EDUCATION
Manuka Honey and Probiotics: The Science Behind Nature's Prebiotic Powerhouse
19 minutes
Essential Takeaways
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Manuka honey is a prebiotic, not a probiotic. It feeds and strengthens beneficial gut bacteria like Lactobacillus reuteri, L. rhamnosus, and Bifidobacterium lactis¹.
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Selective action: Manuka honey supports good bacteria while inhibiting harmful pathogens such as E. coli, Salmonella, and Staphylococcus aureus¹.
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Probiotic survival: Adding Manuka honey to yoghurt has been shown to more than double probiotic counts, even after 28 days of refrigeration².
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Gut-friendly compounds: Fermentation produces beneficial acids like propionic and lactic acid, which support gut health².
- Safe for your microbiome: High-grade Manuka honey (UMF™ 20+) does not harm healthy gut bacteria³,⁴. Pair with probiotic foods like yoghurt or kefir for best results.
Disclaimer: This article discusses scientific research into Manuka honey's prebiotic properties and effects on gut bacteria. It is not intended as medical advice. If you have digestive health concerns or conditions, such as IBS, consult your healthcare provider before making dietary changes.
You're taking probiotics religiously. Fermented foods like sauerkraut, yoghurt every morning, maybe even kombucha.
But here's what most people don't know: studies show the majority of probiotic bacteria don't survive the journey to your gut.
Stomach acid, bile salts, and digestive enzymes destroy many of these beneficial bacteria before they can colonise your intestines. Even the probiotics that make it through face another challenge - staying alive long enough to make a difference.
That’s where Manuka honey comes in. Whilst not a probiotic itself, Manuka honey acts as a powerful prebiotic that feeds and strengthens the beneficial bacteria already in your system.
Key benefits of adding Manuka honey to probiotics:
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Feeds beneficial gut bacteria and helps them thrive²
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Makes probiotics more resilient in the harsh digestive environment²
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Selectively inhibits harmful bacteria while supporting good ones¹
This article explores the science behind this fascinating relationship. You'll discover how Manuka honey's natural compounds work with probiotics to support gut health, what the science actually shows, and practical ways to combine them in your daily routine.
In this guide, you’ll learn:
Key Research Highlights
2024 Human Study
A randomised controlled trial gave healthy adults yoghurt containing the probiotic Bifidobacterium animalis - some with honey added, some without. The results? The honey group showed the probiotic was "enriched in [honey]... compared to controls"⁶.
This is significant because it validates what lab studies suggested: the enhancement effect "previously observed in vitro [translated] in vivo"⁶. In other words, what works in test tubes also works in actual human bodies.
2021 Study with Different Manuka Grades
Researchers tested various grades of Manuka honey (ranging from lower to higher antimicrobial ratings) as fuel for the probiotic Lactobacillus reuteri⁷. While the highest grade achieved the most bacterial growth, the study found something surprising: "no statistically significant difference was observed in the recorded major fermentation outcomes for the different [grade] levels"⁷.
Translation: authentic Manuka honey works well regardless of whether you choose a mid-range or premium grade. What matters most is that it's genuine, certified Manuka honey, with verified levels of antibacterial activity.
2020 Yoghurt Study
When Manuka honey was added to probiotic yoghurt and survival was tracked over three weeks of refrigeration, they discovered something remarkable. The probiotic counts in the Manuka honey yoghurt were significantly higher than the other honey yoghurt types (Manuka Blend and standard honey)⁹.
The Manuka yoghurt also had a "more favourable fermentation metabolite profile, especially the lactic and propionic acids"² - beneficial compounds that support gut health. These probiotics thrived when exposed to Manuka honey over an extended period.
2019 Anti-Adhesion Discovery
Scientists isolated the complex sugars (oligosaccharides) from Manuka honey and tested them against three major pathogens: E. coli O157:H7, Staphylococcus aureus, and Pseudomonas aeruginosa⁸. These oligosaccharides significantly blocked the pathogens from attaching to human intestinal cells⁸.
This suggests a dual mechanism: Manuka honey feeds good bacteria while simultaneously preventing harmful bacteria from establishing themselves in your gut.
2016 and 2010 Safety Studies
Two critical safety studies (one in mice, one in humans) tested whether consuming high-grade Manuka honey (UMF™ 20+) would harm beneficial gut bacteria³,⁴. Both found the same result: consumption did “not significantly perturb the microbiota in mice” and showed no change in the measured numbers of beneficial bacteria, including Bifidobacterium spp. and Lactobacillus spp.³.
For anyone worried that Manuka's antibacterial properties might harm good bacteria, these studies provide reassurance: it's safe for your microbiome.
2008 Foundational Discovery
The groundbreaking study that started it all used high-throughput testing on UMF™ 20+ Manuka honey against three probiotic strains and three pathogenic bacteria simultaneously¹. The finding was extraordinary: Manuka honey "dose-dependently increased probiotics and decreased pathogens"¹.
The probiotics that grew more: Lactobacillus reuteri, L. rhamnosus, and Bifidobacterium lactis. The pathogens that were inhibited: E. coli, Salmonella typhimurium, and Staphylococcus aureus.
The Manuka honey used in this foundational study contained the powerful antimicrobial compound methylglyoxal (MGO), but it was applied at a concentration where the honey “was used at a dose containing MGO at less than 0.3 mM”. This is significant, because that concentration is typically too low to inhibit harmful bacteria, yet it helped boost the beneficial probiotic strains, suggesting a unique, highly selective mechanism is at work¹.
Is Manuka Honey Probiotic or Prebiotic?
Let's answer this directly: Manuka honey is a prebiotic, not a probiotic.
Here's the difference:
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Probiotics are the live beneficial bacteria themselves - the ones you get from yoghurt, kefir, or supplements, for example.
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Prebiotics are the food that feeds these beneficial bacteria, helping them grow and thrive.
Think of your gut like a garden. Probiotics are the plants you're trying to grow. Prebiotics are the nutrient-rich soil and fertiliser that help those plants flourish.
Manuka honey acts as that fertiliser. It contains complex sugars called oligosaccharides that your digestive enzymes can't break down. These oligosaccharides travel intact to your large intestine, where beneficial bacteria like Lactobacillus and Bifidobacterium species ferment them for energy.
This is important because many people already have these beneficial bacteria in their gut. They just need the right fuel to multiply and become more active. That's where Manuka honey's prebiotic properties come in.
But Manuka honey isn't like other prebiotics. As we'll explore, it has unique properties that don't just feed good bacteria, but actively make them stronger while inhibiting harmful pathogens at the same time¹.
Learn more: Manuka Honey for Gut Health
How Manuka Honey Feeds Beneficial Gut Bacteria
Manuka honey's prebiotic power comes in part from its complex carbohydrate content (specifically oligosaccharides) that resist digestion and become food for beneficial bacteria.
What are oligosaccharides?
While most of the carbohydrates in Manuka honey consist of simple sugars, it contains a small proportion of complex sugars that your digestive system can't break down, such as pentose and nigerose⁵.
The journey through your digestive system
When you consume Manuka honey, here's what happens:
In your stomach and small intestine, the simple sugars get absorbed quickly for energy. But the oligosaccharides keep moving. Your digestive enzymes can't break them down because you lack the specific enzymes needed to process their chemical structures.
By the time they reach your large intestine (colon), these oligosaccharides are still intact. This is where your beneficial bacteria live, and where they're waiting for their next meal.
Selective fermentation
Once in the colon, specific beneficial bacteria (such as Lactobacillus and Bifidobacterium species) recognise these oligosaccharides as food. They ferment them through a process that:
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Allows the bacteria to multiply and thrive
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Produces beneficial compounds called short-chain fatty acids (SCFAs)
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Creates an environment that discourages harmful bacteria
The beneficial compounds produced
When beneficial bacteria ferment Manuka honey's oligosaccharides, they produce SCFAs, including:
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Propionic acid: has anti-inflammatory properties
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Butyric acid: provides energy for colon cells
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Acetic acid: helps regulate appetite and metabolism
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Lactic acid: supports gut lining health (not technically a SCFA but a precursor)
Studies comparing Manuka honey mixed with yoghurt to plain yoghurt found significantly higher levels of these beneficial acids in the Manuka version². The yoghurt had a "more favourable fermentation metabolite profile, especially the lactic and propionic acids"².
