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Oral microbiome sequencing after taking probiotics

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Re: Oral microbiome sequencing after taking probiotics

#21

PSA: If a probiotic is on the shelf, not in a cooler, it's probably not worth buying. The best companies certify the count of organisms at time of manufacture , but no counts are guaranteed at the shelf. Probiotics are living organisms and ought to be refrigerated for max lifespan. You can get refrigerated probiotic supps at a place like Whole Foods. Source: I used to work in the industry.

When I asked my doctor about which kinds of probiotics are most effective she specifically mentioned refrigerated vs non-refrigerated is not a way to identify quality or effectiveness unless you know the specific strain(s) needed cannot be made shelf-stable. This lined up with asking my endodontist after they prescribed some antibiotics for a tooth infection. They did warn that the use by dates are a bit bull, not to stock up on them as they do deteriorate in quality with time, and not to try to keep even the shelf-stable ones above room temperature.

Maybe I misunderstood what my doctor said, maybe my doctor was just wrong, maybe it's actually extremely nuanced, maybe it's something I hadn't even considered. I guess all I'm saying is it's probably better to talk to your doctor(s) about it than follow self-sourced (in both the above and this comment) medical advice from HN.

Re: Oral microbiome sequencing after taking probiotics

#22

Earlier quoted context omitted.

does this apply universally to bacterial strains ?

Yes

The Internet almost universally disagrees, based on a quick search:

https://seed.com/cultured/probiotics-refrigeration-storage-g...

Re: Oral microbiome sequencing after taking probiotics

#23

PSA: If a probiotic is on the shelf, not in a cooler, it's probably not worth buying. The best companies certify the count of organisms at time of manufacture , but no counts are guaranteed at the shelf. Probiotics are living organisms and ought to be refrigerated for max lifespan. You can get refrigerated probiotic supps at a place like Whole Foods. Source: I used to work in the industry.

There are some newer types of probiotics (called "spore-based") which claim better shelf stability (don't require refrigeration) and resistance (to populate further down the digestive system). But you're absolutely right, they tend to die off pretty quickly (be extra weary of ordering them online, especially during the summer if they're going to sit around in a hot delivery truck or mailbox!).

That is more around solving a different problem than shelf-stability, which is the fact that most probiotics targeting the intestines don't survive in great measure beyond the stomach.

Re: Oral microbiome sequencing after taking probiotics

#24

Earlier quoted context omitted.

Yes

The Internet almost universally disagrees, based on a quick search: https://seed.com/cultured/probiotics-refrigeration-storage-g...

Lyophilization is a fancy word for freeze-drying. "If a probiotic is refrigerated, it doesn’t mean it’s a better quality" is of course true. But nothing that I said is false. If I am getting probiotics from a quality source, I am going to prefer the refrigerated product over the "shelf-stable" one every time.

Re: Oral microbiome sequencing after taking probiotics

#25

I want this for nasal microbiome. I think modern living is wreaking havoc on our upper respiratory track. We need to find a way to regenerate or improve nasal cavity microbiome.

Just don’t get caught insufflating your probiotics during lunch hour :)

Re: Oral microbiome sequencing after taking probiotics

#26

PSA: If a probiotic is on the shelf, not in a cooler, it's probably not worth buying. The best companies certify the count of organisms at time of manufacture , but no counts are guaranteed at the shelf. Probiotics are living organisms and ought to be refrigerated for max lifespan. You can get refrigerated probiotic supps at a place like Whole Foods. Source: I used to work in the industry.

[deleted]

Re: Oral microbiome sequencing after taking probiotics

#27

Wasn't there recently a discussion of a risk of methanol formation from an ethanol producing strain? I sure hope that none of your strains produce ethanol.

Why not? Ethanol kills competing bacteria and is only produced in microscopic quantities.

Methanol is produced by a lot of bacteria, almost every human produces it within their body.

Re: Oral microbiome sequencing after taking probiotics

#28

I would love to see this same analysis with a gut probiotic! I am never convinced if I'm wasting my money, which strains are best, should I do refrigerated or shelf-stable, etc.

As far as I am aware, fiber has infinitely superior research behind it with far more drastic effects. Just take fiber if you're worried about gut health imo.

Yes, feeding good bacteria is the best bet. Probiotics are transient, they don’t colonize.

Re: Oral microbiome sequencing after taking probiotics

#29

PSA: If a probiotic is on the shelf, not in a cooler, it's probably not worth buying. The best companies certify the count of organisms at time of manufacture , but no counts are guaranteed at the shelf. Probiotics are living organisms and ought to be refrigerated for max lifespan. You can get refrigerated probiotic supps at a place like Whole Foods. Source: I used to work in the industry.

what kind of cooler, near zero or just yogurt level temperatures ?

Re: Oral microbiome sequencing after taking probiotics

#30

PSA: If a probiotic is on the shelf, not in a cooler, it's probably not worth buying. The best companies certify the count of organisms at time of manufacture , but no counts are guaranteed at the shelf. Probiotics are living organisms and ought to be refrigerated for max lifespan. You can get refrigerated probiotic supps at a place like Whole Foods. Source: I used to work in the industry.

When I asked my doctor about which kinds of probiotics are most effective she specifically mentioned refrigerated vs non-refrigerated is not a way to identify quality or effectiveness unless you know the specific strain(s) needed cannot be made shelf-stable. This lined up with asking my endodontist after they prescribed some antibiotics for a tooth infection. They did warn that the use by dates are a bit bull, not to…

Also frankly, doctor =/= expert on probiotics.

None of their training really addresses that and while they might be more qualified to read research than random layman I would not in general ascribe authority to what a random practitioner has to say about probiotics. Frankly, the research on probiotics is still very much in its infancy and a LOT remains to be figured out.

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