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How Can Probiotics Change Your Gut Microbiome?

Article ID 04-MB-LI-00107

Woman meditating on a mossy log in an old-growth forest, with a glowing illustration of the digestive system over her abdomen

Probiotics introduce specific live microorganisms into the gut. But their effect is more complex than simply adding bacteria that may be present in low amounts.

What happens when probiotics reach the gut?

Some probiotic microorganisms may remain in the gut for a period of time. Others pass through without becoming permanent members of the microbiome.

While they are there, they can interact with microorganisms already living in the gut.

These interactions can influence which microorganisms grow, how they compete for nutrients and what substances they produce.

Probiotics can also affect the intestinal environment and interact with the gut barrier and immune system.

Can probiotics change more than one type of bacteria?

Yes. The effect of a probiotic does not have to be limited to the microorganism contained in the product.

By changing microbial interactions and the intestinal environment, probiotics can potentially influence other members of the gut microbiome and how the microbial community functions.

This helps explain why taking a probiotic is different from simply replacing a bacterium that appears to be low.

The response also varies between people. The probiotic strain, existing microbiome, diet, medications and health can all influence what happens after a probiotic is taken.

For longevity medicine, this broader interaction is important. The aim is to understand how microbiome-directed interventions can support a healthier microbial environment and functions relevant to long-term health.

Author

Monika Mikulicz-Pasler, MD, PhD

Monika Mikulicz-Pasler, MD, PhD

Specialist in Cardiology and Internal Medicine

KCM Longevity Clinic

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