{"id":58985,"date":"2023-06-20T13:06:19","date_gmt":"2023-06-20T17:06:19","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=58985"},"modified":"2025-11-29T10:44:45","modified_gmt":"2025-11-29T15:44:45","slug":"probiotics-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/probiotics-side-effects\/","title":{"rendered":"Who should not take probiotics?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">It might seem odd that ingesting live microorganisms\u2014essentially, germs\u2014can be good for your health, but that\u2019s the idea behind probiotics. Probiotics have become a popular supplement for people searching for better gut health and improved overall health.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But not everyone should take probiotics. They can cause unwanted side effects, such as bloating, gas, or constipation. But for some people, probiotics aren\u2019t safe at all. Read on to find out why probiotics don\u2019t work for everyone, what the side effects are, and who should avoid probiotics entirely.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/diabetes-and-probiotics\/\"><b>Can probiotics help treat diabetes?<\/b><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h2 id=\"how-do-probiotics-work\"><span style=\"font-weight: 400;\">How do probiotics work?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Your gastrointestinal tract is home to trillions of microorganisms, including bacteria, viruses, protozoa, and fungi (including yeasts). The activity and composition of the organisms in your gut are collectively known as your gut microbiome (or microbiota or intestinal microflora).\u00a0<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is an ongoing balancing act between the beneficial and harmful bacteria in your gut, where the \u201cgood\u201d bacteria keep the \u201cbad\u201d bacteria in check, which would otherwise flourish, leading to disease or infections. A healthy gut biome is crucial to your immune system and regulates proper digestion, bowel movements, and other bodily functions. If you\u2019ve ever had a yeast infection or diarrhea after a round of antibiotics, you\u2019ve felt the unpleasant effects of what happens when too many beneficial bacteria get wiped out.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Probiotics are beneficial microbes (or yeasts) found in fermented foods or in dietary supplements. They<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25157183\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">help to restore<\/span><\/a><span style=\"font-weight: 400;\"> a healthy balance in your microbiome.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cProbiotics support the growth of healthy natural flora (good bacteria) in your body,\u201d says<\/span> <a href=\"https:\/\/momlovesbest.com\/author\/caitlin\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Caitlin Goodwin<\/span><\/a><span style=\"font-weight: 400;\">, RN, a consultant for<\/span> <a href=\"https:\/\/momlovesbest.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Mom Loves Best<\/span><\/a><span style=\"font-weight: 400;\">. \u201cThese probiotics help crucial bodily functions.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to reducing the risk and severity of antibiotic-induced and infectious diarrhea,<\/span> <a href=\"https:\/\/ods.od.nih.gov\/factsheets\/Probiotics-Consumer\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">research shows<\/span><\/a><span style=\"font-weight: 400;\"> that probiotics can reduce atopic dermatitis. They may also support your body\u2019s overall immune function; however, research about their efficacy for immune support as well as other health benefits, such as weight management, improvement of gastric distress symptoms, and other benefits is ongoing. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/probiotics-do-they-work\/\"><b>Probiotics 101<\/b><\/a><\/p>\n<h2 id=\"what-are-the-side-effects-of-probiotics\"><span style=\"font-weight: 400;\">What are the side effects of probiotics?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Probiotic supplements\u2014which contain a variety of microorganisms in powder, pills, or liquid form\u2014are safe for most people to consume daily. However, in addition to the benefits of probiotics, some people experience mild side effects, many of which will resolve when your body\u2019s microbiome readjusts, according to<\/span> <a href=\"https:\/\/drdanmonti.com\/about\/dr-monti-bio\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Daniel A. Monti, MD<\/span><\/a><span style=\"font-weight: 400;\">, founder of<\/span> <a href=\"https:\/\/www.jeffersonhealth.org\/clinical-specialties\/integrative-medicine\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Marcus Institute of Integrative Health<\/span><\/a><span style=\"font-weight: 400;\">. Below, we detail common probiotics side effects.<\/span><\/p>\n<h3 id=\"1-digestive-discomfort\"><span style=\"font-weight: 400;\">1. Digestive discomfort<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most common side effect of probiotic supplementation, according to Dr. Monti, is digestive discomfort. \u201cSome people experience bloating, gas, or digestive discomfort,\u201d he says while adding that it is usually temporary and mild. While some studies report that probiotics alleviate constipation, it can also be a much less common side effect.\u00a0<\/span><\/p>\n<h3 id=\"2-thirst\"><span style=\"font-weight: 400;\">2. Thirst<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some people experience increased<\/span> <a href=\"https:\/\/journals.sagepub.com\/doi\/epdf\/10.1345\/aph.1K228\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">thirst<\/span><\/a><span style=\"font-weight: 400;\"> when they begin taking yeast probiotics, especially in the first week, as their body adjusts to the new balance in the gut bacteria. For most people, the symptoms subside on their own. If they don\u2019t, consider changing to a bacterial probiotic rather than yeast.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our wellness newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Wellness Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h3 id=\"3-headaches-and-migraine\"><span style=\"font-weight: 400;\">3. Headaches and migraine<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some probiotic foods, particularly fermented foods like sauerkraut and kimchi, contain high levels of<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6049710\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">biogenic amines<\/span><\/a><span style=\"font-weight: 400;\">, including histamine, tyramine, tryptamine, and phenylethylamine. These compounds may trigger headaches and migraines in some people. Biogenic amines have been found to a much lower degree in some yogurts as well. If you get a headache after eating any of the above substances, consider probiotics in supplement form.