VSL#3 at Costco, just got it today

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jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 157
   Posted 9/4/2009 6:04 PM (GMT -6)   
Hi i just got VSL#3 today at my local Costco. Pill form $42.00. they ordered it yesterday, came in this morning. what do you recommend is a good dosage to start at 2 in morn 2 at Night?. Thats what i was going to start at.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 17844
   Posted 9/4/2009 6:37 PM (GMT -6)   
Considering it has the highest CFU count of all the probiotics out there, I would start with one/day and then increase it if you find it necessary (that's what I would personally do).

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 9/4/2009 7:25 PM (GMT -6)   
I agree that it's good to build up the dose over a few days, so that it's gradual.

However, eventually try you follow the right dose, as recommended by VSL3, based on your symptoms. They have guidelines on their website on how much to take based on how severe your symptoms are.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 157
   Posted 9/4/2009 7:55 PM (GMT -6)   
Got it, thanks. just looked on there site it says Active UC 16-32 pills a day!!!!!!!!!! ? really

Rio in Maryland
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Date Joined Nov 2007
Total Posts : 891
   Posted 9/4/2009 8:08 PM (GMT -6)   
16-32 is a lot of pills, so I use the packets and not the caps....The packets for active UC is 4-8 a day. This is a very expensive probiotic, but I have realized that if you're going to use it then use it the right way. I have tried lower doses and they weren't as beneficial. And once you're in remission then it's a lot better as it's only about 1-2 packets a day then. Good luck with it.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 157
   Posted 9/4/2009 9:06 PM (GMT -6)   
Thanks for the info Rio. so i should have got the packets it sounds like, easier to do.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 17844
   Posted 9/4/2009 9:45 PM (GMT -6)   
Holy smokes, that's alot of pills...don't know what to advise, but that almost sounds like it's a type o or something, man that seems like alot, sure will be expensive taking those at the recommended amount....how many pills in the bottle?


:)
My bum is broken....there's a big crack down the middle of it! LOL :)


jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 157
   Posted 9/5/2009 10:35 AM (GMT -6)   
pb4 said...
Holy smokes, that's alot of pills...don't know what to advise, but that almost sounds like it's a type o or something, man that seems like alot, sure will be expensive taking those at the recommended amount....how many pills in the bottle?


:)


No kidding...60 pills in the bottle. i just took 2 last night. im going to stay on that i guess i dont know. 2 in morn, 2 at night. maybe up it?

psychocolon
Regular Member


Date Joined Jul 2009
Total Posts : 116
   Posted 9/5/2009 11:31 AM (GMT -6)   
The VSL#3 people have done studies on UC with their probiotics and made suggested amounts for when you are in a flare, which I am in now unfortunately. You really should take the recommended dose other wise you probably will not see the result you are looking for.
I am taking 4 packets now because of the flare and yes, it is expensive. However, I will try just about anything to pull out of it.
I tried VSL#3 before when I was first diagnosed and did real well. However, because of the expense I dropped it and went onto another pro biotic. Now I am back because I could not get remission with the other one. You do have to be patient with it.

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 157
   Posted 9/5/2009 12:10 PM (GMT -6)   
psychocolon said...
The VSL#3 people have done studies on UC with their probiotics and made suggested amounts for when you are in a flare, which I am in now unfortunately. You really should take the recommended dose other wise you probably will not see the result you are looking for.
I am taking 4 packets now because of the flare and yes, it is expensive. However, I will try just about anything to pull out of it.
I tried VSL#3 before when I was first diagnosed and did real well. However, because of the expense I dropped it and went onto another pro biotic. Now I am back because I could not get remission with the other one. You do have to be patient with it.



So your saying im not taking enough when im in a flare. i should have probably got the packets and gone that route. seems easier than 16 pills

bonsai
Regular Member


Date Joined Jan 2009
Total Posts : 23
   Posted 9/7/2009 3:57 AM (GMT -6)   
Hi,
First I took two VSL#3 and I did not see any improvemnt. Later I took VSL#3DS and I noticed the difference before and after VSL#3DS.
Now I am taking 3 packs a day. I noticed that If I do not take it within about 12 hours, my intestine start to generate gas and more gas as time goes by. Then soon after I take it, I noticed that no more gas in my intestine. Just note that I got colitis right after I had my dental work done.
Good Luck to you
Jin

TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 9/13/2009 3:03 AM (GMT -6)   
It says to take it with under a doctors supervision that freaked my husband out, why so intense?