This is why Manuka honey doesn't just feed probiotics, but also helps create the beneficial compounds that support your entire digestive system.
The Unique Selective Action: Supporting Good Bacteria, Fighting Bad
You might be wondering: "If Manuka honey is famous for killing bacteria, won't it harm the good bacteria too?"
This is where Manuka honey becomes even more useful.
The dual-action discovery
In 2008, researchers tested UMF™ 20+ Manuka honey against three beneficial probiotic strains and three harmful pathogenic bacteria at the same time¹. What they discovered was remarkable.
The beneficial bacteria that increased in growth:
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Lactobacillus reuteri
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Lactobacillus rhamnosus
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Bifidobacterium lactis
The harmful bacteria that were inhibited:
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Escherichia coli O157:H7
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Salmonella typhimurium
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Staphylococcus aureus
Even more interesting was that the effect was dose-dependent, meaning that the more Manuka honey used (within a specific range), the stronger both effects became¹.
Why this matters
Unlike antibiotics, which indiscriminately kill both beneficial and harmful bacteria, Manuka honey appears to act selectively. It's like having a security system that knows the difference between welcome guests and unwanted intruders.
This selective action comes from Manuka honey's multiple antimicrobial mechanisms working together:
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High natural acidity (low pH)
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Osmotic effect from high sugar content
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Presence of hydrogen peroxide
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Phenolic compounds
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Methylglyoxal (MGO) - unique to Manuka honey
The combination of these factors creates an environment where beneficial bacteria can adapt and thrive, while pathogenic bacteria struggle to survive.
How Manuka Honey Makes Probiotics More Resilient
Beyond simply feeding beneficial bacteria, evidence suggests that Manuka honey may make them stronger, meaning they are better able to survive the harsh journey through your digestive system.
The stress-training effect
Researchers discovered that exposure to low, non-lethal levels of MGO (methylglyoxal, Manuka honey's signature antibacterial compound) triggers a protective response in certain probiotic strains⁹.
Think of it like altitude training for athletes. The mild challenge of less oxygen makes their bodies adapt, becoming stronger when they return to normal conditions. Similarly, sub-lethal MGO exposure appears to ‘train’ probiotic bacteria to handle stress better.
Evidence of enhanced survival
When researchers tested probiotic survival under conditions similar to your digestive system, such as stomach acid (pH 2) and bile salts (refrigeration was also used for extended periods of time), they found that probiotics grown with Manuka honey showed "enhanced survivability" compared to probiotics grown without it⁹.
Specifically, they showed:
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Better tolerance to stomach acid (pH 2 for 90 minutes)
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Improved resistance to bile salts
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Maintained higher viable counts during storage
Studies using fermented milk found that probiotic counts with Manuka honey were more than double those without honey after 28 days of refrigerated storage.
Why this happens
Whilst scientists are not 100% sure why this happens, the current working theory is that Lactobacillus reuteri (one of the most-studied probiotic strains) naturally produces a compound called reuterin, which is structurally similar to MGO⁹. This means these bacteria may have already evolved mechanisms to handle MGO-like substances.
When exposed to Manuka honey's sub-lethal MGO levels (i.e., not strong enough to kill the good bacteria), they activate these protective mechanisms, making them more robust overall.
The sweet spot
The key is getting the dose right. Studies used MGO concentrations well below levels that would inhibit bacterial growth (typically less than 0.3 mM). At these levels, the MGO strengthens probiotics without harming them.
This is why authentic UMF™-certified Manuka honey works so well: it has verified MGO levels in the optimal range.
Learn more: What Does MGO Mean on Manuka Honey?
Real-World Results: What the Yoghurt Studies Show
Laboratory discoveries are one thing. But does this work in actual food? Researchers tested Manuka honey in fermented milk and yoghurt to find out.
The study setup
Scientists added Manuka honey (at 5% concentration) to fermented milk and yoghurt containing the probiotic Lactobacillus reuteri². They tracked how many probiotics survived over an extended period of time in the refrigerator (28 days for milk, 21 days for yoghurt).
The results
After 28 days, fermented milk with Manuka honey maintained probiotic counts of over 8 log cfu/mL⁹. To put this in perspective, that's more than double the unsweetened control.
