The collection presents a cautious shift in thinking about probiotic use after antibiotics. Many discussions interpret the Cell study as evidence that probiotics can delay gut microbiome recovery and that autologous FMT may be more effective. Posts vary from clinical interpretation and calls for guideline reevaluation to more skeptical or neutral stances, with some emphasizing individual variability and need for more research. The tone ranges from scientific and measured to urgent and opinionated, using phrases like 'impaired by probiotics,' 'delay recovery,' and 'time to rethink.'
AgreementNeither agree nor disagree
Overall mixed to cautious: many posts acknowledge the study and suggest probiotics may hinder recovery, but some remain neutral or question applicability, leading to a net neutral stance.
InterestModerate interest
Moderate to high interest: numerous posts react, quote, and share the paper, showing curiosity and engagement with the topic.
EngagementModerate engagement
Engagement is thoughtful and analytical in many posts, with references to mechanisms, alternatives (aFMT), and caveats; a few are cursory or opinionated.
ImpactModerate impact
Impact is potentially substantial for clinical practice and consumer behavior, as several posts call to change opinions about probiotic use after antibiotics and emphasize autologous FMT as preferable.
Abstract in brief
Probiotics are commonly used to prevent issues caused by antibiotics, but their effectiveness in restoring gut health after antibiotic use is still unclear.
Studies showed that while probiotics can colonize human mucosa after antibiotics, they slow down the recovery of gut bacteria compared to autologous fecal microbiome transplantation (aFMT), which leads to faster recovery.
This research suggests that while probiotics may seem beneficial, they can hinder the natural rebalancing of gut bacteria, indicating a need for more effective treatments like aFMT or customized probiotics to ensure gut health after antibiotic use.
Feb 24, 2019 · 201 likes · 61 shares · 8,177 followersView post →
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sasquatch liaison
@clarythromycin · X
@kevin_jolin @AndiAllOver @veryanya https://t.co/6OEMISXT8R as far as medical guidelines go, probiotics aren't the strongest recommendation. you can read for yourself!
Mar 4, 2021 · 65 likes · 1 share · 295 followersView post →
@Brooke_Sample @erinbiba @neighbourgalaxy I always assumed this was helpful, but there is increasing evidence that probiotics post antibiotics actually delay gut microbiome recovery. For example: https://t.co/FzEcg3a8W9.
The solution seems to be transplanting our own faeces from before starting the ABs — how exciting!
Yet more evidence that supplements (probiotics, in this case) don't work. Eat a whole foods #BlueZonesdiet https://t.co/IdPU3Vrqa4
Jan 7, 2019 · 12 likes · 3 shares · 42,697 followersView post →
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Gal Haimovich ☣ ???
@grnfluoresceblg.bsky.social · Bluesky
אני לא מומחה, אבל מקצת ששמעתי וקראתי (בעיקר ערן סגל בוייצמן), בכלל לא ברור אם יש ללקיחת פרוביוטיקה יתרון כלשהו ועלול אפילו להזיק.
לדוג' פה:
פרוביוטיקה אחרי טיפול אנטיביוטי *מאיטה* את חידוש המיקרוביום של המעי.
www.sciencedirect.com/science/arti...
New findings show probiotics may slow gut bacterial rebalancing after antibiotics, while autologous FMT accelerates recovery. This video discusses why probiotics might not be the best post-antibiotic strategy and how…
Explores how antibiotic use affects the gut and what the large Nature study of meals and patients means for recovery. Includes practical takeaways on post-antibiotic eating, avoiding common mistakes, and when to seek…
How non-nutritive sweeteners like saccharin, sucralose, aspartame, and stevia may alter the microbiome and glucose responses. A controlled trial in 120 adults shows microbiome shifts and impaired glycemic regulation for…
Probiotics often don’t resolve gut issues, and in most cases, may even hinder recovery. This video explores why industrialized probiotics rarely colonize the gut, what science shows about their effects, and what truly…
A clinician reviews popular gut supplements, identifying 2 that may harm the microbiome and 3 with solid evidence for repair. Clear dosing tips and when to use them are provided.
Examines the evidence behind probiotic capsules versus fermented foods. Shows how capsules may delay recovery after antibiotics and highlights benefits of yogurt, kefir, and fermented cabbage as cost-effective options.
