The development of supplements is continuously progressing, and probiotic manufacturers are certainly keeping pace. Nowadays, it is standard to target a broader spectrum of strains/genera/species, but even that is not "perfect," because:
1. From the perspective of diversity, values of 5-10 represented strains with which manufacturers work today solve nothing,
2. This trend does not correspond to the individual metabolic needs of a person.
However, if we were to work with an averaged individual from Western society, whose gut microbiota diversity is not entirely exemplary, it still makes sense to use probiotics in supplementation, as it will always benefit a healthy individual. In trying to support the resolution of certain health issues, you risk using a type of microorganism that may not meet the needs of the situation and could worsen the condition.
Companies are gradually emerging that offer personalized probiotics alongside gut microbiota analysis—here I am convinced that this is the direction of the future, and it makes sense to continuously monitor this area.
These situations require a conceptual approach. When the balance of any system in the body is pushed outside its optimal functioning zone, and potential causes are known, it is necessary to decide whether to use:
A) A "shortcut" in the form of an appropriate medication (which ultimately does not cure but merely suppresses the symptoms),
B) With a good dose of patience, remove the causes, adjust your lifestyle (diet, exercise, stress correction...), and wait for the organism to adapt to the new situation.
In general, shortcuts do not work in solving health imbalances; on the other hand, the process can be made more efficient by individualizing the approach, including using appropriate supplements. In the situation you describe, some probiotics are used today (their selection is either based on a properly established diagnosis or results from the analysis of the gut microbiota). Fermented foods are included with great caution, most often based on the body's reactions to the gradual changes you implement in your diet.
Bone broths appear to be one of the most advantageous foods in these situations, and it makes sense to work with them systematically, even on a daily basis.
The intestinal mucosa has a relatively good regenerative ability, but it needs the right conditions and enough time, often involving months of "experimenting" with dietary adjustments. If you are "lucky" and scarring of the tissue does not occur, there is a chance for the complete restoration of mucosal continuity and a return to the original balance, which will also reflect in hormonal regulation.
Antibiotics do not completely destroy all microorganisms; today, most used are those that target specific groups, making them "safer" in this respect. However, the fact remains that their use is not beneficial for the diversity and stability of the gut probiotic microbiota. It is therefore advantageous to increase the intake of prebiotics and probiotics after a course of antibiotics, preferably through diet. Supplements have their place here, with prebiotics appearing to be more advantageous (or significant?). When choosing probiotics, select those that combine as many strains as possible.
The microbiome refers to the genome of all microorganisms, i.e., the collection of genes of all microbes that inhabit our body. Microbiota is the ensemble of all microorganisms (this is a new term that has replaced the previous "microflora"). Although they have different meanings, they are very often used interchangeably (you will commonly encounter situations in the literature where the author uses the term "microbiome" to mean "microbiota").
Questions answered by
Mgr. Martin Jelinek
Lecturer and author of the educational system
Nutrition educator, lecturer, and author of the educational system and the ZOF learning application.
Mgr. Martin Jelínek has been systematically involved in nutrition education since 1999. He is the founder of ATAC, the educational company behind NutriCourses, and the author of an educational system focused on nutrition, healthy lifestyle, and the practical application of nutrition knowledge.
He graduated from the Faculty of Science at Masaryk University in Brno. Throughout his professional career, he has combined nutrition, education, and the practical application of acquired knowledge. His educational system also includes the ZOF (Zone of Optimal Functioning) learning application, where students turn theory into practical work with meal plans.
In 2007, he launched the first intake of a six-month course focused on the education of nutrition advisors. Over time, this course became the foundation for the further development of the educational system and a range of specialised courses.