For yoghurt, Manuka honey helped maintain counts above 7 log cfu/mL - the minimum threshold considered necessary for health benefits². Plain yoghurt without honey fell below this threshold.
But the numbers alone don't tell the complete story.
What this means for you
Think about what happens when you buy probiotic yoghurt from the supermarket. By the time you eat it (often days or weeks after production), many probiotics have died. Adding Manuka honey helps keep them alive and active for a much longer period.
The studies also measured the beneficial compounds (SCFAs) produced during fermentation. Manuka honey yoghurt produced significantly higher levels of lactic and propionic acids, the beneficial compounds that actually support your gut health².
Combining Manuka Honey with Probiotic Foods
Now that we’ve covered how Manuka honey with probiotics supports its effectiveness, let’s take a look at some practical ways to combine them in your daily routine:
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Manuka honey with yoghurt
Delicious and scientifically proven to boost probiotic counts, Manuka honey combined with yoghurt is a winner for not only your gut but your taste buds too.
How to use it: Add 1-2 teaspoons of Manuka honey to plain yoghurt with live cultures. Stir well and enjoy. The honey adds natural sweetness while providing prebiotic support for the yoghurt's beneficial bacteria.
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Manuka honey with kefir
Kefir contains even more probiotic diversity than yoghurt (up to 30+ different beneficial strains). Combining it with Manuka honey creates a powerful gut-health duo.
Try this simple recipe: Blend 1 cup of plain kefir with half a banana, a handful of berries, and 1 teaspoon of Manuka honey for a prebiotic and probiotic-rich smoothie.
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Manuka honey with kombucha
After brewing or buying kombucha, add a small spoonful of Manuka honey. The honey's smooth sweetness balances kombucha's tanginess while providing prebiotic nutrients.
Important: Make sure to add honey after fermentation is complete, not during brewing.
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Manuka honey with sauerkraut and kimchi
While it might sound unusual, a small drizzle of Manuka honey over fermented vegetables balances their sharp, salty flavour while supporting the beneficial bacteria they contain.
Creating your own combinations
The key is combining Manuka honey with foods containing live, active cultures. Other options include:
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Miso soup (add honey after heating) no hotter than 37 degrees
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Probiotic supplement capsules (take together)
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Fermented pickles
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Traditional sourdough bread
Five delicious ways to use Manuka honey
Want to learn more ways to enhance your probiotic foods with Manuka honey? Check out our dedicated guide for tips, recipes, and more. Each recipe includes variations to suit your taste preferences.
Discover the recipes: 5 Fermented Foods for Gut Health - and How Manuka Honey Enhances Their Benefits
How to Use Manuka Honey for Gut Health
Building on the fermented food combinations we just shared, here are some specific tips on how to incorporate Manuka honey into your daily routine for optimal gut health support.
Daily dosage
Researchers used 5% honey by weight in a food study, which translates to roughly 1-2 teaspoons (5-10g) per serving⁹. Human safety trials confirmed that 20g daily is well-tolerated⁴.
Start with 1 teaspoon daily and increase to 2 teaspoons if desired.
“It is a powerful natural source of prebiotic support… I began taking a teaspoon twice a day, morning and night, on an empty stomach… Manuka honey had not only healed my IBS, but it had helped get my life back on track.” - Steve, Verified Buyer | UMF™ 26+ | MGO 1282+
Read Steve’s full story about how Manuka honey resolved his IBS issues here.
Best times to take Manuka honey for gut health
Whilst Manuka honey probiotics combinations can be helpful at any time, here are some suggestions to incorporate it into your day:
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Morning: Add to yoghurt, kefir, or a smoothie with your breakfast. This gives probiotics fuel throughout the day.
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With meals: Stir Manuka honey into warm (not hot) beverages or drizzle over probiotic-rich foods.
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Evening: Some people prefer taking Manuka honey before bed, especially if they’re experiencing digestive discomfort.
Important: do not heat your Manuka honey past 37 degrees celsius 37°C (98.6°F) to avoid damaging the beneficial enzymes. For more detailed guidelines on warming and cooking with Manuka honey, check out this article.
When to expect results
In the human studies we researched, changes in beneficial bacteria populations took place after two weeks of consistent use⁶. Individual results can vary, but consistency is more important than quantity.
