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Probiotics

Probiotics, according to a large number of  studies indicate that probiotics help restore and maintain healthy guts leading to overall better health.

How Do You Take a Probiotic?

So, you’ve finally realized there are many reasons why you need to take a probiotic, but that’s only the first step toward improving your gut health.

How you take a probiotic — ideally with multiple species of beneficial bacteria — is even more important, as it helps you get the best value for your family’s health and your pocketbook.

Healthy kids and adults

Most healthy adults will get a much-needed boost to their immune system and gut health if they take a probiotic, ideally, about 30 minutes before eating a morning meal on an empty stomach.

This simple routine for most adults makes sense, based on the findings of a 2011 study featured in the journal Beneficial Microbes, that showed fewer good bugs contained in multi-species probiotics survived in smaller numbers through the upper gastrointestinal tract after a meal (when stomach acid is usually at its highest).

For small children age 3 or under, parents can protect their developing immune systems and reduce episodes of colic or diarrhea by sprinkling a probiotic in a powdered form (like EndoMune Junior) in a noncarbonated formula or liquid or on soft foods before or with a meal once a day.

Then, once your kids reach age 3, they can “graduate” to a chewy, fruity probiotic of their own (like EndoMune Junior Chewable).

When you’re sick

Another important consideration is how to take a probiotic when you’re sick. In fact, it’s becoming more common to see people taking a probiotic when their doctor prescribes an antibiotic, based on growing concerns about antibiotic-resistant infections.

Antibiotics can do a great deal of harm by wiping out the healthy bacteria in your gut and allowing bad bugs to hang around and cause more problems, like the persistent diarrhea associated with Clostridium difficile (C.diff).

Ideally, you’ll want to give your body at least a two-hour break in between taking a probiotic and antibiotic to allow those live and very beneficial probiotic bacteria an opportunity to protect your gut.

Before you begin taking a probiotic, it’s also critical to talk to your doctor about any concerns you may have, especially if you have a health condition that requires taking specific drugs, like antifungal products or immunosuppressants.

Deciding on adding a probiotic to your daily routine is one of the easiest things you can do for your health. But knowing how and when to use a probiotic effectively can make all the difference in your health for the long haul.

How Do You Take a Probiotic? Read More »

Why Do I Need to Take a Probiotic?

For people who are reading our blog for the very first time or those needing a refresher course in good gut health habits, you may be wondering why we devote so much space to explaining why you need to take a probiotic.

There are A LOT of reasons for taking probiotics, in addition to promoting good gut health! Fortunately, you don’t have to do the research.

What follows are 10 important reasons why you should be taking probiotics for your good health, based on the latest research.

  1. Many cheap brands of probiotics contain a single strain of beneficial bacteria, which may be good for a specific problem. However, a multi-strain probiotic protects the diversity of your gut and treats common gut health problems like constipation too.
  1. Do you use an over-the-counter medication like loperamide (Imodium) to treat a case of diarrhea? Taking a probiotic is one of the most effective ways, not only to get rid of diarrhea, but to prevent it altogether.
  1. Irritable bowel syndrome (IBS) can do great harm to your gut and your emotions, disrupting your body’s gut-brain axis. Taking a probiotic and a prebiotic (EndoMune Advanced Probiotic and Endomune Jr. Probiotics for Kids contains both) may be a good way to treat IBS and depression without a drug.
  1. Are you taking antibiotics more than once a year to treat persistent infections? Antibiotics rapidly deplete the beneficial bacteria and make you more vulnerable to serious diseases such as colon cancer and more serious antibiotic-resistant infections. Taking a daily probiotic gives your body extra protection by replenishing the beneficial bacteria your body needs.

(You’ll also do your health a great deal of good by avoiding contact with antibacterial soaps that contain broad spectrum and synthetic antimicrobial compounds like triclosan too.)

