{"id":2617,"date":"2022-08-22T22:36:54","date_gmt":"2022-08-22T22:36:54","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=2617"},"modified":"2023-02-08T19:50:37","modified_gmt":"2023-02-08T19:50:37","slug":"probiotics-how-to-choose-the-right-one","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/probiotics-how-to-choose-the-right-one\/","title":{"rendered":"Probiotics: How to Choose the Right one"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">There\u2019s lots of talk about probiotics these&nbsp;days.&nbsp;Probiotics in your yogurt, probiotics in your bread, even probiotics in your skincare or household cleaners! But what&nbsp;actually&nbsp;<strong>are<\/strong>&nbsp;probiotics, and why would we need them in the first place? <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are Probiotics?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you didn\u2019t know,&nbsp;The World Health Organization defines&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/understanding-pre-and-probiotics-animation\/\">probiotics<\/a> as&nbsp;\u2018Live microorganisms which,&nbsp;when administered in adequate&nbsp;amounts confer a health benefit on the host\u2019.&nbsp;In plain language, probiotics are&nbsp;\u201cgood bugs\u201d&nbsp;or&nbsp;\u201cgood microbes\u201d&nbsp;that are meant to help the person taking them.&nbsp;These friendly microbes help us digest food, maintain health,&nbsp;and fight disease.&nbsp;Many Canadians are&nbsp;hearing about how great probiotics are,&nbsp;and are&nbsp;looking to&nbsp;take them as&nbsp;supplements, add them to&nbsp;their diet&nbsp;or take them as needed to improve health.&nbsp;Seems like a pretty&nbsp;logical idea, right?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s important that you talk with your doctor, pharmacist,\u00a0or dietitian\u00a0first\u00a0before taking\u00a0a probiotic,\u00a0to ensure you\u00a0have a proper diagnosis, or know why you are taking\u00a0it. Together, you can select an appropriate probiotic\u00a0that is the most suitable\u00a0for\u00a0<strong>you.<\/strong>\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How do I choose the right probiotic?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting the proper probiotic for the symptoms you wish to relieve can be confusing. <a href=\"https:\/\/aeprobio.com\">The Clinical Guide to Probiotic Products<\/a> can help you select a probiotic that has been proven effective in reputable scientific studies. The Clinical Guide to Probiotic Products is an evidence-based decision-making tool for clinicians, which is independently prepared and updated every year. This project has been going on since 2008, and has been recognized as&nbsp;the&nbsp;<strong>only<\/strong>&nbsp;reliable resource&nbsp;by international healthcare associations&nbsp;providing health care professionals and consumers with a list of probiotic&nbsp;formulations&nbsp;that have been&nbsp;specifically&nbsp;clinically tested \u2013 so they can select the appropriate product, dose, and formulation for&nbsp;a specific indication.&nbsp;To be included in the guide, all of the inclusion criteria must be met:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"inclusion_criteria_3\"><strong>1.<\/strong>&nbsp;Commercially available in Canada (or the US) as a supplement or probiotic-containing food<br><strong>2<\/strong>. Generally Recognized as Safe status (FDA) and\/or Natural Product Number (Health Canada) for probiotic strain(s) used in the products<br><strong>3.<\/strong>&nbsp;Favourable published clinical evidence for the particular strain(s) present in each product<br><strong>4<\/strong>. For products containing multiple strains, the evidence must be for the specified combination and NOT extrapolated from the evidence for the separate probiotic strains<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Within the <a href=\"https:\/\/aeprobio.com\/\">The Clinical Guide to Probiotic Products<\/a>,&nbsp;the recommendations are tied to brand names, making it easier for you to&nbsp;select&nbsp;the recommended product&nbsp;when purchasing in&nbsp;stores.&nbsp;Probiotic strain names and doses are also listed. Favorable published clinical evidence for the particular strain(s) presented in each product are given and include numerous gastrointestinal conditions.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The handy acronym&nbsp;list&nbsp;makes it easy for you to find the product that has clinical evidence for your specific condition:&nbsp;&nbsp;<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>AAD<\/strong>: Antibiotic associated diarrhea (prevention)<\/li>\n\n\n\n<li><strong>BV<\/strong>: Bacterial vaginosis&nbsp;<\/li>\n\n\n\n<li><strong>C<\/strong>: <a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\">Constipation<\/a>&nbsp;<\/li>\n\n\n\n<li><strong>CDAD<\/strong>: Clostridium difficile associated diarrhea (prevention&nbsp;)<\/li>\n\n\n\n<li><strong>CID<\/strong>: Common infectious disease (community acquired)&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>CMPA<\/strong>: Cow Milk Protein Allergy<\/li>\n\n\n\n<li><strong>HP<\/strong>: Helicobacter pylori (adjunct to standard eradication therapy)<\/li>\n\n\n\n<li><strong>IBD-P<\/strong>: Inflammatory bowel