b7e2-4797-bc80-ef838aa211db { display: none; } #inline-recirc-item--id-a867fe81-b7e2-4797-bc80-ef838aa211db ~ .item:nth-child(5) { display: block; } </style><div class="content-author"> <a href="https://www.cbsnews.com/team/sara-moniuszko/" class="content-author__name" data-invalid-url-rewritten-http="">Sara Moniuszko</a> <div class="content-author__bio"> <div class="content-author__full-information"> <p class="content-author__text">Sara Moniuszko is a health and lifestyle reporter at CBSNews.com. Previously, she wrote for USA Today, where she was selected to help launch the newspaper's wellness vertical. She now covers breaking and trending news for CBS News' HealthWatch.</p> <div class="content-author__social-links-container"> <a href="https://twitter.com/SaraMoniuszko" class="content-author__social-link" rel="nofollow noopener"> <svg viewbox="0 0 32 32" class="content-author__logo" aria-hidden="true"><use xlink:href="#icon-social-twitter"></use></svg> Twitter </a> </div> </div> </div> </div> </section><footer class="content__footer"><p class="content__copyright"> <small>© 2023 CBS Interactive Inc. All Rights Reserved.</small> </p> </footer></article></div> <div class="col-4 nocontent"> <section class="component list list component--topic- component--view-list --item-count-4" id="component-queryly-right-rail-article-recirc" data-id="af907f0c-7c99-459b-bad1-fc091da10a84" data-slug="queryly-right-rail-article-recirc"><div class="component__heading-wrapper"> <h3 class="component__title">More from CBS News</h3> </div> <div class="component__item-wrapper"> <article class="item lazyload item--type-custom"><a href="https://www.cbsnews.com/news/smart-ways-to-deal-with-creditors-when-you-cant-pay/?intcid=CNR-01-0623" class="item__anchor" draggable="false" ondragstart="return false;" data-invalid-url-rewritten-http=""> <span class="img item__thumb item__thumb--crop-0"><img src="https://assets1.cbsnewsstatic.com/hub/i/r/2024/11/26/729d826d-0d52-4b2c-9c0a-7642ecdabdf8/thumbnail/1200x630/3a3a846794b9b115597c98941226e5c2/gettyimages-1188905432.jpg?v=e3aa8b4a58817620ee227c79202c9709#" alt=" " 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Probiotics: Should you be taking one for gut health? - CBS News