  1. For patients who suffer from migraines, scientists have recently discovered a link between those painful headaches and nitrates, a common food additive. Some gut health experts believe taking a probiotic may become a safer, non-drug answer to treat migraines.
  1. Have problems with your teeth? Taking a probiotic is good treatment, as it may be a one more way to heal chronic periodontitis and reduce inflammation and levels of gingivitis and plaque, in addition to regular dental care.
  1. Hypertension can be a warning sign of serious health problems behind the scenes and even death. Taking a daily probiotic can improve your overall health, lower your blood pressure safely and lessen your dependence on prescription medications.
  1. Do you fly for your job or pleasure on a frequent basis or work a swing shift? The balance of bacteria in your gut is affected your body’s circadian rhythms as you cross time zones — often due to jet lag — but taking a probiotic prevents that yo-yo effect from harming your health.
  1. Protecting your sleep is an important part of restoring your body night after night. Be sure that any probiotic you consider taking also contains a prebiotic that can help you improve your sleep.
  1. Are you a new parent losing sleep over your baby’s prolonged crying due to colic? A number of studies point to probiotics as a safe, healthy way to lessen colic and prevent other common problems for babies like acid reflux and constipation.

Why Do I Need to Take a Probiotic? Read More »

Your Gut Bacteria Have a 24-Hour Routine

Messing up your body’s circadian rhythms — the behavioral, mental and physical changes that follow a 24-hour cycle — can have a huge effect on your health and gut.

Merely traveling on an airplane across multiple time zones can trigger jet lag, a temporary sleep problem when your body’s internal rhythms and biological clock are out of sync.

Apparently, your gut bacteria have a circadian schedule too, and a pair of studies shows how they affect your health for better and worse.

Following a schedule

Research by scientists at the Weizmann Institute of Science on mice in a study appearing in Cell demonstrated how gut bacteria follow a schedule, adapting to changes in light and dark, metabolic fluctuations and even the timing of our meals, says Dr. Eran Segel.

In fact, your microbiome moves around within the gut and are exposed to different species and varying numbers of species over the course of a 24-hour day.

Moreover, those changes brought on by circadian rhythms affect not only the physiology of the body but tissues and organs like the liver. Those rhythms can even govern how your body may metabolize and detoxify a drug as basic as acetaminophen.

Scientists also learned how the circadian rhythms of the bodies of little mice (and perhaps humans too) are very dependent on the workings of the microbiome. Surprisingly, genes that show no signs of circadian rhythms take over when these microbial rhythms are disrupted too.

These findings were observed when researchers gave mice antibiotics that removed much of their gut bacteria and even when their feeding times were changed.

Circadian rhythms and obesity

This inter-dependence between the gut and the body’s circadian rhythms could play a role behind the scenes in promoting the accumulation of body fat that leads to obesity, according to a recent study conducted at the University of Texas Southwestern and published in the journal, Science.

Based on tests that compared the health of germ-free, conventionally raised and genetically modified mice, scientists learned how the microbiome controls fat uptake and storage by “hacking into” and altering the functions of the circadian clocks within cells that line the gut.

They identified the mechanism by which gut bacteria regulate the composition of body fat and use a chemical (circadian transcription factor NFIL3) to establish a critical molecular link between the microbiota, circadian clock and metabolism, says Dr. Lora Hooper, lead author of the study, according to a press release.

So how does the microbiota hack into the lining of the gut?

A body’s circadian clock senses those day and night cycles, which are linked closely to feeding times, and transmits that information to the gut to turn on and off the metabolism (the uptake of lipids) when necessary.

More specifically, the circadian rhythms of the gut control the expression of NFIL3 and the production of lipids that are governed by this chemical in the intestinal lining.

“So what you have is a really fascinating system where two signals from the environment come in – the microbiome and the day-night changes in light – and converge on the gut lining to regulate how much lipid you take up from your diet and store as fat,” says Dr. Hooper.

How does this affect you?

Our go-go-GO! lifestyles create all sorts of havoc with our sleep schedules and often distract us from eating healthy meals on a timely basis, creating an environment for all sorts of health problems down the line.

Eating a balanced diet and getting the right amount of sleep your body needs every night really matters. And, we’ve learned in these studies, so does the health of the human gut, especially if you do a lot of traveling or work a crazy schedule that mixes daytime and nighttime hours.

That’s why it’s so important to give the health of your gut an added boost by taking a multi-species probiotic, like EndoMune Advanced Probiotic, that features 10 proven and protective strains of beneficial bacteria and a prebiotic that feeds the good bugs and may improve your sleep too!

Your Gut Bacteria Have a 24-Hour Routine Read More »

Treating IBS-Related Depression With Probiotics

Most symptoms associated with irritable bowel syndrome (IBS) — gas, cramping, diarrhea and constipation — are very uncomfortable, very embarrassing and very painfully obvious.

