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Supplements

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There are a number of supplements for IBD patients available to take. We identify one class of supplements as prebiotics and probiotics. Another class of supplements is vitamins and minerals. While the first group of supplements may help in the promotion of the microbiome (naturally occurring bacteria that are needed in the gut), the second group of supplements can prevent nutritional deficiencies. It is very important to express caution with supplements because of the lack of regulation. It is also important to maintain constant contact with your GI, nutritionist, and/or dietician as you try new supplements.  

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Sources:

Prebiotics and Probiotics

  • Prebiotics are plant fibers that feed the good bacteria.  They improve digestion and strengthen your immune system.  Prebiotics can be found in natural fruits and vegetables, such as bananas and asparagus, but can also be found in forms of pasta and bread.  

  • Probiotics are live bacteria that are especially good for your digestive system.  If you have an infection, bad bacteria will outnumber your good bacteria, but probiotics will boost the numbers of your good bacteria to help fight off these bad bacteria.  Some good sources of probiotics include: dietary supplements (capsules, tablets, powders, etc.), yogurt, kefir, miso, and tempeh. 

  • It's important to note that probiotics have not yet been proven for treatment of patients with Crohn's disease, while VSL #3 now known as Visibiome DeSimone Formula may induce remission in patients with ulcerative colitis.

    • More work needs to be done to investigate the usage of probiotic supplements as many of these supplements are unregulated by the FDA

Vitamins and Minerals

  • Calcium: Calcium is frequently suggested by GI doctors to avoid osteoporosis or other bone related illnesses that can be a result of certain medications (such as corticosteroids)

  • Vitamin D: Sufficient vitamin D levels are found to help calm an active IBD flare.  Vitamin D also with the absorption of calcium. 

  • Iron: Anemia is a very common symptom of IBD and can be caused by insufficient oxygen in your red blood cells.  Iron, found in hemoglobin, helps carry this oxygen throughout your body. 

  • Folic Acid: Folic acid aids in the production and maintenance of new cells and medications such as sulfasalazine and methotrexate can interfere with this  

  • Vitamin B12: B12 absorption happens in your ileum, which can be affected by IBD and may be troublesome to absorb through just food. 

  • Vitamins A. E, K:  These fat-soluble vitamins are important for cell production, fighting infections, and bone health.  

  • Zinc: Zinc is important for the immune response of fighting off bacteria and viruses in your body.

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