A Croatian-language guide tracing post-antibiotic gut changes, when to use probiotics, and what to expect in the weeks after therapy. Practical signs for medical advice and what supports recovery.
Sources httpsrdcubecMd64 httpsdoiorg101016jcell201808047 httpsdoiorg101053jgastro202005059 httpsdxdoiorg1033902Fmicroorganisms7040104 The AGA guidelines review the latest evidence on probiotic use in gastrointestinal…
Discover the truth about probiotics in our latest video. We examine current studies on their effectiveness after antibiotic treatments, considering individual microbiomes and dietary habits. Learn why a balanced diet is…
Korean-language summary of guidelines and trials on probiotics, including what is recommended for GI disorders and IBS, and when capsules may be unnecessary or ineffective.
A concise look at when probiotics help, when they don’t, and why the microbiome isn’t built by capsules alone. It also covers practical alternatives to support gut health.
Uncover the truth about probiotics in our latest video The effectiveness of probiotics in restoring gut health post-antibiotics is debated. Recent studies indicate they may slow bacterial recovery compared to autologous…
Are probiotics truly beneficial for gut health or do they pose risks? This video examines scientific evidence on their effectiveness, potential side effects, and compares them with natural alternatives for better health…
Examines whether probiotic supplements alter gut microbiota in healthy adults. Summarizes seven RCTs showing no consistent changes in diversity, richness, or composition compared with placebo, and discusses implications…
Probiotics are commonly used to prevent issues caused by antibiotics, but their effectiveness in restoring gut health after antibiotic use is still unclear. Studies show probiotics can colonize mucosa but may slow down…
Senior-friendly eating plan during and after antibiotics focusing on gentle, protein-rich meals, cooked fruits/veg, and gradually added fiber. Discusses fermented foods and when probiotics may not be the right option.
Summarizes a large 2024 JAMA Network Open trial in children: probiotics did not boost gut recovery across most measures; some benefits appeared for virus-related diarrhea. Key findings and practical implications.
Overview of a large citizen science microbiome study with 10,000+ participants across US, UK, Australia. Highlights beta-diversity differences, standardized shipping protocols, new stool metabolome molecules, and links…
This video explores the history and health benefits of fermented foods, highlighting their ancient origins and how fermentation creates gut-healing probiotics. Learn how to safely incorporate ferments into your diet for…
Explores the history and health benefits of fermentation, from ancient origins to modern gut health. Learn how ferments support the microbiome and how to incorporate them safely into your diet.
Sources, if you want to read them yourself:
The sugar and antibiotics study (Nature, 2026):
https://t.co/QYIKalspmc
What the researchers said:
https://t.co/mW7GpfWxD4
The probiotic capsule study (Cell, 2018):
https://t.co/hsBFHD5QFZ
12 healthy men, 6 months (2018):
Užívání probiotik k antibiotikům nemá vždy stejný efekt. ? Kdy po nich sáhnout a kdy jejich význam není tak velký? Záleží na typu antibiotik, věku pacienta i správném načasování. ? Více informací se dočtete zde: https://t.co/mhaA4a8xXm
Zdroje: Blaabjerg, S., Artzi, D. M., & https://t.co/8jlWnVl30O
@leafyvegetabl fun fact! there is evidence that probiotics might actually interfere with gut microbiome recovery (after antibiotics) compared to leaving it alone
imagine you cut down an old biodiverse forest and replant a stand of one type of tree, similar concept!
https://t.co/FBr8wLRiSz
The research does not appear to support taking probiotics during or after antibiotic use. Old wives' tale, then?
A 2018 Israeli study found that the microbiomes of patients who did *not* take probiotics recovered faster.
Hoping I have expert followers to weigh in.
pubmed.ncbi.nlm.nih.gov/30193113/
There’s some interesting evidence that suggests in humans and mice that post-antibiotic use of probiotics can delay gut recovery. And, autologous (self-sourced) fecal microbiota transplants are a more effective treatment to 1) recover gut microbe community and 2) repair mucosal gut lining.
אני לא מומחה, אבל מקצת ששמעתי וקראתי (בעיקר ערן סגל בוייצמן), בכלל לא ברור אם יש ללקיחת פרוביוטיקה יתרון כלשהו ועלול אפילו להזיק.