Considering the pain and discomfort you may be feeling, however, you may not be paying as much attention to one specific symptom — depression — as it really deserves.

Plus, taking drugs like mesalazine may be good for treating some IBS symptoms, but they don’t address the real problem: Restoring a healthy balance of bacteria in the gut.

Not only can taking a probiotic be a safer way to restore and protect that gut bacteria balance, it may also treat the symptoms of depression associated with IBS too, according to a recent study published in Gastroenterology.

Researchers at McMaster University in Canada studied the effect that prescribing a probiotic formulated with a proprietary blend of Bifidobacterium longum (one of the 10 species of beneficial bacteria found in EndoMune Advanced Probiotic) has on treating depression.

Over the course of 10 weeks, scientists monitored the health of 44 patients, half of whom took a probiotic while the rest were given a placebo.

After just six weeks, nearly two-thirds of patients in the probiotic group felt greater relief from their depression based on falling scores based on the standard Hospital Anxiety and Depression Scale (HADS), versus just seven in the placebo group.

More evidence that those falling HADS scores were real: Functional Magnetic Resonance Imaging tests that showed changes in various sectors of the brain related to mood control.

Other good things could be taking place behind-the- scenes that moderate your mood levels, thanks to probiotics. For example, as much as 90 percent of your body’s serotonin, a chemical that works as a neurotransmitter in the brain, is produced in the gut.

Taking a probiotic is one important and safe way to protect and enhance the diversity of beneficial bacteria in your gut naturally, without a drug.

Treating IBS-Related Depression With Probiotics Read More »

Taking Prebiotics May Improve Your Sleep

Getting a good night’s sleep is one of the most important things you can do to maintain your good health. Apart from your body’s very obvious need for physical rest — anywhere from 7-10 hours depending on how old you are — to help you function throughout the day, the list of benefits is long.

For example, sleep gives your body a break that allows the brain, blood vessels and heart to do some much-needed maintenance.

But, if your sleep hygiene is poor or you don’t get enough of it, your chances of stroke, kidney disease, diabetes and heart disease increase, according to the National Heart, Lung and Blood Institute.

A healthy amount of sleep also helps you maintain the proper balance of hormones that govern your hunger: Ghrelin increases your appetite while leptin makes you feel full. Messing up your sleep wreaks havoc with those hormones, causing you to feel hungrier while increasing your obesity risks.

When not managed properly, jet lag from airplane traveling and shift work can harm, not only your sleep and waistline, but your gut health too, which explains why some experts have recommended probiotics as a protective measure.

Not only do probiotics play an important role in promoting better sleep, so do prebiotics — non-digestible carbohydrates/plant fiber that feed the good bacteria already living in your gut — according to a recent study appearing in Frontiers in Behavioral Neuroscience.

The prebiotic sleep aid

To study the benefits of prebiotics, researchers at the University of Colorado fed two sets of three-week-old rats food that contained it or a control diet that didn’t, then monitored their body temperature, gut bacteria and sleep-wake cycles for four weeks.

Test animals that were fed a prebiotic-rich diet spent more time in a deeper, more restful state of non-rapid-eye-movement (NREM) sleep. Plus, when these prebiotic mice were exposed to unexpected stressors, they were better equpped to achieve rapid-eye-movement (REM) sleep, a critical tool for promoting relief from trauma.

Not surprisingly, those same mice maintained better gut bacteria diversity — higher levels of Lactobacillus rhamnosus — and normal body temperature fluctuations too.

Given these test results, University of Colorado scientists believe “a diet rich in prebiotics started in early life could help improve sleep, support the gut microbiota and promote optimal brain/psychological health,” according to a press release.

How do you get prebiotics?

Prebiotics are a natural component of whole foods ranging from onions, leeks, artichokes, raw garlic, almonds and jicama to fruity fare like bananas and apples.

To ensure you get the right amount of prebiotics your body needs, the easiest way is to take a probiotic, ideally with multiple strains of beneficial bacteria. EndoMune Advanced Probiotic and EndoMune Junior contain fructo-oliggosaccharides (FOS), a natural prebiotic derived from plant sugars.

So, when you’re looking for ways to improve the quality of your sleep naturally, consider taking a probiotic that features a prebiotic as a key ingredient.

