Probiotics on an empty stomach

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Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 1586
   Posted 4/28/2010 4:35 PM (GMT -6)   
Many people here take their probiotics on an empty stomach.  My questions :
1. If you take it first thing in the morning, how long do you wait before eating something?
2. If you take it at the end of the day, how long after you have last eaten something?
Female, 43, Vancouver BC
 

DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June2008.  Currently in remission.
Current Meds: None

Previous Meds:

 -Asacol 800 mg (1 pill x 4 daily), Jan-Mar2009
 -Ferrous sulfate, Jan2009-Apr2010 
Supplements: Probiotic, cod liver oil, Multi-vitamins, Calcium-Magnesium 


quincy
Elite Member


Date Joined May 2003
Total Posts : 26153
   Posted 4/28/2010 5:32 PM (GMT -6)   
I take mine before bedtime which could be somewhere around 1 30 - 3 00 AM.
I try to wait at least an hour and a half after taking my night meds.

I don't take probiotics in the morning.....firstly, because I get gas. Secondly, the timing is off and I'd just forget.

q

Supa
Veteran Member


Date Joined Jul 2008
Total Posts : 748
   Posted 4/28/2010 7:30 PM (GMT -6)   
I actually take mine between breakfast and lunch. I eat at about 8am (which is when I take my AM meds too), and I take the probiotic at about 10:30am. I eat lunch around 1ish, generally. I have tried taking it first thing-not good for me. Too much gas. I have tried taking them before bed-but I forget most of the time. For some reason, the mid morning thing seems to work for me, so I stick with it.
Laura
Getting Closer to Remission!!!!
34 years old, stay at home mom of 2 girls, ages almost 5 and 3.5
Diagnosed in March 2007, symptoms started Dec. 2006
Currently on:
OUT of Humira trial-it stopped working
TAPERING pred (currently on 20mg), started REMICADE 2/26/10, otherwise taking Asacol (6/day), slow-fe iron (double dose), milk thistle, multivitamins, calcium, Ultimate Flora Critical Care, Vitamin C, and starting on 10,000 IU daily of Vit D, as well as GI Revive.


imagardener2
Veteran Member


Date Joined Jan 2010
Total Posts : 4014
   Posted 4/28/2010 8:00 PM (GMT -6)   
I take VSL#3 when I wake up 30 minutes before breakfast. I love food so this is the only time all day that there is 30 minutes without eating. (I am normal weight, just a nibbler). I don't get gas of any kind from probiotics. Before I started diet mod. a lot of food would cause stomach gas but now no gas either end.
Ulcerative colitis 10 years
Jan 2010 started SCD diet but modified by me (tried 5 years earlier no improvement)
Jan '10 first time in 10 years bleeding stopped, by Apr '10 90% improvement
Started reducing meds 6 weeks after colon improved with diet-all OK
Diet: Protein(meat/fish/eggs,no soy),nuts(soaked/roasted),no-starch veg(no potato),no grains bread
eliminated carbohydrates, no dairy except small amt. hard cheese, no fruit/juice (blueberries OK)
Daily: fish oil, Vit D3 1000 2Xday with oil/fat, veggie juice, sunflower seeds, probiotic VSL#3
Highly recommend: the book "Life without Bread" and the SCD Diet


mrrogeye
New Member


Date Joined Mar 2010
Total Posts : 14
   Posted 4/29/2010 4:06 AM (GMT -6)   
My probiotics say on the label that they should be taken on a full stomach....do your probiotics specifically say to take on an empty stomach?
Male - 26 year old in UK

UC - diagnosed Aug 2008 after c-scope - 3 months of being really unwell and lots of weight loss with no idea what was wrong with me, ended up being hospitalised for IV steroids

Meds - Asacol 6xDay

Currently flaring for first time since 2008 on the steroids and predfoam enemas, feel like its all coming back again :-(


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 22376
   Posted 4/29/2010 5:28 AM (GMT -6)   
I take mine in the morning before I eat breakfast. I have to take Prilosec on an empty stomach, so I take that when I wake up and then my probiotic, wait a little bit, have breakfast and take the rest of my pills. But usually I wait about an hour in between the probiotic and food not because of any rule or anything but I am usually a little nauseas in the mornings and I can't eat for at least an hour after I wake up.
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songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3252
   Posted 4/29/2010 6:49 AM (GMT -6)   
I take VSL, and the package insert says it doesn't matter whether you take it with food or on an empty stomach. Of course, it is also recommended you mix it with food or drink to take it!
take it in a little applesauce mid-to-late afternoon. That's when I feel like having a snack anyway, so I tend to remember to take it. I had tried taking it prior to bed, but I didn't always want to eat more applesauce or whatever at that hour, so I sometimes forgot to take it.
Age 54. Diagnosed UP 1983, UC 1986
Prednisone almost 2 years, 86-88
Asacol - 16 pills/day, cortenemas, Rowasa
Metamucil - 2 doses/day since '86
VSL#3DS, Multivitamin, Calcium and D
homemade yogurt each day
hip replacement 4/5/10
Son, 16, dx pancolitis 2007


Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 1586
   Posted 4/29/2010 8:41 AM (GMT -6)   
mrrogeye - My probiotics bottle actually says to take them with food, but I'd noticed a lot of people here take them on an empty stomach. And a few people (like Quincy) have mentioned doing that to reduce gas. I have gas issues so I am trying various things to try to control that. Now that I no longer have to take 3 iron pills a day, I can re-jig my whole pill schedule.

