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Thursday, January 25, 2024

News Releases | Research Manitoba Now Accepting Applications for HIV Epidemiology Fellowship Honouring the Late Dr. Dick Smith - news.gov.mb.ca

Research Manitoba Now Accepting Applications for HIV Epidemiology Fellowship Honouring the Late Dr. Dick Smith



Applications are now open for interested researchers to apply for the Dr. Dick Smith Postdoctoral Fellowship in human immunodeficiency virus (HIV) Epidemiology, Health, Seniors and Long-Term Care Minister Uzoma Asagwara, Advanced Education and Training Minister Renée Cable and Research Manitoba announced today. 

“This fellowship is a fitting tribute to an individual who committed himself to normalizing HIV health care,” said Asagwara. “In a time of extreme stigma, Dr. Smith provided care and compassion when very few would. This award honours his advocacy and ensures his legacy lives on through supporting the work of our province’s passionate HIV research community.” 

The Dr. John Richard (Dick) Middleton Smith Postdoctoral Fellowship in HIV-AIDS research was established by the Manitoba government and Research Manitoba to honour the legacy of Dr. Dick Smith, a pioneer in HIV-AIDS patient treatment and education in Manitoba. The fellowship was first announced on World AIDS Day on Dec. 1, 2023. 

The fellowship will focus on communities disproportionately impacted by HIV-AIDS and may include research in areas such as disease transmission dynamics, prevention strategies, treatment interventions, community engagement and health-care disparities. 

The successful candidate will be committed to innovative research in HIV epidemiology and conduct research focused on Manitoba data, outcomes and demographics with an emphasis on Manitoba-specific opportunities for improvements related to HIV-AIDS prevention, treatment and education. 

“We are proud to support the Manitoba government’s commitment to ensuring the sustainability and growth of health research here in Manitoba,” said Pam Harrison, interim chief executive officer, Research Manitoba. “This award will provide a researcher with the opportunity to contribute their expertise and dedication to furthering our collective understanding and combatting the challenges posed by HIV-AIDS in our communities.”

 Applications are open until Feb. 26.  

Research Manitoba, a provincial agency, promotes, supports and co-ordinates the funding of research excellence and innovation in health, natural and social sciences, engineering and the humanities in Manitoba. 

“Our government is proud to support this research fellowship honouring Dr. Smith’s legacy, while investing in Manitoba based research that can translate into real-world change,” said Cable. 

The ministers noted candidates from under-represented communities including BIPOC (Black, Indigenous and people of colour) communities, are encouraged to apply and an equity lens will be used as part of the selection process. More information regarding the fellowship is available at: https://researchmanitoba.ca/funding/programs/Dr-Smith-Fellowship

- 30 -

The Province of Manitoba is distributing this release on behalf of the Manitoba government and Research Manitoba.

 

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Wednesday, January 24, 2024

How to Improve Gut Health - POPSUGAR

Gut health is one of the most talked-about topics in the wellness sphere today — and for good reason. Having a healthy gut can impact a slew of factors regarding your body and how it functions. But between knowing the best foods for gut health, how to improve gut health naturally, how to get rid of bad gut bacteria, and so much more, there's tons to grasp and even more to be overwhelmed by.

If you're not sure where to start when it comes to improving your gut, that's OK. Ahead, I'll break down the basics of gut health, as a registered dietitian, and share what other experts have to say when it comes to making improvements. Ready for a gut check?

What Is Gut Health?

At the heart of gut health is a term you might have heard of: the microbiome. The microbiome refers to the diverse community of trillions of microorganisms living in our intestines. This includes bacteria, viruses, and fungi. While it may sound a bit unappealing, these little critters play a pivotal role in our health.

As for gut health, it's all about the balance and diversity of these microorganisms. A healthy gut has a good balance of different types of bacteria, which aid in digestion, help the immune system function optimally, and even influence our mood and mental health. When this balance is disrupted, it can lead to conditions known as dysbiosis, or an imbalance of microbial species in the gut, which can have wider health implications.

"By improving your gut health and the diversity of your microbiome, you can mitigate unwanted symptoms such as bloating, excessive gas, and irregular bowel movements," food writer and dietitian Melissa Mitri, RD, MS, tells POPSUGAR.

