Probiotics a hoax or a bless? 益生菌是祸是福？(3)

Probiotics have to be tested rigorously

How do clinical proven Probiotics look like
when we shop in a health store?
益生菌到底长成什么样子？
在保健商店如何识别？

We have to do some referencing.
那么我们就需要作一些资料参考了。

(A)
Discriminating D,L-lactic acid capable bacteria
识别D-与L- 乳酸菌

- A good leader bacteria (Probiotics) ideally
should not produce D-lactic acid.
好领导细菌（益生菌）最好不生成任何D-乳酸。

- Actually, D-lactic acid is not detrimental
when administered moderately on a normal individual;
and many friendly bacteria do produce D-lactic acids.
But, because Probiotics are often administered in large amount
for substantial length of period,
D-lactic acid will easily accumulate and
subsequently cause adverse effect to the body；
hence it's best Probiotics do not produce D-lactic acid.
其实，如果中庸地应用在健康人士，
D-乳酸对人体的妨碍不大的。
而且大部份的友善细菌也都生成D-乳酸。
但是由于益生菌往往会被大剂量、长时间应用，
这样D-乳酸会容易累积，进而造成副作用，
所以最好不生成任何D-乳酸。

Refer to this tabulation here to avoid bacteria which are D-lactic acid capable
if it were to be administered in large dosage, long term.
如果明确疗程需要大剂量长时间服用，我们可以参考这个列表来筛掉D-乳酸细菌。


(B) Prefer Probiotics which were thoroughly studied clinically
首选经广泛临床测验的益生菌

- Every now and then, new friendly bacteria are discovered.
Some were discovered in commercial labs with minimal studies done,
just to hastily push them out in the market.
新品种友善细菌层出不穷。
有些友善细菌更是在商业性实验室里诞生，
仓促地经过极少的实验后被推出市场。

- It's important that we prefer Probiotics
which have been studied by multiple labs/research groups
to fetch a balanced view and comprehensive understanding of the bacteria.
为了全面平衡地审核和认识新品种细菌，
益生菌最好是在不同的研究所经过多番验证。

- This is to minimise unexpected side-effects
if the probiotics are to be administered in large quantity and
for lengthy period (medicinal/healing purpose)
这样能减少难预料的副作用，
尤其是可能会大量长期服用（疗愈所需）

Refer to this tabulation for a list of specific strain of Probiotics tested to be effective for different ailments.
按病情所需，参考此列表来筛选临床证明有效的益生菌。


Caution 提点:
When purchasing Probiotics,
make sure the strain code (e.g. Lactobacillus rhamnosus LGG) is matched on the commercial product label.
购买益生菌时，
确保商品标签上的细菌品种编号（例如：Lactobacillus rhamnosus LGG）是跟列表吻合的

This is because,
Probiotics strains are very specific in their functions.
Lactobacillus rhamnosus LGG
is very different from Lactobacillus rhamnosus XYZ
这是因为
各个益生菌品种的功能是非常独特的。
Lactobacillus rhamnosus LGG
跟Lactobacillus rhamnosus XYZ 是千差万别的。

(like how “Simpson, Bart” and "Simpson, Lisa" are starkly different
despite that they are brother and sister of the same family.
Don't presume "Simpson, Bart" play saxophone well
even though "Simpson, Lisa" won a saxophone contest)
（就譬如，尽管 “Simpson, Bart” 和"Simpson, Lisa"  都是兄妹，
我们不能基于"Simpson, Lisa" 曾在萨克管演奏比赛胜出，
而揣测“Simpson, Bart” 也能优秀地操萨克管）

Extra caution额外提点:
When a product label does not specify the strain code, e.g.
"Lactobacillus rhamnosus"
Do not presume it is the clinically trialed strain Lactobacillus rhamnosus LGG.
There is no need to consider this product at all,
because likely the strain in the product is not clinically tested.
当产品标签没注明品种编号，比如只标："Lactobacillus rhamnosus"

千万别以为那可能是经临床验证的Lactobacillus rhamnosus LGG。

此产品基本上无需考虑，

因为此产品的菌种很可能不会是经过临床实验的。  

Clinically tested strains are usually patented or "copyrighted".
That means the production cost is much higher, after paying the royalty fees.
It's unlikely for manufacturer to miss out the strain code on the product label
if so much cost has been involved.
经临床验证的菌种一般上都有专利和“版权”庇护。
生产成本会因版权费而提高。
生产商付了大笔数目，不可能不标明菌种编号。

Extra extra caution额外额外提点:
Probiotics do not usually give immediate effect or gratification.
Probiotics ingested takes at least a few months
to establish and flourish in the gut, before offering real benefits.
益生菌一般不能马上发挥作用，给予病人直接的满足感。
益生菌往往需要至少数月才能有效地置入肠道，提供病人真正的利益。

In order to make consumer feel good immediately
after taking a "friendly bacteria" product,
often manufacturers will add in
digestive enzymes and other laxative ingredients like lactose
to illusify the efficacy of the product.
This may be a signal the product itself
may not contain clinically proven Probiotics.
为了让消费者服用“友善细菌”产品后，马上感觉良好，
生产商不惜加入消化酶和一些缓泻剂（例如：乳糖）
来掩饰产品的有效性。
这有可能表示产品本身不含临床验证的益生菌。


In the next post,
we will discuss how Probiotics is administered/consumed. Tune in! :)
下一贴，
我们来探讨如何服用/运用益生菌。请继续关注！ :)

Well wishes,
诚心祝福！
Kee Yew 其銚

**click here for Part 1 | Part 2 | Part 4 按这里**

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{Learning Holistic Wellness for Wisdom and Compassion}