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The information on this site is from academic and research studies. Applicability to humans must be determined by a licensed medical professional.

Suggestions to counter the impact of amikacin antibiotics

US These are suggestions that should be reviewed by a medical professional familar with you before implementing. Some suggestions may have adverse reactions with some conditions. The suggestions are built from a logical model using published research on humans and animals. The suggestions may not be applicable to humans.

Click on the substance to see what it modifies. For probiotic sources click here

Items to increase or take

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Source: Prefered in bulk and organic, with make your own capsules
SubstanceProbability Estimate

Probiotic Mixtures

See this post on how to add more probiotic mixtures.

As always, probiotics should be reviewed by a knowledgable medical professional before starting.

Positive Impact

These have good impact with NO KNOWN RISK of bad impact. These should be your first choice

  1. SymbioPharm / Symbioflo 2 : impact 18.5
  2. Wakamoto (JP) / Strong Wakamoto W : impact 0.7

Mixed Impact

You want the highest NET value (Take - Avoid), when there are several with similar values. Take the one with the lowest avoid value.

Ideally you want Take/Avoid to be a 2:1 or higher ratio.

Commercial Probiotic NameNetTakeAvoid
Spain (ES) / Axiboulardi 0.7 2 1.3
Spain (ES) / Ultralevura 0.7 2 1.3
Global Health Trax / ThreeLac -3.3 1.3 4.6
Vitamin Angels / Just Thrive -3.3 1.3 4.6
Microbiome Labs/ MegaSporeBiotic -3.3 1.3 4.6
Perfect Pass / Perfect Pass Probiotic Bacillus Spore -3.3 1.3 4.6
Enviromedica Terraflora SBO Probiotic -3.3 1.3 4.6
Klaire Labs / Biospora -3.3 1.3 4.6
Microbiome Labs /HU58 -3.3 1.3 4.6
Organic 3 / Primal Soil -3.3 1.3 4.6
Bio-Botanical Research / Proflora4R Restorative Probiotic -3.3 1.3 4.6
Reserveage Nutrition / BeautiFlora -3.3 1.3 4.6
Amy Meyers / Primal Earth Probiotic -3.3 1.3 4.6
Corebiotic -3.3 1.3 4.6
Nature's Instincts / Ultra Spore Probiotic -4 1.3 5.3
Microbiome Labs / RestorFlora -4 1.3 5.3
Mutaflor / Mutaflor -4.7 9.2 13.9
Spain (ES) / Muvagyn probiotico -6 2.6 8.6
Activia Drink -21.1 0.7 21.8
BioFlorin (DEU) / BioFlorin -22.5 4.6 27.1
O'Donnell / Flora-Balance -24.4 0.7 25.1
MWSB / Candida Yeast Support -25.8 5.9 31.7
DanActive Drink -26.4 1.3 27.7
Optibac / For daily immunity -26.4 1.3 27.7
Spain (ES) / NS Defenbiotic Kids -27 2 29
PowerLabs (AU) / Ultra Blend -29 2 31
Optibac / For those on antibiotics -29.7 1.3 31
Spain (ES) / Casenbiotic -29.7 2.6 32.3
Spain (ES) / GUM Periobalance -29.7 2.6 32.3
Spain (ES) / Gastrus -29.7 2.6 32.3
Spain (ES) / Reuteri gotas -29.7 2.6 32.3
Custom Probiotics / D-Lactate Free Probiotics Powder -30.3 2 32.3
Spain (ES) / NS florabiotic Instant -31.7 1.3 33
jarrow formulas / fem dophilus -35.6 4 39.6
Spain (ES) / Aquilea intimus -35.6 4 39.6
Optibac / For Women -35.6 4 39.6
Jarrow Formulas / Fem-Dophilus® -35.6 4 39.6
Jarrow Formulas / Jarro-Dophilus Mood -37.6 1.3 38.9
