Supplement
Lactobacillus casei is a probiotic bacterium found in the gut and in fermented foods, where it helps break down food and interacts with the immune system. People mostly look at it for immune health, but the evidence is limited: a small study of 28 people found that the inflammation marker CRP changed, though which way is unclear. Other small studies found no clear difference in blood glucose or in immunity during upper respiratory infections.
- Updated
- How we grade
- 3 studies cited
- Best evidence
- Grade C
- Conditions studied
- 4
- Outcomes
- 21
- Graded outcomes
- 0014
Evidence by condition
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| C-Reactive Protein (CRP) Small Increase | Improves (the measure goes down) | Small effect | 28 people | |||
| Blood glucose No effect | NoneNo effect | 28 people | ||||
| Immunoglobulin A | Improves (the measure goes up) | 2 studies | 84 people | |||
| Intestinal Permeability | Improves (the measure goes up) | 1 study | 28 people | |||
Studies that measured intestinal permeability | ||||||
| Immunity | Improves (the measure goes up) | 28 people | ||||
| Immunoglobulin G | Improves (the measure goes up) | 84 people | ||||
| Triglycerides | Improves (the measure goes down) | 28 people | ||||
| Upper Respiratory Tract Infection Risk | Changes; see studies | 84 people | ||||
| White Blood Cell Count | Improves (the measure goes up) | 84 people | ||||
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Immunity No effect | NoneNo effect | 47 people | ||||
| Immunoglobulin A | Improves (the measure goes up) | 2 studies | 131 people | |||
| Immunoglobulin G | Improves (the measure goes up) | 84 people | ||||
| Upper Respiratory Tract Infection Risk | Changes; see studies | 131 people | ||||
| White Blood Cell Count | Improves (the measure goes up) | 84 people | ||||
Digestive Health
- Blood glucose
- Intestinal Permeability: improves
- Immunity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose No effect | NoneNo effect | 28 people | ||||
| Intestinal Permeability | Improves (the measure goes up) | 1 study | 28 people | |||
Studies that measured intestinal permeability | ||||||
| Immunity | Improves (the measure goes up) | 28 people | ||||
| Weight | Improves (the measure goes down) | 28 people | ||||
Lower Respiratory Tract Infection
- Immunity
- Immunoglobulin A: improves
- Upper Respiratory Tract Infection Risk: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Immunity No effect | NoneNo effect | 47 people | ||||
| Immunoglobulin A | Improves (the measure goes up) | 2 studies | 47 people | |||
| Upper Respiratory Tract Infection Risk | Changes; see studies | 47 people | ||||
Key findings
- C-Reactive Protein (CRP)Improves (the measure goes down)
- Blood glucose
- Immunity
Shop Lactobacillus Casei
Third-party tested Lactobacillus Casei products. The evidence above is limited, so read it before you buy.
- Grade C
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Studies cited
3 studies from PubMed
- The influence of probiotic supplementation on gut permeability in patients with metabolic syndrome: an open label, randomized pilot study
- Daily probiotic's (Lactobacillus casei Shirota) reduction of infection incidence in athletes
- Effect of a probiotics supplementation on respiratory infections and immune and hormonal parameters during intense military training