Two Probiotics at once?

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CrohnnieMan
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Date Joined Aug 2008
Total Posts : 190
   Posted 1/13/2010 6:58 PM (GMT -7)   
My doctor recommended Florastor a few months ago. I finally got around to taking it last weekend and the second day I had D real bad. And I hardly have D at all, instead it is usually quite the opposite. But the past couple of days have been better and sorta constipated. I did some research and liked what I saw on Primadophilus Reuteri made by Nature's Way. I think I saw someone on the forums that takes 1 Florastor and 1 Primadophilus Reuteri everyday. So I went ahead and ordered a bottle of Primadophilus Reuter that I received today. I called the GI office about taking both and the nurse said I should only take one at a time because it would be a lot of bacteria at once. My thought is Florastor is a yeast while the other isn't. Plus I would go from two florastor pills a day to one and adding one Primadophilus Reuter (one in the morning & one at night).

I am new at Probiotics and would like to know if that really is too much or am I OK with taking one of each?

Rider Fan
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Date Joined May 2008
Total Posts : 1445
   Posted 1/13/2010 8:10 PM (GMT -7)   
I don't think it would harm you to take both. But why not just pick one and take it for a few months. Otherwise if you feel better you wont know which of the 2 are helping.
33 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. Proferrin iron pills.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


CrohnnieMan
Regular Member


Date Joined Aug 2008
Total Posts : 190
   Posted 1/13/2010 8:20 PM (GMT -7)   
I think normally I would, but we are going on vacation in 2 1/2 weeks and would like as much relief that I can get. :-)
500 mg of Pentasa 4 times a day, 1 Florastor 2 times a day, 2 mg LDN at bed time, 1400 IU Vitamin D3

Prior medication until LDN:100 mg Imuran a day - GI wanted 150 mg, but I didn't want to destroy my liver, 1 Gram of Pentasa 4 times a day, 3 mg of Entocort 3 times a day, Librax as needed

AKA:Chronnieman


Rider Fan
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Date Joined May 2008
Total Posts : 1445
   Posted 1/13/2010 10:02 PM (GMT -7)   
I see. Well I think the worst that could happen is you might get a bit of overgrowth of a certain strain and have some bloating...hard to say.
33 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. Proferrin iron pills.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


Illini
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Date Joined Dec 2007
Total Posts : 298
   Posted 1/14/2010 7:34 AM (GMT -7)   
Not sure about "too much bacteria" because honestly what's in those pills is a drop in the bucket compared to what's in your guts already :-)

I agree that you could experience some discomfort which often happens when you change your treatment regime, but hopefully things will settle down before your trip.

Personally I take Primadophilus reuteri (1 capsule) and VSL#3 (2 capsules), once a day all at the same time.
July 2007 Drug-Induced Liver Injury
January 2008 Crohn's Ileitis
Currently trying... Enteral Nutrition, VSL#3, Primadophilus Reuteri, Folic Acid


CrohnnieMan
Regular Member


Date Joined Aug 2008
Total Posts : 190
   Posted 1/14/2010 8:57 AM (GMT -7)   
Thanks for the help everyone.

Illini -

Did you notice any difference when you started Primadophilus reuteri?
500 mg of Pentasa 4 times a day, 1 Florastor 2 times a day, 2 mg LDN at bed time, 1400 IU Vitamin D3

Prior medication until LDN:100 mg Imuran a day - GI wanted 150 mg, but I didn't want to destroy my liver, 1 Gram of Pentasa 4 times a day, 3 mg of Entocort 3 times a day, Librax as needed

AKA:Chronnieman


EMom
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Date Joined Aug 2007
Total Posts : 990
   Posted 1/14/2010 9:21 AM (GMT -7)   
ChronieMan, if you read about Florastor, you will see it contains one, only ONE beneficial strain of probiotic--Saccharomyces boulardii. It is a particularly good strain to STOP diarrhea... making it rather odd that you experienced D from taking it! Here's the Florastor web page that explains what it contains:

http://www.florastor.com/article8824.html?id=1139

If you check out Wiki's explanation of Saccharomyces boulardii, you will see that it has been proven in scientific studies to help alleviate D--especially "traveler's diarrhea" and diarrhea from a C.diff infection. (I think this is why doctors often prescribe Florastor to Crohnies, because some are susceptible to C.diff infections. Sadly, if C.diff is NOT your issue, then you probably do NOT need Florastor!)