Supa - wow, you go a long time between breakfast and lunch! I don't think I can do that. I need to have little snacks every so often.

Maybe I'll try taking them at the end of the day, an hour after eating anything. See how that goes. I am too hungry when I first get up to wait an hour after taking them plus a couple of people say they get gas taking them first thing.

Thanks everyone for your replies!
Female, 43, Vancouver BC
 

DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June2008.  Currently in remission.
Current Meds: None

Previous Meds:

 -Asacol 800 mg (1 pill x 4 daily), Jan-Mar2009
 -Ferrous sulfate, Jan2009-Apr2010 
Supplements: Probiotic, cod liver oil, Multi-vitamins, Calcium-Magnesium 


Supa
Veteran Member


Date Joined Jul 2008
Total Posts : 748
   Posted 4/29/2010 2:26 PM (GMT -6)   
I guess that is true-it is a long while. But I typically eat eggs for breakfast, so that seems to fill me up for a long while-and we seem to always be on the go in the mornings, so I don't have a chance to eat much anyway.

That is probably why I end up snacking in the afternoons more often!!

I agree with you though-I am too hungry in the mornings to wait to eat, so the end of the day sounds like a good time to try on an empty stomach.
Laura
Getting Closer to Remission!!!!
34 years old, stay at home mom of 2 girls, ages almost 5 and 3.5
Diagnosed in March 2007, symptoms started Dec. 2006
Currently on:
OUT of Humira trial-it stopped working
TAPERING pred (currently on 20mg), started REMICADE 2/26/10, otherwise taking Asacol (6/day), slow-fe iron (double dose), milk thistle, multivitamins, calcium, Ultimate Flora Critical Care, Vitamin C, and starting on 10,000 IU daily of Vit D, as well as GI Revive.


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5570
   Posted 4/29/2010 3:27 PM (GMT -6)   
     I was taking Powerdolphilus and it says on the bottle to take with food.  When I started Humira on March 24th the doctor told me to stop the probiotic.  I still take one though, used to take two.  I never noticed any difference in my condition.  I still flared even taking the probiotic for two years cry
 
Ulcerative Proctitis since Sept of 1998. Hospitalized for eight days.  Prednisone, Asacol, Rowasa enemas.  Two year remission. Flare..switched from Asacol to Colazal.  Two year remission.  Started 6MP in 2002.  Flared yearly from 2003 to May of 08.  Hospitalized for ten days in May of 08.  Flaring more often since.  Off 6MP. Remicade failed. Now on Humira, Colazal, 20 mgm of Pred and tapering, Cort enemas, Canasa, Calcium with D, Benecar with water pill for blood pressure.  Ambien/Tylenol PM for sleep.

 


Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 1586
   Posted 4/29/2010 5:10 PM (GMT -6)   
Well, to be honest, I don't actually know if the probiotics do anything for me. I didn't start taking them until after I was already in remission. I only learned about them after I found this board and by then was already going into remission. I figure they might help and they don't seem to hurt, so why not.
Female, 43, Vancouver BC
 

DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June2008.  Currently in remission.
Current Meds: None

Previous Meds:

 -Asacol 800 mg (1 pill x 4 daily), Jan-Mar2009
 -Ferrous sulfate, Jan2009-Apr2010 
Supplements: Probiotic, cod liver oil, Multi-vitamins, Calcium-Magnesium 


sleepless37
New Member


Date Joined Jan 2015
Total Posts : 2
   Posted 1/6/2015 1:10 AM (GMT -6)   
imagardener2 said...
I take VSL#3 when I wake up 30 minutes before breakfast. I love food so this is the only time all day that there is 30 minutes without eating. (I am normal weight, just a nibbler). I don't get gas of any kind from probiotics. Before I started diet mod. a lot of food would cause stomach gas but now no gas either end.


First time posting to this forum. I have a toddler daughter with gut bacteria imbalance that is causing her to have ADHD like symptoms. Naturopath prescribed probiotics but we have switched brands due to stomach upset (gas,nausea,heartburn,reflux, hiccups and sometimes vomiting). Her psychological symptoms improve greatly with probiotics, but the side effects are no fun and I am afraid of her getting an ulcer from the reflux. The naturopath lately suggested VSL#3. I see a lot of people in this forum take VSL#3. Anybody experienced side effects from it, how much do you take? what are the ingredients on the label? Anything tips to prevent GI side effects? My daugther desperately needs probiotics to help counteract Klebsiella pneumoniae, pseudomonas and alpha haemolytic streptococus overgrowth in her gut. Thanks

Happychick
Regular Member


Date Joined Jun 2014
Total Posts : 433
   Posted 1/6/2015 5:09 AM (GMT -6)   
sleepless37 said...
imagardener2 said...
I take VSL#3 when I wake up 30 minutes before breakfast. I love food so this is the only time all day that there is 30 minutes without eating. (I am normal weight, just a nibbler). I don't get gas of any kind from probiotics. Before I started diet mod. a lot of food would cause stomach gas but now no gas either end.