Taking Prebiotics May Improve Your Sleep Read More »

Probiotics: A drug-free way to treat Alzheimer’s

Alzheimer’s disease is one of the most devastating health problems facing America today. Not only does this mind-robbing condition affect more than 5 million Americans today, with the Baby Boomer generation heading to retirement, that number is expected to triple by 2050.

Although there is no cure for Alzheimer’s, just a handful of FDA-approved drugs relieve symptoms, but only for the short-term. What’s more, they come with an array of side effects, including headaches, nausea, weight loss, diarrhea and constipation.

Fortunately, modern medicine has begun to embrace the gut-brain axis — the connection that links your brain to your intestines and emotions. Over time, probiotics have proven their value as a non-drug tool ideally equipped to maintain that important balance, and treat problems like depression.

One day very soon, neurologists may be using probiotics to treat Alzheimer’s, based on a recent clinical trial featured in Frontiers in Aging Neuroscience.

 

Neurological testing

Over the course of the 12-week, double-blind clinical trial, Iranian researchers split 52 Alzheimer’s patients (between ages 60-95) into two groups. One received 200 milliliters of milk enriched with three strains of Lactobacillus (acidophilus, casei and fermentum) and Bifidobacterium bifidum, while a control group was given milk without beneficial bacteria.

(Lactobacillus acidophilus and Lactobacillus casei and Bifidobacterium bifidum are three important ingredients of EndoMune Advanced Probiotic.)

At the beginning and end of the trial, blood samples were taken and all patients were given Mini-Mental State Exams (MMSEs) that measured their cognitive ability on specific tasks like remembering dates, copying pictures, counting backwards and naming objects.

No surprise, patients who received the probiotic mixture improved on their previous MMSE results after 12 weeks, while those in the control group had lower scores.

Patients in the probiotic group also benefitted in other measurable ways, with lower levels of trigylcerides, high-sensitivity C-Reactive Protein (hs-CRP) and Very Low Density Lipoproteins (VLDL) as well as drops in two common measures used to gauge insulin resistance and the production of insulin in the pancreas.

“These findings indicate that change in the metabolic adjustments might be a mechanism by which probiotics affect Alzheimer’s and possibly other neurological disorders,” said senior study author Dr. Mahmoud Salami, according to a press release.

 

Multi-species power

Arguably, the real benefits Alzheimer’s patients received in improved cognitive skills and healthier blood levels may stem from the multiple species of bacteria, not just one.

In fact, it’s possible giving Alzheimer’s patients a multi-species probiotic like EndoMune Advanced Probiotic with 10 proven strains of bacteria every day may have yielded even greater results.

Probiotics: A drug-free way to treat Alzheimer’s Read More »

Probiotics: Can they replace migraine medication?

Anyone who experiences migraines on a regular basis knows how painful they can be, not to mention the harrowing side effects — vomiting, nausea, blurred vision and sensitivity to light and sound — that come with them.

Some 12 percent of all Americans suffer from migraines, conditions that can last for several days and are three times more common among women than men.

As our understanding of the human microbiome expands, science is discovering new connections that link the microbes in our bodies to all sorts of health conditions, even migraines, according to a recent study in MSystems (an open access journal published by the American Society For Microbiology).

The nitrate trigger

To understand the relation between migraines and the microbiome, researchers at the University of California San Diego School of Medicine discovered a link in nitrates, common food additives used to preserve cured meats — think hot dogs — that are also found naturally in vegetables and in some medicines (heart drugs) and wines.

First, bacterial gene sequencing was used to uncover differences in 172 oral samples and some 2,000 fecal samples from healthy donors supplied by the American Gut Project.

This initial sequencing process found differing amounts of bacterial species based on whether donors suffered from migraines or not, yet the bacterial composition of both groups varied little.

The real breakthrough came when scientists used PICRUSt, a bioinformatics software tool, to analyze which genes were more likely to appear in migraines sufferers versus healthy folks.

That was where they discovered an increase in the number of genes that encode nitrate, nitrite and nitric oxide-related enzymes in patients who struggle with migraines. Plus, those genes associated with migraines were far more prevalent in oral samples.

A probiotic solution?

Interestingly, this discovery may lead to more targeted migraine treatments like a mouthwash or probiotic to restore the proper balance, according to Dr. Embriette Hyde, a co-author of the study as told to CNN. Could it be possible that probiotics could become a go-to treatment instead of migraine medication? Maybe some day…

This suggestion makes good sense, based on previous research that found probiotic strains of beneficial bacteria from the Lactobacillus and Bifidobacterium families were powerful enough to reduce tooth decay and thrush.