If I were you, I would DEFINITELY take another probiotic! Preferably anything with lactobacillus acidophilus. You may, depending on how things go, want to ditch the Florastor, given that D was your reaction. jmo, of course!

Doctors and nurses are relatively new to the world of probiotics. Again, jmo, but I would not take a nurses opinion on whether or not to take an additional probiotic. They just are NOT informed/educated on this issue.

Additionally, I agree with what Illini said; what is in the pills is a drop in the bucket compared to what's in your gut. We all have TRILLIONS of bacteria in our gut! You can't overdose on probiotics. Again, jmo.
Mom to 17 year old son diagnosed in June, 2007.
Omega 3s, digestive enzymes, probiotics, vit. C, calcium, vit. D3, a good multivitamin and SCD legal yogurt
Started The Maker's Diet in Sept. '07. Incorporate Specific Carbohydrate Diet (SCD) recipes, too. Med-free.
http://www.healingwell.com/community/default.aspx?f=17&m=984588
http://www.healingwell.com/community/default.aspx?f=17&m=1533705
http://www.healingwell.com/community/default.aspx?f=17&p=1&m=1262312


CrohnnieMan
Regular Member


Date Joined Aug 2008
Total Posts : 190
   Posted 1/14/2010 10:34 AM (GMT -7)   
Thanks EMom-
I thought it was odd myself that I experienced D because I rarely do. Maybe it was something I ate. I will continue with one Florastor in the morning (while my supplies last) and a Primadophilus reuteri at night. I take LDN and it is known to cause or raise the chances of Candida and Florastor can help with that.


Primadophilus reuteri contains a combinatin of:
Lactobacillus rhamnosus
Lactobacillus reuteri
Lactobacillus acidophilus
500 mg of Pentasa 4 times a day, 1 Florastor 2 times a day, 2 mg LDN at bed time, 1400 IU Vitamin D3

Prior medication until LDN:100 mg Imuran a day - GI wanted 150 mg, but I didn't want to destroy my liver, 1 Gram of Pentasa 4 times a day, 3 mg of Entocort 3 times a day, Librax as needed

AKA:Chronnieman

Post Edited (CrohnnieMan) : 1/14/2010 10:39:54 AM (GMT-7)


Illini
Regular Member


Date Joined Dec 2007
Total Posts : 298
   Posted 1/14/2010 1:47 PM (GMT -7)   
Hi CrohnieMan, I always have taken them together. At times when I have run out of one or the other and been on only one at a time, I tend to get more "rumbling" noise coming from my intestines. I have a stricture so it can get noisy.
July 2007 Drug-Induced Liver Injury
January 2008 Crohn's Ileitis
Currently trying... Enteral Nutrition, VSL#3, Primadophilus Reuteri, Folic Acid


Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 1/14/2010 7:54 PM (GMT -7)   
I just finished florastor today, I've noticed a little more d lately, I'll watch and see if it improves
Male with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003.Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control.5-asa Salofalk, Entecort, Imuran and Prednisone in the past.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/14/2010 11:37 PM (GMT -7)   
I have mentioned Primadophilus Reuteri on here numerous times...I think the nurse you spoke with is an idiot (just my opinion)...recommendations for IBDers is no less than 10 billion live cultures, the Primadophilus I was taking contains 5 billion...I switched to ProBio TX-11 only cuz the price of Primadophilus went up double in price and now I'm getting 10 billion in one cap of the ProBio and it's comparable to the Primadophilus, it's Sangsters brad (a local health food store that I was buying my PR from).

Go ahead and take both, chances are it will be more helpful and not harmful at all....we have more than enough bad bacteria in our systems due to the fact that IBDers tend to have bad bacterial over-growth which often exacerbates our symptoms.
 
