ZOE Science & Nutrition

Antibiotics: The surprising truth about probiotics and what to do instead

12 snips
Aug 17, 2023
Dr. Will Bulsiewicz, a gastroenterologist, and Prof. Tim Spector, a nutritional epidemiologist, dive into the unexpected consequences of antibiotics on gut health. They discuss how clindamycin can disrupt beneficial bacteria while posing risks for gut infections. Probiotics' role is debated, with a focus on the advantages of fermented foods over commercial options. Recovery strategies, including increased fiber and plant diversity, are highlighted as essential for nurturing gut health post-antibiotics. Their insights reveal that thoughtful choices can significantly impact gut recovery.
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ANECDOTE

Jonathan's Toe Injury

  • Jonathan Wolfe smashed his toes and had to take antibiotics after surgery.
  • He consulted with Tim Spector and Will Bulsiewicz about his gut health concerns.
INSIGHT

Clindamycin's Risks

  • Clindamycin, the antibiotic prescribed, targets anaerobic bacteria, which comprise most gut microbes.
  • This raises the risk of C. diff infection, a severe gut infection.
ADVICE

Expert Recommendations

  • Will Bulsiewicz recommended Saccharomyces boulardii to prevent diarrhea and C. diff infection.
  • Tim Spector advised against general probiotics but recommended fermented foods for gut recovery.
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