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How do you take probiotics during antibiotic treatment?

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Most product labels recommend taking at least two doses of probiotics a day, according to U.S. News & World Report. Certain strains of probiotics are more effective than others for repopulating the good bacteria destroyed by the antibiotics, and taking a healthy dose of live cultures is important as well.

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Choosing the best probiotic to prevent antibiotic-associated diarrhea and Clostridium difficile is the most important step when taking probiotics with antibiotics, explains U.S. News & World Report. Some of the recommended probiotics to take with antibiotics are Saccharomyces boulardii lyo, also known as Florastor, and Lactobacillus rhamnosus GG. Since Saccharomyces boulardii lyo is a yeast instead of a bacteria, the antibiotics don't kill it as it makes its way to its destination. Studies also have shown that it is one of the most beneficial probiotics for preventing antibiotic-associated diarrhea. Lactobacillus rhamnosus GG, however, is effective for preventing antibiotic-associated diarrhea in both adults and children. Generally, it’s recommended to take a cocktail of strains of probiotics, which means that mixing the two is beneficial.

Probiotics bottles usually contain anywhere between 1 billion colony-forming units to 10 billion per dose, but since there is no doctor-approved recommended amount, it is best to follow the instructions on the bottle, according to U.S. News & World Report. The probiotic cultures should be live cultures. Some cultures are freeze dried and activate once swallowed, while others have to be refrigerated. Don’t take them with hot liquids such as coffee or tea, which might kill the cultures.

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