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Suggest Best Probiotics Available Which Survive In Acidic Environment

Posted on Fri, 26 Dec 2014

Question: Hello Doctor, I am from XXXXXXX XXXXXXX I want to know what are the good probiotics available in XXXXXXX
In particular I am looking for a brand which contains some of the probiotic strains like Lactobacillus acidophilus ,Lactobacillus rhamnosus, Lactobacillus casei, Bifidobacterium longum, Bifidobacterium infantis etc in the amount of 10 billion or more CFUs. Many probiotics with above mentioned strains are available outside XXXXXXX (e.g. Theralac), but I can't find any in XXXXXXX Also I am looking for a brand which ensures that the probiotics will survive the acidic environment of stomach and reach the GI tract alive.
Thanks.

Answered by Dr. Rakesh Madhyastha (17 minutes later)

Brief Answer:
VSL-3 and Enterogermina

Detailed Answer:
Hello

Thanks for the query

The best probiotics available and which we use on all our patients are
Tab VSL-3 to be taken once daily.
The other good probiotic is Tab Enterogermina, it also comes in syrup form it contains 2 billion per 5 ml, it has to be taken twice daily.

I have seen good results with the above two drugs and it is also recommended by our hospital gastroenterologist.

Cheaper options would be Tab Sporolac, 2 tablets to be taken 3 times daily.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (4 hours later)

Thank you Dr XXXXXXX for the response.
I think VSL-3 capsules will be the best option for me.

Is it safe to take probiotics continuously for longer periods like one year or more?

Also please suggest some good Omega-3 fatty acid supplements available here in XXXXXXX with good EPA/DHA concentration which are properly purified off toxic materials like mercury, lead etc.

Thanks.

Answered by Dr. Rakesh Madhyastha (7 hours later)

Brief Answer:
Safety questionable

Detailed Answer:
Hello

Thanks for getting back, I don't know if it is safe to use a probiotic for such prolonged period of time. I don't recommend using them for more than 3 months. You can always take natural probiotics like butter milk and curd rather than capsules after 3 months.

Amway Nutrilite is a good and safe Omega 3 fatty acid. I prescribe 1 soft gel three times daily.

I wish you good health

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (14 hours later)

Thank you Dr. XXXXXXX

I will go with your recommendations.
You have been helpful.

Thnaks again.

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

It has been my pleasure helping you out. If there is anything else please let me know I will be happy to get back to you

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar