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Supplement

Synbiotics

Synbiotics pair live beneficial bacteria with prebiotic fibers that feed them, aiming to support the community of microbes in your gut. The best-supported research looked at blood pressure in people with fatty liver disease, where the evidence is moderate but results were mixed across 319 participants. Elsewhere, studies found no clear difference in abdominal pain in irritable bowel syndrome, body fat in fatty liver disease, or height in malnutrition, and that evidence is very limited.

Best evidence
Grade B
Conditions studied
5
Outcomes
33
Graded outcomes
0203

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

5 conditions

Nonalcoholic Fatty Liver Disease (NAFLD): outcomes studied for Synbiotics
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Mixed effect

319 people
Body Fat

No effect

NoneNo effect227 people
Liver EnzymesChanges; see studies1 study957 people
WeightImproves (the measure goes down)1 study701 people
Body Mass Index (BMI)Improves (the measure goes down)1,921 people
C-Reactive Protein (CRP)Improves (the measure goes down)478 people
High-density lipoprotein (HDL)Improves (the measure goes up)1 person
Insulin ResistanceImproves (the measure goes down)1,921 people
Liver FatImproves (the measure goes down)137 people
Liver FibrosisImproves (the measure goes down)238 people
Low-density lipoprotein (LDL)Improves (the measure goes down)1 person
TNF-AlphaImproves (the measure goes down)233 people
Total cholesterolImproves (the measure goes down)877 people
TriglyceridesImproves (the measure goes down)1 person
Waist circumferenceImproves (the measure goes down)316 people

Nonalcoholic Steatohepatitis (NASH): outcomes studied for Synbiotics
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Mixed effect

319 people
Liver EnzymesChanges; see studies1 study957 people
WeightImproves (the measure goes down)1 study701 people
Body FatImproves (the measure goes down)227 people
C-Reactive Protein (CRP)Improves (the measure goes down)478 people
Liver FatImproves (the measure goes down)137 people
Liver FibrosisImproves (the measure goes down)238 people
TNF-AlphaImproves (the measure goes down)233 people
Total cholesterolImproves (the measure goes down)877 people
Waist circumferenceImproves (the measure goes down)316 people

Irritable Bowel Syndrome (IBS)

  • Abdominal Pain
  • Bloating: improves
  • Irritable Bowel Syndrome Symptoms: improves
Irritable Bowel Syndrome (IBS): outcomes studied for Synbiotics
GradeOutcomeEffectSizeStudiesPeopleStudies list
Abdominal Pain

No effect

NoneNo effect8,315 people
BloatingImproves (the measure goes down)8,315 people
Irritable Bowel Syndrome SymptomsImproves (the measure goes down)8,315 people
Quality of LifeImproves (the measure goes up)8,315 people

Malnutrition

  • Height
  • Weight: changes; see studies
  • Lower Respiratory Tract Infection Risk: changes; see studies
Malnutrition: outcomes studied for Synbiotics
GradeOutcomeEffectSizeStudiesPeopleStudies list
Height

No effect

NoneNo effect706 people
WeightChanges; see studies1 study708 people
Lower Respiratory Tract Infection RiskChanges; see studies3,086 people

Cystic Fibrosis

  • Lung Function: improves
Cystic Fibrosis: outcomes studied for Synbiotics
GradeOutcomeEffectSizeStudiesPeopleStudies list
Lung FunctionImproves (the measure goes up)81 people

Key findings

  • Blood PressureNonalcoholic Fatty Liver Disease (NAFLD)
  • Body FatNonalcoholic Fatty Liver Disease (NAFLD)
  • Abdominal PainIrritable Bowel Syndrome (IBS)

Shop the evidence-backed picks

Third-party tested Synbiotics products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

7 studies from PubMed

  1. The efficacy of probiotics, prebiotics, and synbiotics on anxiety, depression, and sleep: a systematic review and meta-analysis of randomized controlled trials.BMC Psychiatry, 2025 · PMID 41310510
  2. The Efficacy of Probiotics, Prebiotics, Synbiotics, and Fecal Microbiota Transplantation in Irritable Bowel Syndrome: A Systematic Review and Network Meta-Analysis.Nutrients · PMID 38999862
  3. The effect of gut microbiome-targeted therapies in nonalcoholic fatty liver disease: a systematic review and network meta-analysis.Front Nutr · PMID 39834471
  4. The effect of probiotic, prebiotic, and synbiotic supplements on anthropometric measures and respiratory infections in malnourished children: a systematic review and meta-analysis of randomized controlled trials.BMC Pediatr · PMID 39506703
  5. Effectiveness of Probiotics, Prebiotics, and Symbiotic Supplementation in Cystic Fibrosis Patients: A Systematic Review and Meta-Analysis of Clinical Trials.Medicina · PMID 40142300
  6. The effect of synbiotics on liver enzymes, obesity indices, blood pressure, lipid profile, and inflammation in patients with non-alcoholic fatty liver: A systematic review and meta-analysis of randomized controlled trials.Pharmacol Res · PMID 39241935
  7. Effect of synbiotics on the cardiovascular risk factors in patients with non-alcoholic fatty liver: a GRADE assessed systematic review and meta-analysis.BMC Gastroenterol · PMID 40419987