Mitzo
Veteran Member


Date Joined Dec 2007
Total Posts : 536
   Posted 9/13/2009 10:36 AM (GMT -6)   
I took 2 packs a day for 2 months and it did not do anything for me and my D. I suppose I could have taken more but the 2 a day should have shown SOME even minor change, IMO. Before VSL#3 I downed 2 Culturelles a day for 3 months with no positive results either.
23 years of UC which started after quitting smoking. In and out of flares which are usually triggered by antibiotics. Latest issue is endless diarrhea without blood or mucous.
 
Currently off all meds and probiotics. Using grapefruit seed extract, iron supplement, calcium, and psyllium seed powder with good effect.

 


Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 9/13/2009 11:36 AM (GMT -6)   
Mitzo, taking just 2 packets a day would not necessarily show any effect, especially when you're in a flare. It's sort of like when I was initially diagnosed and expecting 2 Asacol to show an improvement during a severe flare, when I needed to be taking 6-12 Asacol to show any effect at all.

That being said, VSL#3 is expensive, and for the past 4 weeks or so I've been giving another (slightly cheaper) brand a try. I'm still not sure it's as effective as VSL#3, and I might try using a combination of both later on to see how that works, and then post an update.

By the way, I hope the GSE and other supplements are still working well for you.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


rdm
Regular Member


Date Joined Apr 2006
Total Posts : 199
   Posted 9/13/2009 11:37 AM (GMT -6)   
All the studies show effectiveness at only very high doses. IMO if in a flare you are wasting your money with one or two packets a day even more so with the pills. One reason could be that the bacteria are, in effect, just blown out of the intestines with the frequent bowl movements. So I would recommend following their guidelines or waiting until things are under control with meds and then begin VSL as part of your maintenance regime.

The deal about Dr. supervision is in my opinion a red herring and an attempt to integrate their product as a medicine rather than a supplement. Thus, we have the perscription only VSL DS which is the exact product at a double strength. This all about money, getting insurance companies to pay for the product and marketing, getting Docs to prescribe the product. IMO it has nothing to do with safety.

Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 9/13/2009 11:43 AM (GMT -6)   
rdm, I agree that all the studies are based on high doses, and taking a low dose is probably the same as not taking it at all. Also, the Dr. supervision part does look like slick marketing to make it seem like a medicine rather than a supplement, and get people to speak to their doctors about this, or maybe it's just their Legal advisors exercising caution.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


faithpeace&mercy
New Member


Date Joined Oct 2009
Total Posts : 1
   Posted 10/7/2009 5:21 PM (GMT -6)   
where is everyone getting VSL #3DS? I can't find this high dosage version anywhere. I've called several pharmacies!

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3250
   Posted 10/7/2009 5:27 PM (GMT -6)   
I'm curious about it, too. The "D" strength used to be listed on the Sigma Tau website, but I can't find it there now!
Diagnosed UP 1983, Azulphidine
Diagnosed UC 1986 Prednisone almost 2 years
Asacol - 16 pills/day
Metamucil - 2 doses/day
Cortenemas until recently, Rowasa as of 9/8
VSL#3, Ultimate Flora Critical Care
Vitamins, Calcium and D,Flax Seed Oil
Bee propolis as of 9/2, melatonin as of 9/14


LuckyLindy
Regular Member


Date Joined Feb 2009
Total Posts : 226
   Posted 10/7/2009 6:19 PM (GMT -6)   
As I recently posted elsewhere, I used to take the pack and make SCD yogurt out of it. This way I'd turn 1 $3 packet into 20 or so doses. Very cost effective, and worked just as well as the packets.
33 year old male
diagnosed severe pancolitis in 2004, unresponsive to all drugs
turned down recommendation to have j-pouch surgery
have been mostly symptom free since 2004 via diet modification (removed all carbs)


yankeespg23
Regular Member


Date Joined Dec 2007
Total Posts : 63
   Posted 10/8/2009 7:39 PM (GMT -6)   

I have been interested in giving this a try for sometime but $42 a bottle is very expensive.

 how long does a bottle usually last you? a month?


34 yr old Male from NYC, DX with Crohn's in oct of 1987
Resection in 1990
Switching to Remicade, Aug 6th. 2009
Entocort 3mg 3 pills each morning.
Currently on Humira pen shots, 40mg weekly. Cipro 2x a day.
Anemic again, Start Iron infusions August 31.