Protecting your microbiome and overall health is as simple as taking a probiotic, ideally with multiple strains of bacteria, like EndoMune Advanced Probiotic and EndoMune Junior.

Probiotics: Can they replace migraine medication? Read More »

Antibiotics and the C. Diff Superbug

American doctors wrote some 266 MILLION prescriptions for antibiotics in 2014, according to the most recent numbers reported by the CDC. Simply put, for every 1,000 Americans, 835 prescriptions for antibiotics were written.

Those are amazing and frightening numbers…

Hovering near the top of the list of most prescribed antibiotics is Ciprofloxacin (better known as Cipro), part of the fluoroquinolone class of synthetic broad-spectrum drugs.

If Cipro sounds familiar, your doctor may have prescribed it (or Levaquin) at some point to treat a urinary tract infection, bronchitis or sinus infection.

(You may have also missed a recent FDA advisory urging doctors to dial back prescribing fluoroquinolones due to reports of disabling and permanent side effects to the central nervous system as well as joints, tendons and muscles.)

Superbugs = super-damage to human health

This deluge of antibiotics has done unintentional but very serious damage to the collective health of Americans, contributing to the epidemic of superbugs like Clostridium difficile (C. diff) infections in hospitals.

Fighting C. diff has been a real headache for health care facilities that have already scrambled to update their cleaning protocols to eliminate the use of chemicals containing antibacterial compounds like triclosan to prevent healthcare associated infections (HAIs) from doing harm to patients who just want to get well and go home.

For a long time, hospitals and medical professionals assumed dirt and germs were at the root of the superbug epidemic.

So, how much of an impact do antibiotics really have in a hospital setting? Based on a recent study published in The Lancet Infectious Diseases, it’s much more than you’d expect given all of the attention to superbugs.

  1. diff rates dropped by a dramatic 80 percent only when the use of fluoroquinolone antibiotics like Cipro was restricted and used in targeted ways, according to the study of hospitals in the UK.

“These findings are of international importance because other regions such as North America, where fluoroquinolone prescribing remains unrestricted, still suffer from epidemic numbers of C. difficile infections,” said Dr. Derrick Crook, co-study author and professor of microbiology at the University of Oxford in a press release.

“Similar C. diff bugs that affected the UK have spread around the world, and so it is plausible that targeted antibiotic control could help achieve large reductions in C. diff infections in other countries,” says co-author Dr. Mark Wilcox.

Protect your health from antibiotic-associated infections

Apart from dispensing too many antibiotics, physicians and hospitals have another tool upon which they can rely to reduce the rate of antibiotic-associated infections like C. diff., according to a 2016 survey of studies published in the International Journal of General Medicine.

Giving adults and children probiotics reduced the risks of developing a C. diff infection by some 60 percent, particularly among patients recovering in a hospital.

Among the beneficial bacteria cited as beneficial in halting the spread of C. diff: Lactobacillus, among the active strains contained in EndoMune Advanced Probiotic and EndoMune Junior.

Antibiotics and the C. Diff Superbug Read More »

Probiotics may treat spinal cord injuries

The results of recent studies of the human gut and how it touches so many different health conditions is just amazing. So much so, scientists have discovered all sorts of new uses for probiotics that few would’ve considered previously.

Innovations ranging from protecting your teeth from thrush to treating burns and other kinds of physical trauma all hinge on the incredible ability of probiotics to provide incredible benefits when the health of the gut is compromised.

One day, probiotics may become a key component in treating spinal cord injuries, based on the findings of research conducted on mice at Ohio State University and featured in the Journal of Experimental Medicine.

Researchers came to this conclusion after studying the health of mice whose guts suffered from dysbiosis (an imbalance between harmful and beneficial bacteria).

Overall, mice that recovered poorly from spinal injuries experienced the most changes in the makeup of their gut microbiomes. What’s more, mice that were pretreated with antibiotics prior to their injuries experienced higher levels of spinal inflammation and reduced functional recovery, according to the study.

To the good, mice that received daily doses of probiotics containing large amounts of lactic acid-producing bacteria experienced less spinal damage, regained more movement in their hind limbs and had healthier gut microbiomes too.