Some signs that you may need to work on your gut health include:

  • Bloating
  • Constipation and/or diarrhea
  • Heartburn
  • Excessive gas

Additionally, unexpected weight changes may be an indication of an unhealthy gut, which can impact your body's ability to absorb nutrients, regulate blood sugar, and store fat. Sleep disturbances or constant fatigue may also be a sign that your gut could use some TLC.

How to Improve Gut Health Naturally

Improving your gut health may sound like tall order, but you can actually improve your gut naturally with a few simple lifestyle changes — from your diet to your sleep schedule.

Eat a diverse diet

"Eating a diverse diet is one of the best ways to improve your gut health," Mitri says. She encourages people to eat a wide range of foods from every food group, especially fiber-rich foods like fruits and vegetables. "These foods contain prebiotics, or beneficial fibers that can nourish your gut in positive ways," she tells POPSUGAR.

Eating a diverse diet also introduces various bacteria into your gut microbiome, diversifying the composition and enhancing health benefits.

Lower your stress levels

"Your stress levels can negatively impact your gut health, leading to potential digestive issues and symptoms," Mitri says, adding that you can naturally improve your gut health by paying attention to and lowering stress levels.

A few stress-relieving activities Mitri suggests include guided meditations, nature walks, deep-breathing exercises, and body scans, where you regularly tune into any physical signs of stress, such as indigestion, physical pain, or stiffness.

Include prebiotics and probiotics in your diet

Consuming probiotic-rich foods like yogurt, kefir, and sauerkraut and taking probiotic supplements can help increase the beneficial bacteria in your gut.

But prebiotics, the less-talked-about fiber, are also crucial for gut health, Mitri says. "Prebiotics are plant fibers that the good bacteria in your gut eat to help them thrive. Think of prebiotics as the 'food' for the probiotics," she says. Foods rich in prebiotics include onion, garlic, artichokes, and cruciferous vegetables, such as kale and broccoli.

Stay hydrated

Adequate water intake supports gut health by softening food components throughout the digestive tract, facilitating smoother movement, and promoting regular (and easier-to-pass) bowel movements. As a result, being adequately hydrated may reduce the risk of constipation. The National Academy of Medicine recommends people assigned female at birth consume nine cups of water every day, and people assigned male should aim for 13 cups per day.

Exercise

Regular physical activity contributes to good gut health. One study showed that participation in moderate- to high-intensity exercise for 30 to 90 minutes at least three times per week (or 150 to 270 minutes per week) is linked to positive changes in the gut microbiota.

Sleep

Good sleep hygiene can improve your overall health, including your gut health. Not getting quality or accurate sleep is linked to gut dysbiosis. While one study published in PLOS One showed that those who had more quality sleep had a more diverse gut microbiome. And on the flipside, having a diverse and healthy gut microbiome is linked to better sleep. Why this relationship exists is still being explored.

The Best Foods For Gut Health

When looking to improve your gut, thinking about what you're putting on your plate every day is crucial.

As mentioned earlier, fiber-rich foods and probiotics can be crucial. Some research also suggests that eating a plant-heavy diet can create more good bacteria, says nutrition consultant Lisa Andrews, MEd, RD, LD.

When exploring individual foods to focus on, here are some to consider:

  1. Yogurt: Rich in probiotics, yogurt contributes to a healthy gut microbiota and aids in digestion.
  2. Kefir: This fermented dairy product is packed with probiotics and helps balance gut bacteria.
  3. Sauerkraut: Sauerkraut, or fermented cabbage, is an excellent source of natural probiotics and fiber.
  4. Kimchi: Similar to sauerkraut, this Korean dish is made from fermented cabbage and contains probiotics that contribute to gut health.
  5. Bananas: Bananas are rich in fiber, aiding digestion and promoting good gut health. Choosing a slightly underripe banana will provide more prebiotic fiber, or fiber that acts as fuel for the probiotics.
  6. Fructans and galacto-oligosaccharide foods: "Results of a 2018 study showed that fructans and galacto-oligosaccharides greatly improved the number of Bifidobacterium spp. and Lactobacillus spp. — two types of probiotics that have been found to aid in gut motility, the reduction of infectious disease, production of vitamins, and reduction in symptoms of IBS," per Andrews. Foods containing fructans include wheat, onions, and garlic," she says, while foods containing galacto-oligosaccharides include "beans, lentils, and soybeans."
  7. Turmeric: Known for its anti-inflammatory properties, turmeric may help boost gut health. There is a strong connection between curcumin, a compound found in turmeric, and gut health.