BTW VSL3 has been highly recommended for IBDers, it has 450 billion live cultures in it...that nurse is clueless.


:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


EMom
Veteran Member


Date Joined Aug 2007
Total Posts : 990
   Posted 1/15/2010 6:30 AM (GMT -7)   
CrohnnieMan said...
I take LDN and it is known to cause or raise the chances of Candida and Florastor can help with that.


ChronnieMan, are you sure about this? I have understood that candida albicans INTERFERES with LDN (not that LDN causes candida), and that most Americans likely have some level of candida overgrowth, therefore it's important to address the overgrowth if you are on LDN. Additionally, I see nothing on the Florastor website nor in the information about Saccharomyces boulardii that says it addresses candida. Just thought I'd pass this on! Maybe I'm missing something! confused

CrohnnieMan
Regular Member


Date Joined Aug 2008
Total Posts : 190
   Posted 1/15/2010 12:17 PM (GMT -7)   
EMom said...
CrohnnieMan said...
I take LDN and it is known to cause or raise the chances of Candida and Florastor can help with that.


ChronnieMan, are you sure about this? I have understood that candida albicans INTERFERES with LDN (not that LDN causes candida), and that most Americans likely have some level of candida overgrowth, therefore it's important to address the overgrowth if you are on LDN. Additionally, I see nothing on the Florastor website nor in the information about Saccharomyces boulardii that says it addresses candida. Just thought I'd pass this on! Maybe I'm missing something! confused


I've read where some doctors recommend Florastor to patients that have Candida overgrowth and other conditions. Here is some information on the probiotic in Florastor and candida is inlcuded: en.wikipedia.org/wiki/Saccharomyces_boulardii

Also, on the LDN & IBD yahoo group (possibly other sites) it is shown that LDN triggers Underlying Candidiasis.
500 mg of Pentasa 4 times a day, 1 Florastor 2 times a day, 2 mg LDN at bed time, 1400 IU Vitamin D3

Prior medication until LDN:100 mg Imuran a day - GI wanted 150 mg, but I didn't want to destroy my liver, 1 Gram of Pentasa 4 times a day, 3 mg of Entocort 3 times a day, Librax as needed

AKA:Chronnieman


BeeSting
Regular Member


Date Joined Nov 2008
Total Posts : 392
   Posted 1/15/2010 4:35 PM (GMT -7)   
Crohnnieman,
you're right; LDN is triggering an UNDERLYING candida but _overgrowth_. Underlying means you're having a candida, a candida overgrowth is not good, it's often there and it's too much of it and something should have been done to treat it.
We're all having candida as a part of the normal yeast flora. It's when it's becoming too much of it, that we get problems like diarrhea, tiredness, and a lot of other health problems. BUT LDN does not MAKE it. The overgrowth is already there but need to be adressed and treated. LDN is reacting and giving you more problems, like more diarrhea, and you need to treat your overgrowth to get LDN to work better. LDN is having a hard time to work properly because of the candidiasis.

By the way, around X mas I had a shorter flare, due to working too much and a lack of sleep. I decided to go GLUTEN FREE. Within 2 days my diarrhea stopped, and now, three weeks later I still haven't had any diarrhea ( LDN reduced my diarrhea from 8 - 10 each day, down to 3 each day, to live with)....now I have bm's every second day, as before I got my Crohns diagnose.

I know, it's still early days. And today I made a sauce and used two tablespoons of wheat flour to thicken it)....I should never have done it. For the first time in three weeks I got bloated and got a lot of gas, haven't had this gas problems since xmas. And the diarrhea is back.

Anyway, the three probiotics that you're mentioning is very good and supportive ones. The Lactobacillus Rhamnosus has been within a trial and found to be very helpful.

Saccaromyces boulardii is ok to use to calm down diarrhea. But if you have a candidiasis it will trigger to increased overgrowth which could lead to more diarrhea. Due to Elaine Gottschall.

iPoop
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   Posted 1/24/2016 12:18 PM (GMT -7)   
Spam above by user srsd, same post on three forums. I'll cleanup the uc and IBD forums, banned.
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, 37, UC in histological remission
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