• Start Here
  • About
  • Recommended
  • Books
  • Shop
  • My Account
  • Search
  • Recipes
  • Lifestyle
  • Autoimmunity
  • Nutrition
  • Gut Health
  • Wiki
  • Contact
  • Media Requests
  • Terms of Use
  • Privacy Policy
  • Affiliate
  • Refund Policy
  • Menu
  • Skip to left header navigation
  • Skip to right header navigation
  • Skip to primary navigation
  • Skip to secondary navigation
  • Skip to main content

The PaleoMom circular atom logo

The Paleo Mom is a scientist turned health educator and advocate.

  • Start Here
  • About
  • Recommended
  • Books
  • Shop
  • My Account
  • Search
  • Recipes
  • Lifestyle
  • Autoimmunity
  • Nutrition
  • Gut Health
  • Wiki
You are here: Home / Autoimmunity / Probiotic Supplements
Teaser Excerpt The Paleo Approach

Probiotic Supplements

February 18, 2013 //  by Dr. Sarah Ballantyne, PhD

Facebook0Tweet0Pin0LinkedIn0

About Dr. Sarah Ballantyne, PhD

Award-winning public speaker, New York Times bestselling author and world-renowned health expert, Dr. Sarah Ballantyne, PhD (aka The Paleo Mom) believes the key to reversing the current epidemics of chronic disease is scientific literacy. She creates educational resources to help people regain their health through diet and lifestyle choices informed by the most current evidenced-based scientific research.

Last week I posted a teaser excerpt from The Paleo Approach about the importance of including probiotics (while the book is written from the perspective of autoimmune disease, the benefits of probiotics extend to all health conditions and human health in general).  However, there are many people who don’t do well with fermented foods (reasons might include a yeast sensitivity, which is common in people with gluten intolerance, or a histamine sensitivity) or who just plain old don’t like them.  So, it’s no surprise that that post prompted a series of questions about probiotic supplements.  I have decided to share another excerpt from the book with you to help answer the question of probiotic supplements.

I should probably mention that both of the specific brands of probiotics mentioned in this section are ones that I take myself (and chose after a great deal of research).  I’ve been taking these for 4 or 5 months and really like both of them.  I also heard Chris Kresser rave about Prescript-Assist (Prescript-Assist changed their formula in 2017. Due to lack of validation trials, I can no longer recommend this supplement.) in his most recent podcast (just in case you were looking for a second opinion!).

The Autoimmune Protocol E-Book!

One of my FAVORITE books I used to start the transition to AIP!!! It’s so helpful! I printed mine out and spiral bound it. Thank you for this! -Rita Davidson

The Autoimmune Protocol e-book is your up-to-date guide to jump-start your healing with the AIP today.

  • 3oo+ pages of quick-access information on the AIP
  • 4 weeks of meal plans with shopping lists
  • over 80 family-friendly recipes, all 100% AIP!

Get instant digital access for $19.99

Buy Now

This excerpt is from Chapter 8 (the supplements chapter).


As mentioned in Chapter 6,different strains of probiotics confer different effects on your body.  However, from the vast array of different probiotic bacteria (approximately 35,000 species), only a handful have been characterized.

As previously mentioned, probiotic supplementation was shown to be beneficial for the management of every autoimmune disease in which it has been tested, including: inflammatory bowel disease, autoimmune myasthenia gravis, celiac disease, rheumatoid arthritis, multiple sclerosis, and autoimmune thyroid disease.  However, it is important to note that there is also some conflicting information.  In fact, there is convincing evidence that both bifidobacterium and lactobacillus probiotic bacteria (the two most common bacterial genera in probiotic supplements) are a source of autoantibody formation through molecular mimicry in autoimmune thyroid disease (discussed in Chapter 2).  Furthermore, there have been reports of severe eosinophilic syndrome—a condition characterized by elevated eosinophils (a type of white blood cell important for the innate immune system) in the blood with damage to cardiovascular system, nervous system, and/or bone marrow—directly attributable to the use of probiotics (both in people with a history of autoimmune disease but also in completely healthy individuals).