Probiotics For Gut Health

Probiotics and gut health go together like the sun and daylight. Just as the sun is the source of daylight, illuminating our world and catalyzing life, probiotics are the sunshine of the gut, fostering a thriving microbiome and promoting robust health. They are inseparable and interdependent, each enhancing the function of the other in a symbiotic relationship.

To help expose your gut to probiotics, Mitri suggests including "at least one to two servings of probiotic-rich foods daily to improve your gut health. Examples of probiotic foods are yogurt, kefir, and fermented vegetables such as kimchi and sauerkraut."

She adds that you may also consider a probiotic supplement to improve your gut health. "There are many options on the market, but I recommend looking for supplements with well-researched strains, such as lactobacillus acidophilus, and third-party testing to ensure safety," Mitri says.

Worst Foods For Gut Health

When it comes to the worst foods for a healthy gut, the best approach is everything in moderation. That's not to say you have to cut these foods out of your life entirely, but limiting your consumption may be beneficial when it comes to your gut health.

Ultra-processed foods

"Ultra-processed foods have undergone extreme processing and are typically high in food additives, added sugar, and refined grains," Mitri says. These highly processed foods can introduce harmful bacteria and cause inflammation and unwanted gut symptoms in some people.

It's best to limit your consumption of ultra-processed foods like potato chips, cookies, soda, and sugary breakfast cereals. "Instead, focus on whole, minimally processed foods, including lean protein, fruits and vegetables, and whole grains," Mitri tells POPSUGAR.

Alcohol

"Alcohol is a major culprit for poor gut health, and chronic overconsumption can change the composition and function of your gut, disrupting major bodily processes and harming your liver," Mitri says

While even small amounts of alcohol can cause damage, try to stay within the recommended guidelines of one drink a day for people assigned female at birth and two drinks for those assigned male, she advises.

Dairy

People with a lactose intolerance lack the enzyme to break down the natural sugar found in dairy food. For those who can't break down lactose, dairy may be considered a "bad" food if you are focused on supporting gut health.

Gluten

In the same vein as dairy, some people can't tolerate gluten. For these people, gluten consumption may damage the lining of the gut over time.

How to Get Rid of Bad Gut Bacteria

If you have an abundance of harmful bacteria, often called dysbiosis, you'll want to implement strategies to remove them. To determine if you have dysbiosis, your healthcare provider may test your urine or stool or measure the hydrogen in your breath.

"For individuals with extremely high levels of harmful bacteria, sometimes a stronger intervention, such as antibiotics, will be recommended by your healthcare team," Mitri says.

However, for everyone else, you can remove harmful gut bacteria by creating a healthy environment inside your gut microbiome using the lifestyle changes above, including eating a balanced and fiber-rich diet; limiting your intake of processed foods, sugars, and alcohol; exercising regularly; getting adequate sleep; incorporating probiotics into your diet; and managing stress.

That being said, it's important to consult with a healthcare provider before making drastic changes to your diet or lifestyle. If you're concerned about whether or not you have bad gut bacteria and want to improve your overall gut health, talk to your physician and/or a registered dietitian.

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Strep A virus in Canada: Stories of symptoms - CTV News

The Public Health Agency of Canada (PHAC) has noted more than 4,600 invasive group A streptococcus samples from 2023 – the highest Canada has seen.

Group A streptococcus, a bacteria that can cause illnesses like strep throat, can develop into acute infections that can lead to pneumonia, a flesh-eating disease, or toxic shock syndrome.

Some Canadians across the country that contracted the virus have developed infections requiring hospital treatment.

