Gut health

How & When to Take Your Probiotic

The best time to take a probiotic, what to eat with it and why consistency matters more than the clock, based on what the research actually shows.

Updated · 3 min read

Bottle of Trust Your Gut probiotic capsules with loose capsules and raspberries on a pink and white background
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One of the questions we hear most is "Does it matter how and when I take my probiotic?" Compare a few labels and you will find every answer: with food, an hour before a meal, at night, first thing in the morning. Here is what the research actually suggests, and the simple routine we recommend.

Does it matter when you take a probiotic?

Somewhat, yes. Probiotics are live microorganisms, and their benefit depends on taking them in adequate amounts. Bacteria are sensitive to stomach acid, so anything that helps more of them survive the trip from your mouth to your intestines is worth doing. Timing around meals is the main lever you control.

Take it with a meal, or just before one

When you eat, food buffers your stomach acid. A lab study that modeled the human upper digestive tract found that probiotic bacteria survived best when given with a meal or 30 minutes before a meal, while those given 30 minutes after a meal did not survive in high numbers. The same study found survival was better with a meal containing some fat (oatmeal made with milk) than with apple juice or water alone.

This was one lab model testing one product, so it is a guide rather than a rule. But it matches our own advice for Trust Your Gut capsules: take them with food.

A common belief is that first thing on an empty stomach is best. The evidence above points the other way: an empty stomach is a harsher environment than a stomach with breakfast in it.

Consistency matters more than the clock

Once you are taking it with food, do not worry about finding the "perfect" hour. Pick a meal you eat every day, whether that is breakfast or dinner, and take your probiotic at the same time daily so it becomes a habit. With Trust Your Gut Probiotic + Prebiotic Daily Essential, that means two capsules with food at the same time each day.

If you are just starting out, mild gas or bloating in the first days is common and usually settles. Our guide to taking a probiotic for the first time explains what to expect.

What should you eat alongside your probiotic?

Your diet shapes the gut your probiotic arrives in. Prebiotics are substrates selectively used by your gut microbes, mostly fibers, and they help beneficial bacteria thrive. Garlic, onions, leeks, asparagus, Jerusalem artichoke, chicory root and bananas are good sources. Many prebiotics, such as inulin, are soluble fibers that resist digestion and are fermented by bacteria in the colon. Read more in What Are Prebiotics?

Fermented foods help too. In a 17-week study, a diet high in fermented foods steadily increased gut microbiome diversity and decreased inflammatory markers. Yogurt, kefir, kimchi, sauerkraut and miso all count. A supplement does not replace these foods; it adds known strains at a known dose on top of them.

Does a multi-strain probiotic work better?

Lactobacillus and Bifidobacterium are the most common groups of bacteria used in probiotics, and many products combine several strains. Variety can be useful because different types of probiotics may have different effects. But more strains is not automatically better. What matters is whether the specific strains have been studied for the benefit you want, at the dose in the product. Trust Your Gut capsules contain 6 acid-resistant strains, and Trust Your Gut powder contains 7 clinically studied strains, each with organic Jerusalem artichoke as the prebiotic.

What if you are taking antibiotics or other medicines?

Probiotics are often taken during and after antibiotics, and can lower the risk of antibiotic-associated diarrhea. Ask your pharmacist how to space your probiotic around your antibiotic doses. If you are immunocompromised, seriously ill or pregnant, talk to your doctor before starting any probiotic, since the risk of harmful effects is greater in people with severe illnesses or compromised immune systems.

Frequently asked questions

Should I take probiotics on an empty stomach?

The evidence points the other way. In a lab model of digestion, probiotics survived best when taken with a meal or 30 minutes before one, because food buffers stomach acid.

Is it better to take probiotics in the morning or at night?

Either is fine. Take your probiotic with a meal you eat every day and keep the timing consistent.

Can I take probiotics with antibiotics?

Many people do, and probiotics can lower the risk of antibiotic-associated diarrhea. Ask your pharmacist how to space the doses.

Do I need a probiotic with multiple strains?

Not necessarily. More strains is not automatically better; what matters is whether the strains in the product have been studied for the benefit you want.

References

  1. Hill C, et al. Expert consensus document. The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11(8):506-14. https://pubmed.ncbi.nlm.nih.gov/24912386/
  2. Tompkins TA, et al. The impact of meals on a probiotic during transit through a model of the human upper gastrointestinal tract. Benef Microbes. 2011;2(4):295-303. https://pubmed.ncbi.nlm.nih.gov/22146689/
  3. Gibson GR, et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nat Rev Gastroenterol Hepatol. 2017;14(8):491-502. https://pubmed.ncbi.nlm.nih.gov/28611480/
  4. Slavin J. Fiber and prebiotics: mechanisms and health benefits. Nutrients. 2013;5(4):1417-35. https://pubmed.ncbi.nlm.nih.gov/23609775/
  5. Wastyk HC, et al. Gut-microbiota-targeted diets modulate human immune status. Cell. 2021;184(16):4137-4153.e14. https://pubmed.ncbi.nlm.nih.gov/34256014/
  6. National Center for Complementary and Integrative Health. Probiotics: What You Need To Know. https://www.nccih.nih.gov/health/probiotics-what-you-need-to-know
  7. Goodman C, et al. Probiotics for the prevention of antibiotic-associated diarrhoea: a systematic review and meta-analysis. BMJ Open. 2021;11(8):e043054. https://pubmed.ncbi.nlm.nih.gov/34385227/