What does this mean?  If you do not tolerate fermented foods, probiotics are definitely worth trying.  The majority of the evidence in the scientific literature supports their potential benefits; however, some caution is advisable.  Just as in the case of fermented foods, probiotic supplements can be added after following The Paleo Approach for several weeks (at least 3) in the case of people with severe gastrointestinal symptoms or known bacterial overgrowth.

Which probiotics should you take? Probiotic supplements fall into two categories:

The Gut Health Guidebook!

The depth of information, practical tips, and the accessible way Dr. Sarah shows me how to apply complex science to improve my health is truly remarkable. -Wendy

The Gut Health Guidebook is the culmination of 6 years of research. This unprecedented deep dive into the gut microbiome delivers:

  • A new diet for gut health, built from the ground up
  • Essential gut microbiome superfoods
  • 20 Keys to gut health

Get instant digital access for $27.99

Buy Now

kirkman bio goldLactobacillus/Bifidus:  Lactobacillus and bifidobacterium are the two most heavily studied genera of probiotic bacteria.  They are also the most commonly found in supplement form.  It is important to note that even though the majority of scientific studies show health benefits of these strains, these are also the strains that may contribute to autoantibody formation and to severe eosinophilic syndrome in some people.

If you choose to take a lactobacillus and bifidobacterium supplement, look for a brand with as many different strains as possible (for greater probiotic diversity).  However, be cautious:  dairy ingredients are common in these types of supplements.  Look for a bottle that specifically brands itself as dairy-free, gluten-free, soy-free, corn-free, wheat-free, egg-free, peanut-free, and tree nut-free.  Also look for one that is yeast-free if the reason you are taking a probiotic supplement instead of eating fermented foods is yeast sensitivity concerns.  One high-quality brand to look for is Kirkman.

Start with a low dose, even breaking open a capsule and sprinkling a small amount in your food or in a small cup of water.  Alternatively, you can take your probiotic supplement every 2 or 3 days.  Over the course of several weeks, work your way up to the suggested dose on the bottle, taken daily.  Some probiotic supplements recommend taking with food while other recommend taking them on an empty stomach.  It is typically best to follow the specific recommendation of the brand you are using.  If your probiotic supplement does not have directions regarding whether or not to take it with food, first try taking it on an empty stomach.  After several weeks, switch to taking with food and see if you notice any improvement.

prescript-assist-probiotic-largeSoil-Based Organisms:  While not as extensively studied as probiotics from the lactobacillus and bifidobacterium genera, soil-based organisms hold extreme promise for modulating the immune system and correcting gut dysbiosis.  They have been shown to have extreme therapeutic potential in Irritable Bowel Syndrome and provide probiotic organisms that are routinely missing from our modern, over-hygienic lifestyles yet are normal residents of a healthy gut.

One brand to look for is Prescript-Assist (Prescript-Assist changed their formula in 2017. Due to lack of validation trials, I can no longer recommend this supplement.) which contains 29 different strains of soil-based organisms and is also dairy-free, gluten-free, soy-free, corn-free, wheat-free, egg-free, peanut-free, tree nut-free and yeast-free (also none of the strains included in Prescript-Assist (Prescript-Assist changed their formula in 2017. Due to lack of validation trials, I can no longer recommend this supplement.) come from the lactobacillus or bifidobacterium genera, or indeed any of the strains typically found in fermented foods).  Prescript-Assist (Prescript-Assist changed their formula in 2017. Due to lack of validation trials, I can no longer recommend this supplement.) has one of the best diversity of any probiotic supplements available.  Soil-based organisms seem to be better tolerated than lactobacillus and bifidobacterium, although extensive comparisons have not been made.

It is typically recommended to take two capsules daily (divided into two doses) for thirty days, followed by one capsule once or twice per week as a maintenance dose.  Because the strains in soil-based organism probiotics are different from the probiotic strains typically found in fermented foods, it is worth strongly considering taking a soil-based probiotic even if you are eating fermented food or taking a lactobacillus and bifidobacterium-based probiotic supplement.


Interested in learning even more about The Paleo Approach? This video from my YouTube Channel is just a quick tour (the book is so big that giving you a broad overview takes 13 minutes!) but you get to see just how comprehensive and detailed this book is.

