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Digestive Wellness – Soft Stools

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Protocols Fullscript Protocols
Digestive Wellness – Soft Stools

Protocol development in integrative medicine is not typically a simple process. Individuals require individualized care, and what works for one patient may not work for another.

To establish these protocols, we first developed a Rating Scale that could be used to discern the rigor of evidence supporting a specific nutrient’s therapeutic effect.

The following protocols were developed using only A through C-quality evidence.

A
Systematic review or meta-analysis of human trials
B
RDBPC human trials
2+ studies and/or 1 study with 50 + subjects
C
RDBPC human trials
1 study

Probiotics

2-8 billion CFU, total per day, minimum 3 months4,6

  • Probiotics have been shown to decrease diarrhea in conditions like traveler’s diarrhea and antibiotic-associated diarrhea1,2,3
  • Bacillus coagulans decreased stool frequency in diarrhea-associated irritable bowel syndrome (IBS-D)6
  • A blend of probiotics including Lactobacillus acidophilus and Bifidobacterium bifidum, has shown to decrease daily stool frequency4,5
Probiotics in the Fullscript catalog

Pectin

24 g, total per day, minimum 6 weeks9

  • Fibers reduce diarrhea when patients are receiving enteral nutrition7,8
  • Pectin reduced stool frequency, diarrheal duration, frequency in vomiting, oral rehydration and intravenous fluid in children10
  • Pectin has shown to improve diarrhea-associated irritable bowel syndrome (IBS-D) by balancing the microflora and decreasing systemic inflammation9
Pectin in the Fullscript catalog

Prebiotics

5.5 g, total per day, minimum 1 week12,13

  • Galacto-oligosaccharide was shown to prevent the incidence of traveler’s diarrhea12
  • Prebiotics, specifically oligofructose, were shown to reduce relapse of diarrhea in C-difficile patients11
Prebiotics in the Fullscript catalog

Disclaimer

The Fullscript Integrative Medical Advisory team has developed or collected these protocols from practitioners and supplier partners to help health care practitioners make decisions when building treatment plans. By adding this protocol to your Fullscript template library, you understand and accept that the recommendations in the protocol are for initial guidance and may not be appropriate for every patient.

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References

1
Systematic review or meta-analysis of human trials
a
https://www.ncbi.nlm.nih.gov/pubmed/30189723
2
Systematic review or meta-analysis of human trials
a
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2868213/
3
Systematic review or meta-analysis of human trials
a
https://www.ncbi.nlm.nih.gov/pubmed/22570464
7
Systematic review or meta-analysis of human trials
a
https://www.ncbi.nlm.nih.gov/pubmed/25954112
8
Systematic review or meta-analysis of human trials
a
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419079/

Fullscript content philosophy

At Fullscript, we are committed to curating accurate, and reliable educational content for practitioners and patients alike. Our educational offerings cover a broad range of topics related to integrative medicine, such as supplement ingredients, diet, lifestyle, and health conditions.

Medically reviewed by expert practitioners and our internal Integrative Medical Advisory team, all Fullscript content adheres to the following guidelines:

  1. In order to provide unbiased and transparent education, information is based on a research review and obtained from trustworthy sources, such as peer-reviewed articles and government websites. All medical statements are linked to the original reference and all sources of information are disclosed within the article.
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  5. All content is updated on a regular basis to account for new research and industry trends, and the last update date is listed at the top of every article.
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