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Medical Forum / General / General / June 2005

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Lactobacilli for fighting Candida ?

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dcholiman@ev1.net - 22 Jun 2005 03:47 GMT
My dentist noticed the yeast infection
at the corners of my mouth.  She prescribed
Acidophilus and other user friendly bacteria
in tablet form. Filling my gut with bacilli
Acidophilus and Bulgaricus sure enough drove
the Candida from the entire system.

Question:  If 40,000,000 "colonizing units"
of bacteria are ingested, what percentage
will survive stomach HCl and enter the gut ?
David H
~~~~~~~~~~~~~~~~~~~~~~~~~~`
Mark & Steven Bornfeld - 22 Jun 2005 14:32 GMT
> My dentist noticed the yeast infection
> at the corners of my mouth.  She prescribed
[quoted text clipped - 8 lines]
> David H
> ~~~~~~~~~~~~~~~~~~~~~~~~~~`

    While it is true that change in oral flora from (eg) broad-spectrum
antibiotic use can lead to yeast superinfection, and that  sources of
so-called "friendly bacteria" may be an aid to re-establishing a more
normal flora afterwards, it is a leap to think that taking a few pills
of lactobacillus will get rid of yeast infections.  We routinely see
these conditions wax and wane spontaneously in our patients, sometimes
depending upon weather, nutritional status, denture wearing, or for no
discernable reason.
    As for how many will survive in the stomach, I would guess it depends
upon the specific variety of bug, but I'd guess most would not survive.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

dcholiman@ev1.net - 26 Jun 2005 02:11 GMT
~~~~~~~~~~~~~~~~~~~~~~
Many thanks for these studied comments.
The directions on the Acidophilus bottle
recommend 2 tablets p.d. until the infection
subsides, then 1 tablet p.d. as a maintenance
dose.  But they don't use this terminology
in order to avoid legal intanglements, I'm sure.
David H
~~~~~~~~~~~~~~~~~~~~~
bae@cs.toronto.no-uce.edu - 22 Jun 2005 15:06 GMT
>My dentist noticed the yeast infection
>at the corners of my mouth.  She prescribed
[quoted text clipped - 6 lines]
>of bacteria are ingested, what percentage
>will survive stomach HCl and enter the gut ?

Consumer's Reports has an article about this in the current issue.
They tested a lot of these tablets and found that half had far fewer
live bacteria than claimed on the label, and the number declined
rapidly with time.  They recommended yogourt as a much economical and
reliable source of these "probiotic" bacteria.

Whether taking these tablets "drove the Candida from the entire system"
or the infection resolved on its own anyway, low fat yogourt is a
nutritious food that even people with lactose intolerance can usually
eat.  CU found that a serving of yogourt had 15 to 155 *billion* live
bacteria (colony forming units), while the supplements tested at 20
million to 70 billion CFUs per daily dose.
 
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