לדוג' פה:
פרוביוטיקה אחרי טיפול אנטיביוטי *מאיטה* את חידוש המיקרוביום של המעי.
www.sciencedirect.com/science/arti...
RT @truthseeker917: So after all, probiotics MAY NOT be the optimal method of returning the gut micro biome to homeostasis after antibiotic…
Mar 30, 2023 · 1 share · 1,597 followersView post →
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Truthseeker
@truthseeker917 · X
So after all, probiotics MAY NOT be the optimal method of returning the gut micro biome to homeostasis after antibiotic use. Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT https://t.co/3BNfFtXwgg
@Brooke_Sample @erinbiba @neighbourgalaxy I always assumed this was helpful, but there is increasing evidence that probiotics post antibiotics actually delay gut microbiome recovery. For example: https://t.co/FzEcg3a8W9.
The solution seems to be transplanting our own faeces from before starting the ABs — how exciting!
@Ana9Lisa @bananakeup Y sin embargo varios estudios han demostrado que impiden la regeneración de la flora intestinal varias semanas, la cual se regenera a los 21 de cualquier tratamiento antibiótico.
Enlace a uno de ellos (en inglés)
https://t.co/ZFsWWnimtp
@NFinTX @k_scattergood @wonderofscience I believed this too for a long time… but more recent academic research (not sponsored by supplement companies) seems to suggest taking probiotics after antibiotics can actually slow the return to normal gut biome (e.g. https://t.co/lk08SclgU0 )
@MGdolores @llanca007 @RosaMadridejos No debes recomendar nada. Tú dispensas lo recetado. Ni conoces el historial del paciente ni estás al corriente de los últimos estudios como los médicos especialistas. No jueges con la salud de los enfermos ni con su bolsillo
https://t.co/N1QkZlC5Ox
@realMaskedDoc @DrYaelAdler @FrankBettina @KJPGehrden @AverbeckHeiner Es ist sogar längst bekannt, dass Probiotika nach Antibiotika-Gabe die Regeneration des Mikrobioms (falls betroffen) verzögern/verhindern können. Shooting in the dark. Sog. "Mikrobiom-Analysen" suggerieren fälschlicherweise, man wüsste was man tut.
https://t.co/TVJ3iesICP
Jun 7, 2022 · 4 likes · 6,085 followersView post →
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Sergio Vallejo Martínez
@Sergio_VM86 · X
@eb4cak @_bgzorn_ @Nunodomin @materia_ciencia @el_pais @TheLancet @unicomplutense @SEMicrobiologia @microBIOblog @SEIMC_ @RafaMCanton @microRyC No y al revés:
https://t.co/32UN0jEagg
Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT: Cell comment: super important work. https://t.co/IvwbPSBhdr
"Nosso estudo demonstra, em uma preparação empírica de #probioticos de múltiplas cepas, que a suposta proteção induzida por probióticos contra os efeitos adversos associados aos antibióticos pode não estar isenta de riscos."#probiotics https://t.co/Zh9TMLsrAI
@kevin_jolin @AndiAllOver @veryanya https://t.co/6OEMISXT8R as far as medical guidelines go, probiotics aren't the strongest recommendation. you can read for yourself!
Mar 4, 2021 · 65 likes · 1 share · 295 followersView post →
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Simon Hill MSc, BSc
@theproof · X
@LillyVegan7 https://t.co/v1BVznhCgL
Feb 4, 2021 · 1 like · 34,091 followersView post →
SB
Simon Hill MSc, BSc
@theproof · X
@HXDK Some data to support that. Seems plant diversity providing lots of prebiotics and some probiotic foods is the less risky way...until probiotics become more specific.
https://t.co/v1BVznhCgL
Hi @foundmyfitness I know it's a small study, but do you have any thoughts on #probiotics in regards Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT https://t.co/xDCozFiZkj
@hafez_sanaa Vital, the jury is still out on using probiotics to address antibiotic-associated dysbiosis. Here's what Eran Elinav and Eran Segal found: https://t.co/Y0wCmMHENF
Jan 19, 2021 · 1 like · 18,569 followersView post →
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Cheryl
@Cherie_z62 · X
Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT https://t.co/o6N0uQZFTi
Surprising finding: probiotics impair gut microbiome recovery after antibiotic use.
"Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT"
https://t.co/RGeWMmczag
@chriskresser @ChrisMasterjohn
@PaulBeckett64 This is the original study. Very dense and I left out the most bizarre part which is that storing and the replacing your own stool (autologous fmt) is the best way to restore the original flora! https://t.co/RKSaGZ3AxG
Sep 18, 2019 · 1 like · 5,237 followersView post →
AK
Axel Künstner
@knstnr · X
@ErnMedBlog Dann wird es kompliziert. Für #Probiotika wurde ganz schön gezeigt, dass ihr Effekt nicht der erwünschte ist.
'Probiotics perturb rather than aid in microbiota recovery back to baseline after antibiotic treatment in humans.'
https://t.co/hNGNxG8BJ1
@DrPoorman @CarlosdelRio7 Here is the article, I think most post antibiotic GI symptoms really warrant case by case attention. Not sure there is an evidence based blanket recommendation. I would stand on at this point, which again means we should look into it! https://t.co/XbUWwsgzRv
Is prescribing probiotics a TWDFNR? @DocLennyF @ChrisMoriates @CostsofCare @hvpaa @TWDFNR @CarlosdelRio7 https://t.co/B3YPGf0VEo
Feb 13, 2019 · 4 likes · 14,199 followersView post →
CR
Carlos del Rio
@CarlosdelRio7 · X
#jounalclubtwitterchat Q1. Does this article temper or bolster your enthusiasm for probiotics? @MikeWoodworthMD on the cell paper looking at probiotics after antibiotics -https://t.co/iCGpb54l8A
Feb 12, 2019 · 4 likes · 55,713 followersView post →
SR
Stuart Ray
@soupvector · X
RT @CarlosdelRio7: @MikeWoodworthMD presenting Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Impro…
Feb 12, 2019 · 1 share · 3,064 followersView post →
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Carlos del Rio
@CarlosdelRio7 · X
@MikeWoodworthMD presenting Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT a paper published in Cell. https://t.co/iCGpb54l8A
Feb 12, 2019 · 5 likes · 1 share · 55,713 followersView post →
M
Mike
@MikeWoodworthMD · X
@JenniferSpicer4 & I are presenting 2/12/19 at Emory's ID Division journal club. I am discussing this basic science article: https://t.co/XngSeH0ywy. Jen is discussing this clinical article: https://t.co/0djFb3amRK. Take a second to vote and comment in this thread
Jan 13, 2019 · 1 like · 4,690 followersView post →
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Arturo Tozzi
@arturotozzi · X
Brutte notizie per i probiotici... Post-Antibiotic Gut Mucosal Microbiome Reconstitution Is Impaired by Probiotics and Improved by Autologous FMT https://t.co/KxMIDuzGul
Yet more evidence that supplements (probiotics, in this case) don't work. Eat a whole foods #BlueZonesdiet https://t.co/IdPU3Vrqa4
Jan 7, 2019 · 12 likes · 3 shares · 42,697 followersView post →
SS
Suvir Singh
@pb10_bmt · X
Probiotics hinder gut microbiome normalization after antibiotic therapy. Time to rethink a non evidence supported practice?
https://t.co/QjUCZvVGqm
@CellCellPress https://t.co/ruAuFPH9xv
... Cell, 174(6): 1406-1423, PMID 30193113, DOI 10.1016/j.cell. 2018.08.047. Envoie à quelqu'un sous probiotiques en gélules sans résultat durable. Like.
... Cell, 174(6): 1406-1423, PMID 30193113, DOI 10.1016/j.cell. 2018.08.047. Envoie à quelqu'un sous probiotiques en gélules sans résultat durable. Like.
A Compact, High-Accuracy Cas9 with a Dinucleotide PAM for In Vivo Genome Editing. Mol Cell. 2019;73(4):714-26 e4. Epub 2018/12/26. doi: 10.1016/j.molcel.2018.12 ...
Connection between rosacea and gut health - Reddit
Reddit
... 10.1016/j.cell.2018.08.047 · NuclearTowel. •. 5y ago. Agree 100 %. There is evidence that there's a correlation. There was a bigger thread here ...
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