CTVNews.ca asked about their experiences with strep A, and what sort of symptoms occurred. The emailed responses have not been independently verified.

'Amputation' and 'flesh-eating disease'

Lindsey Robinson has been dealing with flesh-eating disease, or Necrotizing fasciitis, a bacteria that destroys skin, fat and tissue, since April 2023.

The 37-year-old, mother of two from Kingston, Ont., said her day began normally; she did not feel sick.

After running a work errand, she felt nauseous and returned home. Initially, her temperature rose, but was not yet a fever. Several hours later, she spoke to a friend on the phone, when her health started deteriorating.

"Apparently I was talking nonsense and then passed out, so she called an ambulance," Robinson told CTVNews.ca in an interview. "In between that I had also texted my husband and I said, 'I think there's something wrong … I need to go to the hospital.'"

Robinson begins questioning her recollection of events.

Later that day, medical personnel informed her that she went into surgery due to a flesh-eating disease. Hospital staff incubated her overnight and kept her in the ICU for five days.

When she woke up, there was a wound on the lower half of her breast.

"They have absolutely no idea why or how (it got there)," Robinson said. "I kept getting asked if I had gotten injured, if somebody had hit me in the chest."

Robinson told doctors she had a small rash a few weeks prior in the same area, and that her entire family had been sick with strep for the month.

Robinson has been off work since April and a homecare nurse visits her daily. In November, the wound tested positive for strep and a new round of medication was needed .

At the beginning of January, Robinson's wound was improving, however the progress receded over two days.

"The wound grew back to the same size as it was the day they sent me home," she said. "So it's like we're right back to where we started."

Robinson is not the only one dealing with infections leading to wounds from strep A.

Dan L., of Trent Hills, Ont., almost had his finger amputated after contracting strep A. Dan asked CTVNews.ca to omit his last name for privacy.

In September, the 62-year-old accidentally punctured the tip of his index finger with a screw while working on his deck.

"By all accounts, it was a minor puncture," Dan told CTVNews.ca in an email. "I put pressure on it to stop the bleeding, washed it up, applied some Polysporin and a small bandage and was back to work."

The bandage was removed two days following the incident after seeing signs of healing, but on Saturday morning, the wound worsened.

"In less than 24 hours my finger/hand went from normal to a grotesque and invasive painful infection," he said. "From the initial injury to Saturday morning was just over 60 hours."

Dan went to his local hospital and received an "aggressive treatment of antibiotics" and continued to return to the ER every six hours. By Saturday night, Dan said, the infection was "creeping" up his arm.

"When I asked my attending doctor if I was going to lose my finger, I didn't get a positive response, only a look of grave concern," Dan said. "It wasn't until approximately 48 hours later that we knew we were dealing with Group A strep …The words 'amputation' and 'flesh-eating disease' were tossed about."

By Tuesday morning, Dan was able to see another doctor who prescribed different antibiotics and followed up on the infection every 24 hours. On Thursday, Dan's finger needed to be operated on to "clean up" the infection.

"It was a very scary 6 days. I am happy to say that my finger/hand is back to about 95 per cent (usage)," he said. "Dr. VanBrenk saved my finger, perhaps even more, from a very scary situation and an aggressive evasive strep A infection."

'Not just a sore throat'

A sore throat is among many other symptoms that Canadians have been reporting.

For Nichole Bishop's son, the strep A infection presented as "significant" pain in his neck.

"Wednesday the 10th (of Jan.), he woke me up at midnight crying to say that the back of his neck hurt," Bishop told CTVNews.ca in an interview.

Her son Roman, 10, had been tobogganing a few days prior and hit his head. She gave him Advil and he fell asleep sitting up due to the neck pain.

That day Bishop brought Roman to a primary care centre, which tested him for strep.

"I really didn't think he had strep because when I think of strep, I think of sore throat," Bishop said.

Both the nurse and Bishop were surprised when the test was positive. Due to the tobogganing incident and the neck pain, the primary care centre sent Bishop and Roman to the hospital for a CT scan.

"We're waiting in emergency and the doctor comes back and brings us into a room," Bishop said through tears. "He said 'The tables have turned…he's being admitted.'"

