The Gut Insiders

4 Habits to Keep Your Gut Microbiome Strong When Taking Antibiotics

Jan 26, 2026
Discussion of how antibiotics reshape the gut microbiome and which changes can linger. Practical strategies to protect and recover gut diversity using fiber, targeted prebiotics, and lifestyle habits. Updated guidance on when to use probiotics and the role of Saccharomyces boulardii for high-risk situations.
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INSIGHT

Antibiotics Leave A Lasting Microbiome Scar

  • Antibiotics rapidly reduce gut microbial diversity and reshape the ecosystem.
  • This creates a lasting "microbiome scar" that can persist for months and change recovery resilience.
ADVICE

Use Fiber As Your First Line Of Defense

  • Prioritize a high-fiber, plant-rich diet before, during, and after antibiotics to protect gut microbes.
  • Use targeted prebiotic fiber supplements when food alone is insufficient to stabilize recovery.
ADVICE

Start Supplements If Diet Falls Short

  • Start fiber supplements even if begun during or after antibiotics since they still help recovery.
  • Consider measured low-FODMAP prebiotic doses to support adaptation without overwhelming the gut.
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