Are probiotics causing your SIBO symptoms
Feeling worse after taking probiotics? 5 Reasons Why you felt worse after taking Probiotics and The Best way to take probiotics.
I’m Dr Hagmeyer and welcome to my YouTube channel. We are continuing my SIBO video series titled “Everything you want to know about SIBO” Today’s video is on the topic of probiotics. As we learn more and more about the microbiome, we are learning about the importance various strains of probiotics play in keeping our body healthy and this is especially true- when it comes to SIBO. It is also super important to understand that probiotics are very case and condition specific. People who have Crohn’s, Ulcerative colitis, SIBO or IBS…. when they first start taking probiotics especially the Right probiotics- will find that probiotics were one of the missing pieces in their health puzzle, others, they may not notice any change.
If you don’t feel a change as long as you are taking the right strains (based on testing)- then I recommend that you just give it more time. All too often, I find too many people fall into this mindset- that if they don’t feel better- it’s not working. That’s not always the case with probiotics- Now a small percentage of people who take probiotics- unfortunately will feel worse- But just because you feel worse, does not necessarily mean that you should give up on that probiotic just yet! And this is unfortunate because probiotics……especially the right probiotic, at the right time, taken for the right purpose, in my opinion is absolutely essential to reset your microbiome.
Don’t Give up on Probiotics Just Yet
If you started taking probiotics and you felt worse then I want to share with 5 reason why you had a bad experience and how you should take your probiotics. and I hope that with this new information that you won’t give up on them.
In another video, I will talk about the specific probiotics for SIBO and IBS I have found to be incredible helpful based on the hours of research I have done and which ones I recommend.
So let’s jump into the “5 reasons why you feel worse when you take probiotics and what you can do to feel better”
5 Reasons Why You Had A Bad Experience With Probiotic and What I Suggest You Do.
Reason #1 people feel worse when taking probiotics- The specific strain within your probiotic formula, is the wrong kind or you already have too much of that strain in your gut.
Remember that the bacteria and the bacterial diversity found in your microbiome is highly unique to you. There is no one size fits all. We all have a different microbial blueprint.
If you look at this test that I ran on a patient. You will notice that the Certain strains are high and some are in the low, If this patient was having symptoms of GI issues- I may opt to prescribe probiotics where the strain is low.
(Need help getting this test? Learn more here)
Unfortunately, there is no way of knowing it is the wrong strain for you unless you test. So my best suggestion here is to Start with a very small dose.
If you still have a reaction even after taking a very small dose, then I suggest that you open up one of the capsules and sprinkle it on some food or try taking it at a different time of the day- so- instead of in the morning take it at night before bed.
In another video, I will talk about the specific strains that you may want to consider as well which ones you should avoid based on the phase of treatment you are in. So when you get done watching this video, that may be a good video to go back and watch.
Reason #2 You feel worse when you take probiotics is die off. There are handful of reasons for die off but – The changes that might cause die-off are usually:
- Switching from processed food to a real food diet (death of pathogens by starving)
- Starting or increasing probiotic dosage (death of pathogens by good soldiers)
- Starting or increasing dosage of antiparasitic, anti-yeast or antibiotic (death of pathogens by bombing)
- In each of these scenarios, the change in treatment will cause substantial changes in gut flora and knock out a big portion of the bad guys.
- When that happens, they release toxins that need to be excreted by the body. So, can you see how each of the major changes above actually causes a release of toxins?
So if you suspect die off my suggestion is to try and push through the process within 3-7 days your diet off symptoms will subside- if it becomes unbearable- discontinue for a day or two and then try again at half dosage. Symptoms that make me think of die off include typical flu-like or cold-like symptoms Your whole body is becomes increasing sluggish and it usually feels as if your body is working harder any symptoms that you currently have become magnified.
#3 you feel worse when you take probiotics. You have a problem with your MMC (Migrating motor complex) otherwise known as the cleansing waves –
The Migrating motor complex clears bacteria in the small intestines between meals and is one of the major pieces of people suffering with SIBO. If someone has a very slow MMC, adding more of the wrong kind of bacteria can just fuel to the fire. In cases like this you want to focus on improving the MMC and improving GI motility before introducing the specific kinds of probiotics.
If you suspect this is the problem, I suggest you go back and watch a video I did titled “11 reasons you can’t rid of and shake SIBO” this is a two part video series that I talk quite a bit about the MMC, why it slows down, some of the causes, and how to reset it etc.
MMC and its connection to SIBO (Link)
The Fourth and 5th reason, you feel worse when you take probiotics is that your probiotics contain pre-biotics and you have damage to the brush border enzymes.
Many probiotic formulas from some of the best manufactures – contain prebiotics and while these prebiotics are of great benefit for many kinds of GI issues, they are not always great for people suffering with SIBO. If you are taking probiotics right now, I want you to grab your bottle and look at the ingredients, if you see something that says inulin, or chicory or Arabinogalactan or GOS or FOS.
These are all prebiotics you may need to avoid these for a time being. If you are drinking tea- some teas contain inulin and chicory. For many people suffering with SIBO- there is often injury, damage to the cells that make the brush border enzymes.
These Brush Border enzymes are needed to help break down sugars and starches and many of the foods found on a LOW FODMAP diet
Without these enzymes breaking down sugars and starches- they sit in the small intestines, ferment, cause bloating and feed the bacterial overgrowth. This is what the prebiotic is doing- they are feeding the bacteria. So, if you are noticing more bloating- you may need to take a probiotic without the Prebiotics. If you want more information on probiotics and Pre-biotics– you can watch a video I did where I go into much more detail about the specific strains that have been studied when it comes to SIBO.
This is one my favorite enzymes that supports the Brush Border-
Points To Remember About Todays video
- Probiotics should be specific to the person and testing of the microbiome is incredibly helpful in this area.
- If your Facebook friend who has GI problems, took a probiotic and he had a bad reaction- does not mean that you are going to have a bad reaction.
- If you don’t get a test that looks and quantifies the strains in your microbiome- it is going to be a bit of trial and error.
- Timing can make the difference. If you had a problem when you take your probiotics in the morning try taking them at night. If you had problems when you take them at night- take them in the morning.
- Some people just may not be able to tolerate probiotics at the beginning of treatment where they tend to be the most sensitive. Don’t give up!
- When you get your gut under control a bit more and gut motility is functioning better you can test again in small amounts to see if they are helpful.