disease -Pouchitis&nbsp;<\/li>\n\n\n\n<li><strong>IBD-UC<\/strong>: Inflammatory bowel disease \u2013 ulcerative colitis (adjunct to standard therapy)&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>ID<\/strong>: Infectious diarrhea<\/li>\n\n\n\n<li><strong>IBS<\/strong>: Irritable Bowel Syndrome<\/li>\n\n\n\n<li><strong>LDL-C<\/strong>: Reduces LDL and total cholesterol <\/li>\n\n\n\n<li><strong>LH<\/strong>: Liver Health (NASH\/NAFLD\/MHE; as adjunct to standard therapy; see studies for specific population)&nbsp;<\/li>\n\n\n\n<li><strong>M\/A<\/strong>: Mood and Affect (symptoms related to stress\/anxiety; not a substitute for standard treatment)&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Mastitis<\/strong>: Mastitis in breastfeeding mothers (treatment and prevention<\/li>\n\n\n\n<li><strong>OH<\/strong>: Oral health (reductions of tonsillitis, laryngitis, and dental caries)&nbsp;<\/li>\n\n\n\n<li><strong>TD<\/strong>: Travellers diarrhea prevention&nbsp;<\/li>\n\n\n\n<li><strong>WM<\/strong>: Weight management (aids in reduction of body weight, body fat mass, and waist circumference&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">You will also be able to compare products based on the level of evidence, as it is graded with a I, II, or III, with&nbsp;level&nbsp;I&nbsp;being&nbsp;the highest level:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Level&nbsp;I:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Evidence obtained from at least one properly designed randomize trial&nbsp;&nbsp;<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Level&nbsp;II:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Evidence obtained from well-designed controlled trials without randomization&nbsp;<\/li>\n\n\n\n<li>Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one centre or research group&nbsp;<\/li>\n\n\n\n<li>Evidence obtained from multiple time series with or without intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.&nbsp;&nbsp;<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Level&nbsp;III:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.&nbsp;&nbsp;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/01\/Screen-Shot-2023-01-23-at-2.20.30-PM.webp\" alt=\"level of evidence probiotic chart\" class=\"wp-image-8238 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/01\/Screen-Shot-2023-01-23-at-2.20.30-PM.webp\" alt=\"level of evidence probiotic chart\" class=\"wp-image-8238 lazyload\"\/><\/noscript><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">To make things even EASIER, the <a href=\"https:\/\/aeprobio.com\">Clinical Guide to Probiotic Products <\/a>also includes symbols to indicate&nbsp;whether or not&nbsp;the product is gluten free and requires refrigeration.&nbsp;There are also symbols `where` the probiotic&nbsp;product&nbsp;has been specifically approved by Health Canada for a specific indication.&nbsp;This designation is applicable only to supplements. Functional foods such as yogurts with probiotics added, and baby formulas with probiotics&nbsp;can not&nbsp;have such designations, even though&nbsp;they have gone through very rigorous testing.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/Screen-Shot-2023-01-24-at-4.16.41-PM-1024x202.webp\" alt=\"probiotic chart symbols\" class=\"wp-image-8278 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/Screen-Shot-2023-01-24-at-4.16.41-PM-1024x202.webp\" alt=\"probiotic chart symbols\" class=\"wp-image-8278 lazyload\"\/><\/noscript><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">For example, if you are an <strong>adult<\/strong> who&nbsp;suffers from irritable bowel syndrome (<strong>IBS<\/strong>)\u2013 probiotics can help. Referring to the probiotic guide under the&nbsp;<a href=\"http:\/\/www.probioticchart.ca\/PBCAdultHealth.html?utm_source=adult_ind&amp;utm_medium=civ&amp;utm_campaign=CDN_CHART\">adult&nbsp;health<\/a>&nbsp;page <a href=\"https:\/\/aeprobio.com\/wp-content\/uploads\/2023\/01\/2023_ProbioticGuide_CanEng.pdf\">(pages 7-9 of the PDF)<\/a>, under the&nbsp;indication&nbsp;for&nbsp;<strong>IBS<\/strong>&nbsp;\u2013 you would see that there are&nbsp;10&nbsp;products&nbsp;in the 2023 edition&nbsp;that have favourable published clinical evidence on relieving IBS symptoms \u2013&nbsp;5 of&nbsp;which have level I evidence. They are listed below:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Activia\u00ae<\/strong><\/li>\n\n\n\n<li><strong>Bio-K+\u00ae&nbsp;IBS Pro<\/strong><\/li>\n\n\n\n<li><strong>Digestive CareTM 10 Billion&nbsp;Daily Probiotic<\/strong><\/li>\n\n\n\n<li><strong>Purica Probiotic Intensive&nbsp;GI<\/strong><\/li>\n\n\n\n<li><strong>UltraFlora\u00ae&nbsp;Intensive Care<\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/choosing-probiotics-ibs-liver-health-1024x626.webp\" alt=\"levels of evidence for probiotics\" class=\"wp-image-13419 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/choosing-probiotics-ibs-liver-health-1024x626.webp\" alt=\"levels of evidence for probiotics\" class=\"wp-image-13419 lazyload\"\/><\/noscript><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/level-of-evidence-2-1024x630.webp\" alt=\"probiotic chart levels of evidence for ibs\" class=\"wp-image-13424 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/level-of-evidence-2-1024x630.webp\" alt=\"probiotic chart levels of evidence for ibs\" class=\"wp-image-13424 lazyload\"\/><\/noscript><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/levels-of-evidence-3-1024x619.webp\" alt=\"probiotics chart level of evidence for adults with ibs\" class=\"wp-image-13426 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/levels-of-evidence-3-1024x619.webp\" alt=\"probiotics chart level of evidence for adults with ibs\" class=\"wp-image-13426 lazyload\"\/><\/noscript><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">If you have a proper diagnosis, you can do the same for other common gastrointestinal conditions like<a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/irritable-bowel-syndrome-ibs\/\"> <\/a><a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\">constipation<\/a> and much&nbsp;much&nbsp;more!&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">See the full guide to review brands and strains for other conditions online at&nbsp;<a href=\"https:\/\/probioticchart.ca\/?utm_source=intro_pg&amp;utm_medium=civ&amp;utm_campaign=CDN_CHART\">Probioticchart.ca<\/a> or <a href=\"https:\/\/aeprobio.com\/\">download the PDF.<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use the guide:<\/h2>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"720\" style=\"aspect-ratio: 1280 \/ 720;\" width=\"1280\" controls src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/01\/PBC_Guide_EN.mp4\"><\/video><\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/apps.apple.com\/ca\/app\/probiotic-guide-canada\/id1378719092\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/07\/apple-1.webp\" alt=\"Apple App Store Button\" class=\"wp-image-970 lazyload\" width=\"340\" height=\"148\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/07\/apple-1.webp\" alt=\"Apple App Store Button\" class=\"wp-image-970 lazyload\" width=\"340\" height=\"148\"\/><\/noscript><\/a><figcaption class=\"wp-element-caption\"><a href=\"http:\/\/Download the Probiotic Guide on the App Storehttps:\/\/apps.apple.com\/ca\/app\/probiotic-guide-canada\/id1378719092\">Download the Probiotic Guide on the App Store<\/a><\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.bhsoftinc.probiotic.ca&amp;hl=en_CA&amp;gl=US&amp;pli=1\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/google-play-logo-1024x303.webp\" alt=\"google play logo\" class=\"wp-image-8249 lazyload\" width=\"318\" height=\"94\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/google-play-logo-1024x303.webp\" alt=\"google play logo\" class=\"wp-image-8249 lazyload\" width=\"318\" height=\"94\"\/><\/noscript><\/a><figcaption class=\"wp-element-caption\"><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.bhsoftinc.probiotic.ca&amp;hl=en_CA&amp;gl=US&amp;pli=1\">Get the Probiotic Guide on Google Play<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"arrow-link wp-block-paragraph\">See the full guide to review brands and strains for other conditions online at&nbsp;<a href=\"https:\/\/probioticchart.ca\/?utm_source=intro_pg&amp;utm_medium=civ&amp;utm_campaign=CDN_CHART\">Probioticchart.ca<\/a> or <a href=\"https:\/\/aeprobio.com\/\">download the PDF.<\/a><\/p>\n\n\n<div class=\"gradient-divider\"><\/div><div class=\"sponsor-block\"><p><p>Written in collaboration with Dragana Skokovic-Sunjic BScPh RPh NCMP, <a href=\"https:\/\/aeprobio.com\/\">AEProbio<\/a><\/p><\/p><div class=\"sponsor-details\"><div class=\"photo\" >\n<a target=\"_blank\" href=\"https:\/\/aeprobio.com\/?fbclid=IwAR3rqNHCeVRvQ-84UxmRAnGdfquDSM1n10CBNZzZhbSb2K--2ytLX7sVlHU\"><img decoding=\"async\" class=\"lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/01\/aeprobio-logo.webp\"  \/><noscript><img decoding=\"async\" class=\"lazyload\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/01\/aeprobio-logo.webp\"  \/><\/noscript><\/a>\n<\/div>\n        <\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>There\u2019s lots of talk about probiotics these&nbsp;days.&nbsp;Probiotics in your yogurt, probiotics in your bread, even probiotics in your skincare or household cleaners! But what&nbsp;actually&nbsp;are&nbsp;probiotics, and why would we need them in the first place? What are Probiotics? If you didn\u2019t know,&nbsp;The World Health Organization defines&nbsp;probiotics as&nbsp;\u2018Live microorganisms which,&nbsp;when administered in adequate&nbsp;amounts confer a health benefit [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":5994,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"cdhf2022_sponsors_meta":[],"footnotes":""},"categories":[60,74],"tags":[31],"class_list":["post-2617","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","category-video","tag-pre-and-probiotics"],"acf":{"article_writer":[101,1675]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/Girl-pondering.webp","author_info":{"display_name":"Sophie Allan","author_link":"https:\/\/cdhf.ca\/en\/author\/sophie-allen\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Probiotics: How to Choose the Right one - Canadian Digestive Health Foundation<\/title>\n<meta name=\"description\" content=\"How do I choose the right probiotic? 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