if you could only take one which would you choose and why to maintain a healthy pouch? boulardii yeast or probiotoc bacteria?
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Why would you have to choose only one? $$$ or something else? Personally, I take both, S. boulardii and Align. But, you need to take something for a good 3 months to decide if it is for you or not. Of course, if it gives you immediate grief, you have to either stop it or ease into it. The S. boulardii is mostly if you are worried about C. difficile.
There also is a multiprobiotic that has S. boulardii and 17 other probiotics. I tried it for a few months and did not think it was quite as good for me as Align. But I may try it again, since it is so inexpensive. Align is getting harder and harder to find at a reasonable price.
http://www.amazon.com/Benebiot...eywords=s.+boulardii
Jan
There also is a multiprobiotic that has S. boulardii and 17 other probiotics. I tried it for a few months and did not think it was quite as good for me as Align. But I may try it again, since it is so inexpensive. Align is getting harder and harder to find at a reasonable price.
http://www.amazon.com/Benebiot...eywords=s.+boulardii
Jan
i like the looks of that one.
If I had to make the choice it would be probiotics. My reasoning is that bacteria constitute the largest proportion of microorganisms making your gut their habitat. Presumably they would also have the largest influence on bowel function.
the reason i ask is because so many of you seem to do well whenever on antibiotics and the boulardii has the antibiotic affect that clearly probiotics dont.
No, S. boulardii IS a probiotic. It just is a probiotic yeast instead of a probiotic bacteria. I think you are getting hung up on the notion that S. boulardii is known to help keep C. difficile in check. In reality, the way ALL probiotics work is by keeping any one bacteria from proliferating. So, they all do the same thing, just in a slightly different way. Some probiotics will compete against some bacteria, and the thinking is that if you vary the probiotics, you are more likely to hit more targets.
We really don't know which probiotic we may individually be deficient in, but it is known that folks with IBD tend to have a reduced capacity to colonize probiotic bacteria. That is one theory of why we are more open to uncontrolled inflammation once we get infected. Since each person is different, there is no one-size-fits-all probiotic, just like everything else. Some get great results with one type, others have no effect or terrible gas. You just have to try and see. Plus, it is hard to prove a negative. "I took XYZ probiotic and hardly ever get pouchitis." Since there is not much clinical data (except for IBS treatment) it is hard to know if you'd also be fine without it.
Jan
We really don't know which probiotic we may individually be deficient in, but it is known that folks with IBD tend to have a reduced capacity to colonize probiotic bacteria. That is one theory of why we are more open to uncontrolled inflammation once we get infected. Since each person is different, there is no one-size-fits-all probiotic, just like everything else. Some get great results with one type, others have no effect or terrible gas. You just have to try and see. Plus, it is hard to prove a negative. "I took XYZ probiotic and hardly ever get pouchitis." Since there is not much clinical data (except for IBS treatment) it is hard to know if you'd also be fine without it.
Jan