So, while you probably have a general idea of what probiotics are and do, you might be a little hazy on things like the best natural sources of probiotics. Here’s what you need to know about these gut-boosting microorganisms and how to find them.* Probiotics are mostly bacteria, but they can also be from yeast, says Keri Gans, M.S., R.D., author of The Small Change Diet. They’re naturally occurring in certain foods, particularly fermented options. That’s because “probiotics are created during the fermenting process,” explains registered dietitian and mbg Collective member Jessica Cording, M.S., R.D. “One of the easiest ways to [get natural probiotics] is to increase the number of probiotic-rich foods in your diet,” says Sophia Tolliver, M.D., MPH, a family medicine physician at the Ohio State University Wexner Medical Center. There are plenty of options out there when it comes to natural sources of probiotics, but these are considered the best: “Typically you’ll most likely find probiotics in hard and soft cheeses that have been aged but then are not heated afterward,” Cording says.  Those grains have lactic acid bacteria and yeast, which then proliferate to make food rich in different strains of Lactobacilli bacteria. “Kimchi is a great source of probiotics,” Cording says. Put it over sandwiches or barbecue for an instant hit of flavor. During the fermentation process, SCOBY eats the sugars in the tea and creates probiotic bacteria, Cording says. The result is a flavorful paste that you can easily add to soups, meats, and a wide range of other dishes. Pickles go through a fermentation process, and that causes the food’s naturally present lactic acid bacteria to thrive. There is a difference in what kind of probiotics you might get from pickles, though. Your standard store-shelf pickle is usually made with vinegar, which can kill the live bacteria, Cording says. That’s why you want to opt for pickles made with water and salt. But, as with pickles, you’ll want to be wary of the type of sauerkraut you buy if it’s the probiotic perks you’re after. You’ll want to look for sauerkraut that says “raw and unpasteurized” or “lacto-fermented,” to make sure the probiotics are still thriving, Cording says. Traditional buttermilk is the liquid that’s left over from making butter, and Cording says it’s rich in probiotics. The actual type of probiotics in yogurt depends on the type you choose, although more common strains include different forms of Lactobacilli and Bifidobacterium. (Check the label of your yogurt for details.)  But not all yogurt contains live probiotics—some can be killed during processing—and Gans says that’s important to note. “When buying yogurt, the container should say ’live and active cultures’ so you can be certain they are still alive,” Gans says.  However, the American Academy of Family Physicians generally recommends that adults try to consume 10 to 20 billion colony-forming units (CFU) per day. “Keep in mind, probiotic concentrations vary across foods,” Tolliver says. “For example, yogurt on average can contain one to five strains of different bacteria and 6 billion colony-forming units, whereas kefir can contain nearly 12 different strains of bacteria and 25 to 30 billion colony-forming units.” Cording’s advice: Just do your best to try to eat probiotic foods regularly.   But ultimately the science on each strain should dictate how many billion CFUs are in the product. To that end, you want to choose products that contain the most well-researched strains, like Lactobacillus, Bifidobacterium, or Saccharomyces boulardii, says Liping Zhao, Ph.D., chair of applied microbiology at Rutgers University. “There need to be clinical trials to show that they have beneficial effects,”* he says. Otherwise, he points out, you’re basically left guessing whether your probiotic is working for you. Keep in mind that can be hard to consistently get enough probiotics in your day from diet alone. “In order to reap the full benefits, I tend to recommend supplementation,”* Cording says. “There are so many different types of these bacteria, and certain foods will have some kinds but may not have much of others.” Cording stresses that she’s “very much a food-first practitioner” but notes that, “sometimes we need to incorporate supplements to get the full benefits. Probiotics are one of those cases.”* A concentrated supplemental probiotic format is particularly relevant for targeted probiotics with clinical evidence for key health areas, like elevating your gut microbiome, for example.*  If you’re interested in adding more probiotics to your diet, consider adding probiotic foods and see how you feel. Just know that probiotic supplementation may be the best way to reap all of the benefits.*

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