Bittner AC, Croffut RM & Stranahan MC, Prescript-Assist probiotic-prebiotic treatment for irritable bowel syndrome: a methodologically oriented, 2-week, randomized, placebo-controlled, double-blind clinical study, Clin Ther. 2005 Jun;27(6):755-61.

Bittner AC, et al., Prescript-assist probiotic-prebiotic treatment for irritable bowel syndrome: an open-label, partially controlled, 1-year extension of a previously published controlled clinical trial, Clin Ther. 2007 Jun;29(6):1153-60

Jirillo E, Jirillo F & Magrone T, Healthy effects exerted by prebiotics, probiotics, and symbiotics with special reference to their impact on the immune system, Int J Vitam Nutr Res. 2012 Jun;82(3):200-8

Kiseleva EP, et al., The role of components of Bifidobacterium and Lactobacillus in pathogenesis and serologic diagnosis of autoimmune thyroid diseases, Benef Microbes. 2011 Jun;2(2):139-54.

Klaenhammer TR, et al., The impact of probiotics and prebiotics on the immune system, Nat Rev Immunol. 2012 Oct;12(10):728-34

Kverka M & Tlaskalova-Hogenova H, Two faces of microbiota in inflammatory and autoimmune diseases: triggers and drugs, APMIS. 2012 Oct 24.

Mendoza FA, et al., Severe eosinophilic syndrome associated with the use of probiotic supplements: a new entity?, Case Report Rheumatol. 2012;2012:934324

Veerappan GR, Betteridge J &Young PE., Probiotics for the treatment of inflammatory bowel disease, Curr Gastroenterol Rep. 2012 Aug;14(4):324-33.

Vyas U & Ranganathan N., Probiotics, prebiotics, and synbiotics: gut and beyond, Gastroenterol Res Pract. 2012;2012:872716.

 

Facebook0Tweet0Pin0LinkedIn0

Category: Autoimmunity

Get the Definitive AIP Resource

 

The Paleo Approach is the New York Times bestselling epic guidebook that explains all of the detailed WHYs behind every facet of the Paleo Autoimmune Protocol.

Get Your Copy HERE!

You may also like

  • Teaser Excerpt The Paleo Approach
    The Benefits of Probiotics

    There are many topics that I am researching and writing…

  • Teaser Excerpt The Paleo Approach
    The Benefits of Probiotics

    There are many topics that I am researching and writing…

  • The Paleo Approach
    Important Updates to The Autoimmune Protocol

    I have been diligently working over the last few days…

  • Teaser Excerpt The Paleo Approach
    The Benefits of Probiotics

    There are many topics that I am researching and writing…

  • The Trouble with Stevia

    While many people in various “real food” communities agree that…

  • Book Review: Free To Be Gluten Free by Heather Spergel

    There really aren't many books geared towards children that support…

  • Teaser Excerpt The Paleo Approach

  • The Paleo Approach
    Important Updates to The Autoimmune Protocol

    I have been diligently working over the last few days…

  • Teaser Excerpt The Paleo Approach
    The Benefits of Probiotics

    There are many topics that I am researching and writing…

  • The Trouble with Stevia

    While many people in various “real food” communities agree that…

  • Book Review: Free To Be Gluten Free by Heather Spergel

    There really aren't many books geared towards children that support…

  • Teaser Excerpt The Paleo Approach

Previous Post: « Nut-Free Paleo Chewy Granola Bars
Next Post: TPV Episode 27 Show Notes: Mark Sisson and the Primal Connection Paleo View»
  • Contact
  • Media Requests
  • Terms of Use
  • Privacy Policy
  • Affiliate
  • Refund Policy

Lithium Apple logo

  • Facebook
  • Twitter
  • Pinterest
  • Instagram
  • YouTube
  • Itunes

Site Footer

Disclaimer: The majority of the links in ThepaleoMom.com posts and sidebar are affiliate program links.
This means that (most of the time) when you purchase a product linked from my site, I receive a commission.

Copyright © 2021 The Paleo Mom · All Rights Reserved · Powered by BizBudding Inc.