Scientists believe the probiotic mix they fed injured mice triggered regulatory T cells (gut-related immune cells) that may have slowed down inflammation and could have prevented extra damage to the spinal cord after their injuries.

Another possible explanation could be a kind of gut-brain axis link as the bacteria contained in the probiotic may be secreting beneficial chemicals that enhance the growth and functioning of neurons.

“Either or both of these mechanisms could explain how post-injury disruption of the gut microbiome contributes to the pathology of spinal cord injuries and how probiotics block or reverse these effects,” says Dr. Philip Popovich, principle investigator and director of The Center for Brain and Spinal Cord Repair at Ohio State’s Neurological Institute in a press release.

So, what’s next for researchers measuring the value of a healthy gut in treating all kinds of health problems? The sky’s the limit!

You can do your part to protect your health from all kinds of ailments naturally, even those yet to be discovered, by taking a probiotic featuring multiple strains of beneficial bacteria like EndoMune Advanced Probiotic.

 

 

 

Probiotics may treat spinal cord injuries Read More »

Probiotics Proven to Reduce the Risk of Antibiotic-Associated Diarrhea

Nonadherence to antibiotic treatment due to diarrhea is a common concern among healthcare professionals when treating infection. Probiotics, more researchers are finding, can greatly reduce antibiotic-associated diarrhea (AAD) when taken two hours after the first antibiotic dose.

Several studies support the nutraceutical use of probiotics including two analyses steered by behavioral scientist Susanne Hempel, co-director of Southern California Evidence-Based Practice Center.

In her 2006 meta-analysis, 11,811 participants in 82 randomized, controlled trials who reported experiencing diarrhea while taking antibiotics showed a 42-percent reduced risk with probiotic supplementation. A 2012 clinical review by the same authors noted an increased interest in probiotic intervention as well as evidence of its effectiveness in preventing AAD.

The Journal of the American Medical Association article “Probiotics Revisited,” from a 2014 Medical Letter on Drugs and Therapeutics, further concludes that probiotics such as lactobacillus spp and saccharomyces can help abate AAD with few, if any, adverse effects.

Preventing AAD in Children

Incorporating probiotics is especially beneficial in treating young children who are frequently exposed to respiratory ailments that often lead to bacterial infections. Studies have found that up to 50 percent of children who receive antibiotics for ear infections will develop AAD.

Consider the case of Peter, a 4-year-old preschooler who developed a sore throat and fever that advanced into bronchitis. His pediatrician prescribed an antibiotic, which remedied the cough, but also caused severe diarrhea that resulted in a trip to the emergency room and the diagnosis of AAD.

Brian, an 8-month-old diagnosed with an ear infection, had a different experience. The doctor prescribed an antibiotic, but also recommended adding a probiotic. The infection healed without the occurrence of diarrhea and potentially fatal dehydration.

In fact, a study published by the Cochrane Library in 2015 revealed new evidence supporting the use of probiotics to prevent pediatric AAD. Twenty-three clinical trials in 3,938 newborns to children age 17 compared probiotics, placebo and non-treatment to measure the occurrence of diarrhea resulting from antibiotic use. The study also looked for any harmful side effects attributed to using probiotics for this purpose.

While most controlled studies to date have analyzed lactobacillus, the Cochrane trial also included bacillus spp., bifidobacterium spp., clostridium butyricum, lactobacilli spp., lactococcus spp., leuconostoc cremoris, saccharomyces spp. and streptococcus spp, either alone or combined. The results revealed a much lower incidence of AAD – just eight percent – in the probiotic group compared to 19 percent among control group participants. Adverse side effects attributable to the probiotics were hardly palpable among otherwise healthy children, compared to a host of undesirable events with the placebo, standard care and non-treatment groups that included nausea, gas, bloating and constipation. The authors of the study therefore concluded measurable, moderate-quality benefit to using probiotics in healthy individuals as compared to not.

Choosing a probiotic

Because different bacterial strains provide different benefits, choosing a probiotic containing several cultures that can work symbiotically is how to get rid of diarrhea or aiming to prevent AAD.

EndoMune Advanced Probiotic for adults provides 20 billion probiotic bacteria CFU consisting of ten naturally occurring bacterial strains, plus the boosting prebiotic fructooligosaccharide (FOS). EndoMune Jr. consists of four bacterial strains and provides10 billion CFU.

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