The CT scan showed fluid between Roman's throat and spine from a strep infection.

"We would have never found it if he wouldn't have bumped his head tobogganing," Bishop said. "We would have just been sent home. So it was a total fluke that we caught it when we did. Nobody was concerned."

Roman was hospitalized for five days before being discharged home, requiring medication every three hours. He was able to return to school on Monday, Bishop said.

Another parent, Jessica Di Battista, told CTVNews.ca in an email that strep symptoms may look like other illnesses.

Her 4-year-old daughter ended up in the hospital for 16 days after she noticed a fever and difficulty walking.

"The doctors discovered that her knees were very inflamed and her hemoglobin levels were so low that she almost needed a blood transfusion," Di Battista said in an email.

Medical staff believed her daughter had rheumatic fever, an inflammatory disease that can be triggered by a strep infection, the Heart and Stroke Foundation's website reads.

Her daughter needed a procedure to drain the fluid in her knees, followed by steroid injections to the site. For the next month, she took medication daily and a penicillin shot.

"It was a very scary time and I'm terrified she's going to catch strep again from my 6-year-old," Di Battista said. "If it was indeed rheumatic fever that she had last year, she could get deathly ill if she contracts strep again."

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Tuesday, January 23, 2024

Mobile primary care clinic in Sydney - Nova Scotia Health Authority

Nova Scotia Health’s mobile primary care clinic has this upcoming clinic date:

Cape Breton Regional Hospital – Ambulatory Care Clinic
1482 George Street, Sydney
Wednesday, January 24 from 5 p.m. to 9 p.m.

This is not a drop-in clinic. To schedule an appointment, please call 902-574-3275. Phone lines will be open at 3:30 p.m. on Wednesday, January 24 for same-day appointment booking. The number of appointments each day is limited. Hospital parking rates of $3.00 apply.

Have your health card and a list of your medications ready upon arrival. Care will be provided using a team approach, which includes nurse practitioners and family physicians.

This clinic is not a substitute for your primary care provider (doctor or nurse practitioner). If you have a primary care provider, we encourage you to call their office first to see if they have any same-day appointments available. However, there are times when you may not be able to see your primary care provider, or you do not have a primary care provider. Your patience is greatly appreciated as we aim to provide you the best possible care.

The clinic can only address non-urgent, low-acuity health issues and is not an emergency service. See a list of the types of concerns below if you are not sure where to go.

Types of concerns that may be addressed at the mobile primary care clinic include:

  • Prescription refills or renewals (except for controlled substances)
  • Minor respiratory symptoms
  • Sore throat
  • Earaches
  • Fever
  • Headache
  • Rashes
  • Minor gastrointestinal concerns (vomiting and diarrhea)
  • Cough, flu, or cold symptoms
  • Urinary tract infections
  • Muscle pain

Lab and diagnostic imaging requisitions will not be part of this clinic. 

Please note other options for care:

  • Nova Scotians can now access VirtualCareNS, which provides free, temporary access to primary health care. Visit www.virtualcarens.ca to register or request a virtual visit. VirtualCareNS is not an emergency service.
  • For general health advice and information call 811, which is a service offered 24/7 by experienced registered nurses.
  • The provincial Mental Health and Addictions Crisis Line can also be reached 24/7 by calling 1-888-429-8167.
  • Additional information and local resources are available through www.YourHealthNS.ca.

We will keep communities updated as future dates and additional community locations are determined or if there are changes to the current schedule. Additional information can be found at https://www.nshealth.ca/mobileprimarycareclinics.

Do you have a COVID-19 symptom? Get tested right away! Early detection is key when it comes to being considered for COVID-19 medication. Please complete the Report and Support form when you book a PCR test or have a positive rapid test. 

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Mobile primary care clinic in Sydney - Nova Scotia Health Authority
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Mobile primary care clinic in Sydney - Nova Scotia Health Authority

Nova Scotia Health’s mobile primary care clinic has this upcoming clinic date:

Cape Breton Regional Hospital – Ambulatory Care Clinic
1482 George Street, Sydney
Wednesday, January 24 from 5 p.m. to 9 p.m.

