17 answers

Opinion on Probiotics in Formula Vs. a Probiotic Supplement

Hello,
I am currently breastfeeding my son and will need to begin supplementing with formula soon. I respectfully request no comments about supplementing with formula - I am fully informed and have researched this thoroughly. What I am wondering is if anyone has used a formula with an added probiotic or do you think it is better to just buy a infant probiotic supplement separately and then add it to the bottle? Has had anyone received any probiotic advice from their physician? Our pedi doesn't seem to say much one way or the other. Also, if you are using probiotics for your infant, do you think it works?

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So What Happened?™

Thank you everyone for all of your thoughtful responses. I plan on trying a probiotic supplement rather than using formula with probiotics.

Featured Answers

There have been thousands of randomized double blind controlled research trials (the highest caliber of research) on probiotics. They are the darling child of researchers right now, because they are effective and available. The majority of trials have shown benefit or no change with probiotics, and very few have shown any adverse effects. They are quite safe, especially if you get them from a reputable company, several of which have been mentioned here. As to the question posed by Kristin about how can they count how many bacteria are in there?, this is quite easy today with tools that all equipped labs have today, such as flow cytometry. This is a machine I used as an undergrad to count cells, it is quite basic and easy to use. Welcome to the wonderful world of modern science! Probiotics have become recognized as being so effective that several major university hospitals, including OHSU and Johns Hopkins are using them in the their ICU units to prevent the GI problems that arise from being in this type of care. I hope this helps! The refrigerated ones are generally better, but some of the freeze dried ones are still viable.

Hi J.! This is a great question. So many things today are marketed with probiotics on the label. There is absolutely no guarantee that they have any probiotic benefit. Most of them are heated and that destroys the value.
As so many have posted, I used Udo's Choice acidophilous for infants. It does need to be refrigerated to preserve the good bacteria count.
As far as risks, I wouldn't worry about it. Wikipedia is not to be used as a research tool as it can be updated by practically anyone.
Using a probiotic specifically for infants, with the dosage listed on the bottle is a great benefit!
I have bought Udo's choice at a few health food stores so I think you could find it at Whole Foods or such. In the winter I buy it from www.vitacost.com . In the summer I worry about shipping in the heat and destroying the product.
Good luck!

More Answers

I just wanted to let you know I am on your side. It's okay to supplement! I exclusively formula fed my children because it was the right choice for me. Not sure about Probiotics. I think it's up to you on if you feel it's necessary. Good luck!

1 mom found this helpful

If you are supplementing and will still be nursing, stick with the most basic formula you can find, skip the formula with DHA/ARA, and any added supplements. STick with what is the most basic, cows milk based, nothing extra or fancy. Your baby will still get what he needs from your breastmilk even if he only nurses once a day.

As for the probiotic, I would get the refridgerated caplets and break them open and just give it directly to your baby, right on his tongue, once a day. Iwouldn't add it to his bottle, just give it directly to him via the broken open caplet, just drop it on his tongue.

Hi J.!

In my opinion, I would buy regular formula and buy a separate prebiotic/probiotic supplement to give to your son. I am actually a Shaklee distributor, and would highly recommend our prebiotic/probiotic products. If you want more info please check out my website: www.shaklee.net/ehaar . When you buy Shaklee products, you'll know three things to be true. It is always safe. It always works. And it is always green. I would also recommend a multivitamin/multimineral supplement (powder form), which Shaklee also carries. Please check it out and let me know if you have ANY questions.
Enjoy your weekend!
E.

I have no idea how they quantify something like that...I mean, how can they count how many bacteria are in one scoop of formula, or even one packet of powder? So it's hard to say if it is better in the formula or in a separate supplement. My son's Doctor actually prescribed Lactinex to treat diarrhea and it did help. It came in little packets and I mixed 1/2 packet in his bottle each day according to the order.
I would just be careful about the amount you give him, and ask your Doctor what is safe. I always thought no matter how much is taken in, it would provide a great benefit but I searched "Probiotics adverse affects" on Google and there is a lot of information. Here is what Wikipedia says about adverse effects:

" There is no published evidence that probiotic supplements are able to completely replace the body’s natural flora when these have been killed off; indeed bacterial levels in feces disappear within days when supplementation ceases.[13] While the oral use of probiotics is considered safe and even recommended by World Health Organization under specific guidelines [2], in some specific situations (such as critically ill patients) they could be potentially harmful. In one therapeutic clinical trial, a probiotic cocktail increased the death rate of patients with Acute pancreatitis [14]. Probiotics have been shown to be beneficial for other types of patients[15][16].