First time posting to this forum. I have a toddler daughter with gut bacteria imbalance that is causing her to have ADHD like symptoms. Naturopath prescribed probiotics but we have switched brands due to stomach upset (gas,nausea,heartburn,reflux, hiccups and sometimes vomiting). Her psychological symptoms improve greatly with probiotics, but the side effects are no fun and I am afraid of her getting an ulcer from the reflux. The naturopath lately suggested VSL#3. I see a lot of people in this forum take VSL#3. Anybody experienced side effects from it, how much do you take? what are the ingredients on the label? Anything tips to prevent GI side effects? My daugther desperately needs probiotics to help counteract Klebsiella pneumoniae, pseudomonas and alpha haemolytic streptococus overgrowth in her gut. Thanks


VSL3 is probably the best and the most potent probiotic to take with it having 450 billion bacteria. My GI doc advised me to start taking it and said it was the only probiotic that has clinically proven to have an effect on the gut due to its potency and bacterial content. I have been taking it for about a month now and have noticed a huge difference. My stools are much firmer. It says on the UK VSL3 web page that it does not matter when you take it. So I just take it whenever I remember in the day. But always take with cold food or drink. I usually sprinkle it in to some ice cold apple juice.

I have not known anyone to get any side effects from it apart from gas and that usually subsides when the bacteria colonises in your gut after about two weeks. I did not have any problems though. The way I look at it is that it is not really a drug or medicine. Its the bacteria that should already be in our gut if they were healthy. I feel that the VSL is really aiding in the healing of my gut.

Your daughter should try it for two weeks and see if she sees a difference in herself.

garylouisville
Veteran Member


Date Joined Aug 2012
Total Posts : 7768
   Posted 1/6/2015 8:05 AM (GMT -6)   
As with all probiotics you should start out at lower doses and work you way up gradually as your body adjusts to it.
Pentasa (500mg) 2 pills X 2; VSL 1 pill X 2; Prescrip Assist Probiotic 1 pill X 2; Grape seed extract (1)400mg X 2; Vitamin D3 10,000 IU; daily generic Allegra; Canasa as needed; DAO as needed due to dietary histamine intolerance; lotion daily

Gave me trouble: Zymactive, Renew Life Probiotic 80 billion, Florastor, high histamine foods

quincy
Elite Member


Date Joined May 2003
Total Posts : 26153
   Posted 1/6/2015 2:34 PM (GMT -6)   
I'd suggest to take an enteric coated capsule form, at bedtime a few hours after eating.

I wouldn't suggest the powder form initially.

If you fear your daughter has reflux..find out if she does.

Has she been checked for h. pylori?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

garylouisville
Veteran Member


Date Joined Aug 2012
Total Posts : 7768
   Posted 1/6/2015 4:54 PM (GMT -6)   
The capsules actually aren't enteric coated but I prefer them to the powder as dosing is much, much easier - not to mention it is a lot easier to pop a pill rather than mix a portion of a packet with something and then you have to deal with the taste as well.
Pentasa (500mg) 2 pills X 2; VSL 1 pill X 2; Prescrip Assist Probiotic 1 pill X 2; Grape seed extract (1)400mg X 2; Vitamin D3 10,000 IU; daily generic Allegra; Canasa as needed; DAO as needed due to dietary histamine intolerance; lotion daily

Gave me trouble: Zymactive, Renew Life Probiotic 80 billion, Florastor, high histamine foods

Poppie
Veteran Member


Date Joined Feb 2014
Total Posts : 961
   Posted 1/6/2015 4:59 PM (GMT -6)   
I take mine when I remember!

I did try to take it either first thing in the morning or at night but it never quite worked out, and so as long as I remember to take it I'm happy
Samantha, 45 yrs
Stopped smoking Jan 2013.
Diagnosed. Left sided UC, 8th Feb 2014
Pentasa..2g daily
2 x Ultimate Flora 50 billion probotics, Vit D, and Multi vitamin tab daily.
Gluten free from Sept 2014

sleepless37
New Member


Date Joined Jan 2015
Total Posts : 2
   Posted 1/7/2015 12:49 PM (GMT -6)   
Thank you very much. I am going to call my Naturopath to give me a prescription for it. You are right, we can try it for two weeks. We have nothing to loose and it might be the probiotic that suits her stomach. We have been trying probiotics off and on and she keeps getting the reflux and hiccups with it. She is also on Cod liver oil which might contribute to GI side effects too.
Thank you very much!
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