LuckyLindy
Regular Member


Date Joined Feb 2009
Total Posts : 226
   Posted 10/8/2009 8:01 PM (GMT -6)   
According to their recommendations, a 60 capsule bottle (~$45) will last you 2-4 days if you are using it for the treatment of Active UC, or 8-15 days for less severe symptoms (i.e. maintain remission). 30 pills a day seemed ridiculous to me, as did 4-8 packets (recommended for active UC). That's why I started making VSL#3 yogurt. A couple spoonfuls would work just as effectively as an entire pack (or many pills), and would cost very little. This allowed me to stretch a $60 30 pack to 2 months ... normally this would have only lasted a week based on their recommended dosage.
33 year old male
diagnosed severe pancolitis in 2004, unresponsive to all drugs
turned down recommendation to have j-pouch surgery
have been mostly symptom free since 2004 via diet modification (removed all carbs)

Post Edited (LuckyLindy) : 10/8/2009 7:23:11 PM (GMT-6)


songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3250
   Posted 10/8/2009 8:33 PM (GMT -6)   
The VSL yogurt really intrigues me (I do love homemade yogurt!) - but, LL, question: how do you guess at how much yogurt would equal a packet? or, to rephrase, how many bacteria per spoonful/cupful/whatever of the yogurt?
Diagnosed UP 1983, Azulphidine
Diagnosed UC 1986 Prednisone almost 2 years
Asacol - 16 pills/day
Metamucil - 2 doses/day
Cortenemas until recently, Rowasa as of 9/8
VSL#3, Ultimate Flora Critical Care
Vitamins, Calcium and D,Flax Seed Oil
Bee propolis as of 9/2, melatonin as of 9/14


LuckyLindy
Regular Member


Date Joined Feb 2009
Total Posts : 226
   Posted 10/8/2009 11:04 PM (GMT -6)   
1 sachet (packet) of VSL#3 contains 450 Billion bacteria. 1 mL of SCD-style yogurt (fermented 24 hours) contains up to 15 Billion bacteria ... less if fermented for a shorter period of time. This means that 30 mL = 1 packet (30 mL = 2 tablespoons = 1/8 cup). I would typically eat 2 cups per day, or roughly equivalent to 4-16 packets depending on how tart I made the yogurt. My 2 quart yogurt maker would thus turn 1 packet into the equivalent of 16+ packets.

Note that if you follow normal yogurt making instructions (4-6 hours), the bacteria content will be in the 1-3 Billion/mL range. This equates to roughly 1-3 cups equaling a packet. To get the equivalent of 8 packets, you'd then have to eat A TON of yogurt, which would likely hurt more than help.

I went back and forth between the VSL#3 and my tart yogurt and found both to be effective. I ended up giving it up after a while, as I was tired of making yogurt and didn't want to pay $300+/month for the VSL#3 at the doses necessary.
33 year old male
diagnosed severe pancolitis in 2004, unresponsive to all drugs
turned down recommendation to have j-pouch surgery
have been mostly symptom free since 2004 via diet modification (removed all carbs)


Peace&Harmony
Veteran Member


Date Joined Jul 2010
Total Posts : 1101
   Posted 9/26/2010 6:56 PM (GMT -6)   
I didn't know you could get it at Costco so cheap!  Do you need a prescription for it?
I guess you ask at the Pharmacist?  I'm using Renew Life - critical colon care but if I get sick and need antibiotics I would definatly want to swtich to VSL3 during that time. 
 
Hopefully I'll have a lucky winter.
41 year old female Accountant, diagnosed July 2010
flaring as of 8/21/2010 for 2 days,
last flare Feb 2010 - July 12, no blood after colonoscopy
Rectosigmoid up to 30 cm....very mild?
Mesalamine 4gm enema taporing every other day
Asacol oral 2 pills 3x daily - starting low
Folic Acid 1 mg daily / Probotics / Calcium + Vit D / Bene-fiber
Microgestin (birth control), Magnesium for leg cramps

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3250
   Posted 9/27/2010 6:40 AM (GMT -6)   
This is an old post, so you should check to see if Costco carries it now....
Regular VSL is available without prescription; VSL DS (double strength) is Prescription only.
Some of us have prescription insurance that will cover part of the cost of the DS - so for me, it's cheaper to get the DS.

Not only a lucky winter - but I would think you'd feel pretty good about all the new tools you have for dealing with flares! I can tell from your posts that you are learning things right and left - always a good thing! :-)
Co-Moderator, UC Forum
Age 54. Diagnosed UP 1983, UC 1986
Asacol - down to 13 pills/day,
almost off Cortenemas. Rowasa 2x a week.
Metamucil - 2 doses/day
VSL#3DS and other probiotics, Multivitamin, Calcium and D
homemade yogurt each day
doing well!
Son, 17, dx pancolitis 2007, in remission
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