Optibac / Bifidobacteria & fibre -41.6 2 43.6
AOR / Probiotic-3 -41.5 7.3 48.8
Optibac / For Every day Max -44.8 0.7 45.5
Jarrow Formulas / Bifidus Balance® + FOS -50.8 2 52.8
Bravo Europe / Freeze-Dried Bravo -62 3.3 65.3
Natren / Bifido Factor -82.5 2.6 85.1
Solgar / Advanced Multi-Billion Dophilus -89.1 1.3 90.4
Solgar / Advanced 40+ Acidophilus -89.1 1.3 90.4
Bio-K+ -92.4 5.3 97.7
Philips / Colon Health -93 4 97
WAKAMOTO (JP) / WAKAMOTO Pharmaceutical Intestinal Drug -93 4 97
Just for Tummies / Live Bacteria -93.7 5.3 99
Custom Probiotics / B. Lactis & B. Bifidum Probiotic Powder -94.4 2.6 97
Custom Probiotics / Five Strain Bifidobacteria -106.3 2.6 108.9
Shin Biofermin (JP) /S -106.3 2.6 108.9
Natren / Healthy Trinity Probiotic -111.6 2.6 114.2
Klaire Labs / Ther-biotic Factor 4 -112.9 3.3 116.2
GNC / Ultra Probiotic Complex -118.2 2.6 120.8
Cytoplan(UK) /Dentavital Bifidophilus -124 4 128
Spain (ES) / ProFaes4 viajeros -126.1 3.3 129.4
Spain (ES) / Profaes4 Edad Escolar -126.1 3.3 129.4
Genestra Brands® HM -126.1 3.3 129.4
Speer Labs / emuaid first defense -128.7 7.3 136
Optibac / For your cholesterol -130.7 3.3 134
Biospec / Probiotic-5 -135.9 5.3 141.2
Nature's Bounty / Probioti 10 -138.6 6.6 145.2
Spain (ES) / l3.1 -143.2 3.3 146.5
Optibac / For every day -143.2 5.3 148.5
Jamieson (CAN) / Probiotic 10 BCFU -148.5 5.9 154.4
Custom Probiotics / Four Strain Lactobacilli -159.7 5.3 165
Bravo Europe / Starter and Complex -167 5.9 172.9
Zint Nutrition / Probiotic Collagen + -173.6 4.6 178.2
up4 /Women's -173.6 5.9 179.5
Klaire Labs / Target GB-X -188.1 7.9 196
Spain (ES) / VIVOMIXX -199.3 4.6 203.9
Probiotic PUR (DE) / RealDose Nutrition -202 5.9 207.9
Ferring / VSL#3 -209.9 5.3 215.2
Lifted Naturals / Mood Boosting Probiotic -213.2 5.3 218.5
Seed / Male Version -215.1 7.3 222.4
Jarrow Formulas / Jarro-Dophilus EPS -232.4 9.2 241.6
Visbiome -235.6 7.3 242.9
Vinco / Probiotic Eight 65 -235.7 9.2 244.9
Jarrow Formula / Jarro-Dophilus Original -235.7 9.2 244.9
Organic 3 / GutPro -244.2 8.6 252.8
Custom Probiotics / Six Strain Probiotic Powder -254.1 7.9 262
Fairvital / MicroFlora Basic -254.8 9.9 264.7
up4 / Adult -259.4 5.9 265.3
Seed / Female Version -261.3 11.9 273.2
Young Living/Life 9 -264.7 7.9 272.6
Jarrow Formulas / Jarro-Dophilus® Ultra -281.2 11.2 292.4
Udo's Choice /Super 8 Gold -315.5 11.9 327.4
Solaray / mycrobiome probiotic colon formula -320.1 13.9 334
1 MD / Complete Probiotics Platinum -332.6 13.2 345.8
Theramedix / Probiotic -336.6 10.6 347.2
FürstenMED / Lacto-Bifido -336.6 13.2 349.8
Renew Life Men's Probiotic - Ultimate -349.1 11.9 361
Quantum Wellness / Restora Flora -349.8 15.2 365
Up4 / Ultra -354.5 12.5 367
Douglas Laboratories / Multi Probiotic 40 Billion -354.4 13.2 367.6
Garden of Life / Primal Defense -357.1 14.5 371.6
Renew Life / Ultimate Flora -359 13.2 372.2
Organic 3 / Primal Gut -363 15.2 378.2
Bioray / CytoFlora -366.3 14.5 380.8
Elixa / Probiotic -376.9 14.5 391.4
Hyperbiotics / Pro-15 -390.7 17.2 407.9
NewRhythm / Probiotics 20 stains -410.5 17.2 427.7
Vita Miracle / Ultra-30 Probiotics -414.4 17.2 431.6

