Can Probiotics Fully Restore Gut Microbiota After Antibiotics?

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Can Probiotics Fully Restore Gut Microbiota After Antibiotics?
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A new review explores the evidence on using probiotics to restore the gut bacterial community following antibiotic treatment.

Antibiotics are essential for treating bacterial infections, but they can disrupt the balance of microbes in the human gut. This disruption can lead to side effects like diarrhea and C. difficile colitis.

Probiotics have been shown to help alleviate these issues, but can they fully restore the gut's microbial community? A new review in Nature Reviews Gastroenterology & Hepatology analyzes the evidence surrounding probiotics and their ability to restore the gut microbiota after antibiotic treatment. Eight scientists with expertise in various fields, including clinical medicine, biostatistics, microbiome science, and probiotic microbiology, reviewed the current research. Their findings reveal a lack of studies directly addressing whether probiotics can fully restore the gut microbiota to its pre-antibiotic state. While some studies suggest certain probiotics can mitigate functional changes in the microbiome caused by antibiotics, data on the restoration of microbial composition is limited and often suffers from methodological flaws. Other studies show that probiotics taken alongside antibiotics can lead to microbiota changes, but whether these changes are truly beneficial remains unclear due to the lack of consensus on a healthy microbiota composition and its adaptability to change

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