“I started using the honey, and within days, my symptoms began to resolve. I noticed that the pain disappeared, and the longer I was on it, the more issues were resolved. By the time I finished the jar, I was back to eating normally… I'm happy to report that my digestive issues have been resolved” - Kerry, Verified Buyer | UMF™ 24+ | MGO 1122+
Read Kerry’s full story about how Manuka honey helped to fix her digestive issues here.
How to choose authentic Manuka honey for gut health
For probiotic support, authenticity matters more than you might think. Fake or adulterated Manuka honey doesn't necessarily contain the oligosaccharides or MGO needed to function as a potent source of prebiotics.
Honey is one of the most commonly faked and counterfeited foods worldwide, so it’s important to ensure that what you’re buying is the real deal.
In these research papers, scientists demonstrating the gut health benefits used certified Manuka honey with verified MGO levels¹,². Without proper certification, you can't be sure that what you’re buying is the real deal.
The UMF™ certification difference
That’s where the UMF™ (Unique Manuka Factor) certification comes in handy. UMF™ is an independent testing and grading system used by many reputable New Zealand honey producers to ensure their products are pure, potent and authentic.
UMF™ guarantees three critical things:
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Authenticity: independently tested and proven to contain signature Manuka compounds
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Potency: each jar contains verified levels of MGO (the main antibacterial compound), which are stated on the label
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Quality: meets strict standards for purity and freshness, and is produced in New Zealand
Every batch is tested in New Zealand laboratories, ensuring what's on the label matches what's in the jar, so that you can trust what you’re buying.
Want to find out more about UMF™? Read this article.
Want to shop our range of UMF™ certified Manuka honey? Explore here.
What makes our Manuka honey different
When you buy New Zealand Honey Co. Manuka honey, you’re getting a product that is:
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UMF™ certified with verified MGO levels
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Raw and unpasteurised to preserve beneficial compounds
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Monofloral - it’s made solely from mānuka nectar, not a blend of floral sources
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Fully traceable from hive to jar
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Independently tested in New Zealand laboratories
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Non-GMO and glyphosate-free
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Halal and kosher certified
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Sustainably packaged in rPET jars
… and delicious! Shop our range here.
Unsure which grade is right for you? Consider starting with a jar of UMF™ 15+ or UMF™ 20+, which contains a similar level of MGO to the honey used in the research papers we referenced in this article.
Suggested further reading:
- Manuka Honey for Gut Health
- 5 Fermented Foods for Gut Health - and How Manuka Honey Enhances Their Benefits
- Finding Gut Balance With The Help Of Manuka Honey - Josh's Story
- Is Manuka Honey Good for Stomach Problems?
- How Manuka Honey Healed My IBS and Changed My Life – Steve's Story
- Is Honey Antibacterial? The Science Behind the Magic…
Sources:
¹ High-throughput microbial bioassays to screen potential New Zealand functional food ingredients intended to manage the growth of probiotic and pathogenic gut bacteria. International Journal of Food Science and Technology.
² Sensory, Microbiological and Physicochemical Characterisation of Functional Manuka Honey Yogurts Containing Probiotic Lactobacillus reuteri DPC16. National Library of Medicine. More information and background surrounding the research can be found in Anand Mohan’s PhD thesis.
⁴ Demonstrating the safety of manuka honey UMF 20+ in a human clinical trial with healthy individuals. British Journal of Nutrition. (This original source that concluded the safety of consuming Manuka honey is often referenced in papers specifically focusing on gut science such as as this 2022 study: “The Potential of Honey as a Prebiotic Food to Re-engineer the Gut Microbiome Toward a Healthy State”)
⁵ An updated review of functional ingredients of Manuka honey and their value-added innovations. Science Direct.
⁶ Honey Added to Yogurt with Bifidobacterium animalis subsp. lactis DN-173 010/CNCM I-2494 Supports Probiotic Enrichment but Does Not Reduce Intestinal Transit Time in Healthy Adults: A Randomized, Controlled, Crossover Trial. The Journal of Nutrition.
⁹ Effect of honey on in vitro probiotic efficacy of Lactobacillus reuteri DPC16. PhD thesis by Anand Mohan.
Your wellness journey starts with a spoonful a day.
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