\u00a0<\/span><\/p>\n<h3 id=\"4-skin-reactions\"><span style=\"font-weight: 400;\">4. Skin reactions\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Rarely, probiotics can cause a<\/span>\u00a0<a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.3109\/00365521.2013.825314\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">skin rash or itchy skin<\/span><\/a><span style=\"font-weight: 400;\">. This may be due to an allergic reaction to an ingredient in the supplement and will typically go away shortly after you stop taking the supplement. If you start taking a different probiotic, begin with a small dose and be alert for any allergic reactions, Dr. Monti advises.<\/span><\/p>\n<h2 id=\"who-should-not-take-probiotics\"><span style=\"font-weight: 400;\">Who should not take probiotics?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Probiotics aren\u2019t suitable for everyone, and in fact, they may pose too high a risk for people with certain conditions. People with the following health conditions should avoid probiotics altogether due to the rare but existing risks of taking live probiotics.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>People with certain gastrointestinal disorders. <\/b><span style=\"font-weight: 400;\">The American Gastroenterological Association (AGA) released<\/span> <a href=\"https:\/\/gastro.org\/news\/aga-does-not-recommend-the-use-of-probiotics-for-most-digestive-conditions-2\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">updated guidelines in 2020<\/span><\/a><span style=\"font-weight: 400;\"> saying that people with Crohn\u2019s disease, irritable bowel syndrome (IBS), small intestine bacterial overgrowth (SIBO), inflammatory bowel disease (IBD), and ulcerative colitis should not take probiotic supplements as there is not enough evidence to support the use of probiotics for people with these gastrointestinal disorders.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>People with compromised immune systems.<\/b><span style=\"font-weight: 400;\"> If your immune system is compromised due to medication, chemotherapy, or radiation therapy, probiotics may increase the risk of developing a bacterial or fungal infection.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>People with a severe illness.<\/b><span style=\"font-weight: 400;\"> There is a<\/span>\u00a0<a href=\"https:\/\/www.nccih.nih.gov\/health\/probiotics-what-you-need-to-know\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">slight risk<\/span><\/a><span style=\"font-weight: 400;\"> that the microorganisms in probiotics could transfer antibiotic-resistant genes to other organisms in your digestive tract. For somebody with a potential need for antibiotic medical treatment, this could make their own gut microbiome resistant to the medicine.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>People with food allergies. <\/b><span style=\"font-weight: 400;\">Although there is<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8505808\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">some evidence<\/span><\/a><span style=\"font-weight: 400;\"> that probiotic use in newborns and infants can help decrease the likelihood of developing food allergies, some ingredients in supplements may be harmful to people who already have food allergies or an intolerance to soy, lactose, eggs, or dairy. These or other allergens can sometimes end up in probiotic formulations, even in trace amounts. Anyone with food allergies should thoroughly review the label, research the company, and consult their allergist or healthcare provider before taking probiotics.\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"how-to-take-probiotics-safely\"><span style=\"font-weight: 400;\">How to take probiotics safely<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One of the best, safest ways to maintain a healthy gut microbiome is to eat fermented foods rich in probiotics.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI recommend eating probiotic-rich foods daily as part of your personal health routine,\u201d Dr. Monti says. \u201cVegetable-based probiotic foods such as living sauerkraut, natto, and kimchi happen to be rich in both prebiotics and probiotics, and, as such, they are an ideal way to incorporate probiotics into your routine.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to consuming foods like yogurt, kombucha, sauerkraut, and kefir, you can also take probiotic supplements, which come in a variety of probiotic strains.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you do choose to use probiotic supplements (and have cleared it with your healthcare provider or dietitian), begin with a low dosage. \u201cResearch shows that the best time of the day to take probiotics is first thing in the morning before eating breakfast or immediately before going to sleep,\u201d Goodwin says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stop taking supplements immediately if you develop a rash or any other symptoms beyond mild, temporary gastrointestinal issues. You may want to try a different bacterial strain, but only do so under the supervision of a healthcare provider who knows your medical history.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your gastrointestinal issues don\u2019t go away after a couple of weeks or you develop any other symptoms, stop taking the supplements and consult your healthcare provider immediately. You may have an undiagnosed underlying condition that could influence your reaction to the probiotics. You should only continue supplementation under the guidance of medical advice.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For those with a weakened immune system, allergies, or illness, it\u2019s crucial to consult with your healthcare provider. Together, you can weigh the benefits and risks carefully.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your provider may recommend a strain of probiotic bacteria that is less likely to put you at risk of an adverse reaction, or they may suggest sticking with a healthy, fiber-rich diet that includes specific probiotic-rich foods that don\u2019t pose any risk to your health.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It might seem odd that ingesting live microorganisms\u2014essentially, germs\u2014can be good for your health, but that\u2019s the idea behind probiotics. Probiotics have become a popular supplement for people searching for better gut health and improved overall health. But not everyone should take probiotics. They can cause unwanted side effects, such as bloating, gas, or constipation. [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":58750,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[3550,8905],"coauthors":[11174],"class_list":["post-58985","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellness","tag-gut-health","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Probiotics side effects: Who should not take probiotics?<\/title>\n<meta name=\"description\" content=\"Probiotic side effects include digestive discomfort, thirst, headache, and skin reactions. 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