Negative Impact

  1. Solgar / Advanced Acidophilus Plus
  2. Anabolic Laboratories / Probiotic Complete
  3. Canada (CA) / CalmBiotic
  4. Miyarisan (JP) / Miyarisan
  5. Culturelle / Culturelle
  6. Spain (ES) / Bivos
  7. Spain (ES) / Kaleidon
  8. Spain (ES) / Suerobivos
  9. Digestive Care
  10. Bayer / TruBiotics Daily Probiotic
  11. Trubiotics / One A Day
  12. Natren / Megadophilus
  13. Reg'Activ / immune & Vitality
  14. Spain (ES) / Lactanza hereditum
  15. Natren / Digesta-Lac
  16. Natren / Life Start 2 (Goat Milk-based)
  17. Spain (ES) / Alflorex
  18. Florastor / Florastor
  19. Optibac / Saccharomyces boulardii
  20. Organic 3 / Yeastbiotic

No Known Impact

These appear to have no known direct impact. There is no reason to discontinue them if you are talking them

  1. Align / Align
  2. DAIICHI SANKYO HEALTHCARE (JP) / Panlacmin Tablet
  3. enterogermina
  4. GoodBelly Drink
  5. Hyperbiotics / Pro-Dental
  6. Jarrow Formula / Ideal Bowel Support® LP299v®
  7. probiotic 3
  8. Schiff / Digestive Advantage
  9. Source Naturals / DuraFlora
  10. SymbioPharm / Symbioflor 1
  11. Thorne / Bacillus CoagulansVET 60 caps

Flavonoid Foods Suggested

These are a net positive impact -- Odds are that the dominant flavonoids are what is helping. They may be in other foods that have not been studied. Explore!

Flavonoids Suggested

These are a net positive impact -- see what foods they are in (the higher the better!)

Why "Source: Prefered in bulk and organic, with make your own capsules". First, few pre-capsulized supplements are organic, most have fillers and the cost per gram as prepared capsules can be 4x to 50x higher than in bulk. Many folks have reported things did not help until they change to a different brand with different fillers.

Items to decrease or stop

SubstanceProbability Estimate
oregano (origanum vulgare, oil) | 1
thyme 0.973
lactobacillus plantarum (probiotics) 0.876
syzygium aromaticum (clove) 0.872
triphala 0.624
foeniculum vulgare (Fennel) 0.575
ginger 0.566
bifidobacterium bifidum (probiotics) 0.544
cinnamon (oil. spice) 0.531
turmeric (curcuma longa, Curcumin) 0.527
lactobacillus casei (probiotics) 0.42
nigella sativa seed (black cumin) 0.407
rosmarinus officinalis (rosemary) 0.376
coriander oil 0.358
fennel 0.31
garlic (allium sativum) 0.305

Contradictory Suggestions

I have seen lactobacillus rhamnosus gg (probiotics) being a TO TAKE and lactobacillus rhamnosus (probiotics) is to avoid. Why? Different studies have different results. Sometimes it is because of other factors (study done on healthy people in one case, on overweight people in the other case). One study may have measured the bacteria you are high in, the other did not. Similarly, one study may have measured the bacteria you are low in, the other did not. There is a forest of qualifications that are nearly impossibly complex to address, and if you try, it will often lack an objective decision that can be demonstrated ("I think...."). Where there are 'conflicts', my usual advice is to just omit it entirely from consideration. If you are taking it, keep taking it. It not, don't.


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