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ING-136Ingredient Research Profile

Gut Health & Digestive

Saccharomyces Boulardii

Also known as: Florastor · S. boulardii lyo · Saccharomyces cerevisiae var. boulardii

●●●Strong Evidence

A probiotic yeast (not bacterium) with the strongest evidence of any single probiotic strain for preventing antibiotic-associated diarrhoea and traveller's diarrhoea. Unaffected by antibiotics.

Effective Dose

250–500mg (5–10 billion CFU) / day

per clinical evidence

Evidence Level

Strong

Gut Health & Digestive

Mechanism

Probiotic yeast — C. difficile toxin binding, secretory IgA stimulation, gut pH reduction

primary action

Best For

Traveller's diarrhoea

Antibiotic-associated diarrhoea, C. difficile prevention, IBS

This profile is for informational purposes only and does not constitute medical advice. Consult a qualified healthcare professional before starting any supplementation, especially if you have pre-existing conditions or take medications.

What Is Saccharomyces Boulardii?

Saccharomyces boulardii is a non-pathogenic yeast first isolated from lychee and mangosteen by Henri Boulard in 1923. As a yeast, it is completely unaffected by antibacterial antibiotics — making it uniquely valuable during and after antibiotic therapy. It has the broadest and most robust evidence base of any single probiotic strain.

How It Works: The Science

S. boulardii directly binds and neutralises C. difficile toxins A and B (via a serine protease). It secretes a protease that cleaves receptors used by pathogenic bacteria (Salmonella, C. difficile) to adhere to gut epithelium. It stimulates secretory IgA, reinforces tight junctions, and releases polyamines that trophically support enterocytes.

Primary Mechanism

Probiotic yeast — C. difficile toxin binding, secretory IgA stimulation, gut pH reduction

Evidence-Based Benefits

Prevents antibiotic-associated diarrhoea

strong

McFarland (2010) meta-analysis — significant reduction in AAD incidence

Prevents and treats traveller's diarrhoea

strong

Kirchhelle et al. (1996) — significant reduction in duration and severity

Reduces C. difficile infection recurrence

moderate

McFarland et al. (1994) — significant reduction in CDI recurrence

Dosage Guide

Effective Dose

250–500mg (5–10 billion CFU) / day

250–500mg (5–10 billion CFU) once or twice daily. Start at the beginning of an antibiotic course and continue 2–4 weeks after completion. Can be taken simultaneously with antibiotics (yeast — antibiotic-resistant).

Safety Profile & Side Effects

Avoid in severely immunocompromised individuals or those with central venous catheters (rare risk of fungaemia). Otherwise extremely safe — no systemic adverse effects in healthy users.

Who Should (and Shouldn't) Take It

Best for
Traveller's diarrhoeaAntibiotic-associated diarrhoeaC. difficile preventionIBS
Who it's for

Everyone taking antibiotics (mandatory companion), international travellers, those with recurrent C. difficile, and IBS patients. The single most evidence-backed probiotic strain for acute situations.

Frequently Asked Questions

What is the recommended dose of Saccharomyces Boulardii?

250–500mg (5–10 billion CFU) once or twice daily. Start at the beginning of an antibiotic course and continue 2–4 weeks after completion. Can be taken simultaneously with antibiotics (yeast — antibiotic-resistant).

Is Saccharomyces Boulardii safe?

Avoid in severely immunocompromised individuals or those with central venous catheters (rare risk of fungaemia). Otherwise extremely safe — no systemic adverse effects in healthy users.

How does Saccharomyces Boulardii work?

S. boulardii directly binds and neutralises C. difficile toxins A and B (via a serine protease). It secretes a protease that cleaves receptors used by pathogenic bacteria (Salmonella, C. difficile) to adhere to gut epithelium. It stimulates secretory IgA, reinforces tight junctions, and releases polyamines that trophically support enterocytes.

Who should take Saccharomyces Boulardii?

Everyone taking antibiotics (mandatory companion), international travellers, those with recurrent C. difficile, and IBS patients. The single most evidence-backed probiotic strain for acute situations.

Related Ingredients

Probiotics (Lactobacillus / Bifidobacterium)Prebiotics (Inulin / FOS / GOS)L-Glutamine

Medical Disclaimer

Ingredient profiles are for informational purposes only and do not constitute medical advice. Consult a qualified healthcare professional before starting any supplementation, especially if you have pre-existing conditions or take medications. Full disclaimer →