In a clinical trial conducted at the University of Western Australia, aimed at showing the effectiveness of probiotics in reducting childhood allergies, Dr Susan Prescott and her colleagues gave 178 children either a probiotic or a placebo for the first six months of their life, those given the good bacteria were more, not less, likely to develop a sensitivity to allergens.[17]

Some hospitals have reported treating lactobacillus septicaemia which is a potentially fatal disease caused by the consumption of probiotics by people with lowered immune systems or who are already very ill. [17] [18] "

http://en.wikipedia.org/wiki/Probiotic

Here is information from another site:
" Precautions

Pregnant women and nursing mothers should only use probiotic nutritional supplements if recommended by their physicians (5).

The use of probiotics for the treatment of any disorder must be medically supervised.

Adverse Reactions

The most common adverse reactions to probiotics are gastrointestinal and include flatulence and constipation. Probiotics are generally well tolerated. Four cases of Saccharomyces boulardii fungemia have been reported. All of the patients had indwelling catheters, and the fungemia was thought to be due to catheter contamination (5).

There are a few reports of Lactobacillus bacteremia and endocarditis. In all cases, underlying conditions have been present, including cancer, diabetes mellitus and recent surgery (5).

In the United States, it is essential to have scientific substantiation if a statement (known as a structure/function statement) about the effect of probiotics on the normal functioning of the human body is made on a food or dietary supplement product or during promotion of the product. The burden of proof rests with the manufacturer. Although the Food and Drug Administration (FDA) does not require premarket approval of such statements, the manufacturer must provide scientific justification of any health statements if asked by the FDA (6). "
http://www.csa.com/discoveryguides/probiotic/review5.php

Anyway, I would do some research beforehand and maybe ask your Dr specifically- is there any reason that your child should NOT take a probiotic? [most likely it will be perfectly safe for your child] And how much should you give him daily?
I wanted to point out, because there is a tendency on this site to remark on someone's post if you disagree with it, that I am all for probiotics. I have given them to my son and have seen a benefit. I just think that, as with anything else that goes into your child, that some research on any possible negative consequences is called for.

I would recommend purchasing a refrigerated probiotic and adding it to the formula. The refrigerated ones are supposed to be more effective/potent.

I used a probiotic supplement separately and just added it. And I think it works, and I felt like there was a lot of research to support my son (and my family) taking it. I look up abstracts from medical studies online through the National Institutes of Health or PubMed.

I know of a few moms who have used Shaklee probiotic with their infants. Shaklee has very stringent safety standards and quality tests. A highly qualified nutritionist said that she advises her moms to use Shaklee probiotics. You just put a small pearl capsule in warm water and add to formula. Great for the babies digestive and immune health.

M. :)

There have been thousands of randomized double blind controlled research trials (the highest caliber of research) on probiotics. They are the darling child of researchers right now, because they are effective and available. The majority of trials have shown benefit or no change with probiotics, and very few have shown any adverse effects. They are quite safe, especially if you get them from a reputable company, several of which have been mentioned here. As to the question posed by Kristin about how can they count how many bacteria are in there?, this is quite easy today with tools that all equipped labs have today, such as flow cytometry. This is a machine I used as an undergrad to count cells, it is quite basic and easy to use. Welcome to the wonderful world of modern science! Probiotics have become recognized as being so effective that several major university hospitals, including OHSU and Johns Hopkins are using them in the their ICU units to prevent the GI problems that arise from being in this type of care. I hope this helps! The refrigerated ones are generally better, but some of the freeze dried ones are still viable.

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