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Lactobacillus plantarum 299v

Strain-specific probiotic with RCT signal for IBS symptom relief and for enhanced iron absorption from vegetarian meals.

Why

Lactobacillus plantarum 299v is a specific probiotic strain studied for IBS symptom management (Niedzielin 2001, Ducrotté 2012) and for enhancing non-haem iron absorption from plant foods (Hoppe 2015). Both indications have direct strain-level RCT support. Sold as Sensilab Sensible or various branded products containing the specific 299v strain.

How it works

Adheres to intestinal mucus via specific mannose-binding proteins, displacing pathogens. Fermentation products modulate gut motility and visceral hypersensitivity in IBS. The iron-absorption effect appears to involve lactic-acid-induced solubilisation of plant-based non-haem iron in the duodenum.

Expected onset · IBS effects over 4 weeks of continuous use; iron-absorption effect acute (with meal)

How to take

Dosage

1–2 × 10¹⁰ CFU/day. Continuous use for at least 4 weeks before assessing IBS effect. Iron-absorption use: with the iron-containing meal.

Timing

Once daily; with iron-containing meal for absorption indication

On the label

Specifically 'Lactobacillus plantarum 299v' or 'Lp299v', strain identity matters (other L. plantarum strains are not equivalent). Stated CFU at end of shelf life.

Ideal for

Adults with IBS (any subtype, including diarrhoea-predominant) seeking strain-specific probiotic; vegetarians and vegans with iron-absorption challenges from plant sources.

Safety

Avoid in critically ill, immunocompromised, central-line-bearing patients, general probiotic precaution. Generally very well tolerated. No documented major drug interactions.

Evidence

At a glance

Ducrotté 2012 World J Gastroenterol RCT (n=214 IBS): Lp299v 10¹⁰ CFU/day for 4 weeks significantly improved abdominal pain (78% response vs 8% on placebo) and IBS-Quality of Life score. Hoppe 2015 demonstrated significantly improved iron absorption from supplemented fruit drink with co-administered Lp299v.

Where to get it

Shop Lactobacillus plantarum 299v on Amazon

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