This is not a drop-in clinic. To schedule an appointment, please call 902-574-3275. Phone lines will be open at 3:30 p.m. on Wednesday, January 24 for same-day appointment booking. The number of appointments each day is limited. Hospital parking rates of $3.00 apply.

Have your health card and a list of your medications ready upon arrival. Care will be provided using a team approach, which includes nurse practitioners and family physicians.

This clinic is not a substitute for your primary care provider (doctor or nurse practitioner). If you have a primary care provider, we encourage you to call their office first to see if they have any same-day appointments available. However, there are times when you may not be able to see your primary care provider, or you do not have a primary care provider. Your patience is greatly appreciated as we aim to provide you the best possible care.

The clinic can only address non-urgent, low-acuity health issues and is not an emergency service. See a list of the types of concerns below if you are not sure where to go.

Types of concerns that may be addressed at the mobile primary care clinic include:

  • Prescription refills or renewals (except for controlled substances)
  • Minor respiratory symptoms
  • Sore throat
  • Earaches
  • Fever
  • Headache
  • Rashes
  • Minor gastrointestinal concerns (vomiting and diarrhea)
  • Cough, flu, or cold symptoms
  • Urinary tract infections
  • Muscle pain

Lab and diagnostic imaging requisitions will not be part of this clinic. 

Please note other options for care:

  • Nova Scotians can now access VirtualCareNS, which provides free, temporary access to primary health care. Visit www.virtualcarens.ca to register or request a virtual visit. VirtualCareNS is not an emergency service.
  • For general health advice and information call 811, which is a service offered 24/7 by experienced registered nurses.
  • The provincial Mental Health and Addictions Crisis Line can also be reached 24/7 by calling 1-888-429-8167.
  • Additional information and local resources are available through www.YourHealthNS.ca.

We will keep communities updated as future dates and additional community locations are determined or if there are changes to the current schedule. Additional information can be found at https://www.nshealth.ca/mobileprimarycareclinics.

Do you have a COVID-19 symptom? Get tested right away! Early detection is key when it comes to being considered for COVID-19 medication. Please complete the Report and Support form when you book a PCR test or have a positive rapid test. 

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Monday, January 22, 2024

Do gut-health supplements actually work? Here's what the science says - The Globe and Mail

More and more people are prioritizing their gut health.

Whether to ease uncomfortable bloating or gas pain, promote regularity or simply build a robust gut microbiome, it’s increasingly recognized that the foods we eat influence digestive health and, in turn, our overall health.

Not surprisingly, supplements claiming to bolster gut health are proliferating on social media and online.

Are gut health supplements the key to better digestive health? Here’s what to know.

What does “gut health” actually mean?

Gut health is a popular but poorly understood term. It’s been widely accepted by bloggers and social media influencers, but there isn’t an agreed upon scientific definition.

Many experts define gut health by the absence of gastrointestinal symptoms (e.g., bloating, gas, abdominal pain, diarrhea, constipation) and disease (e.g., inflammatory bowel disease, colon cancer).

Gut health can also refer to having a greater diversity of microbial species in your gut microbiome, the community of trillions of bacteria and other micro-organisms that live inside your large intestine.

A diverse microbiome can help fend off illness-causing bacteria and viruses. And it’s thought to guard against asthma, inflammatory bowel disease, depression, obesity, type 2 diabetes and heart disease, among other conditions.

Your gut microbiome also interacts with your immune system and, in doing so, helps regulate inflammation in the body.

Do gut supplements live up to their hype?

While some supplements have decent evidence to back up their gut health claims, others don’t.

L-glutamine supplements, for example, are promoted to “heal the gut lining,” “strengthen the intestinal wall” and treat “leaky gut” despite limited evidence. (Leaky gut, or intestinal permeability, occurs when the lining of the gut becomes more permeable than normal, allowing toxins to pass into the bloodstream.)

Glutamine, an amino acid produced by skeletal muscles and supplied by diet, fuels cells that line the intestinal tract, thereby helping to build a strong intestinal barrier.

Only two small studies support a possible role for glutamine in IBS. Among 44 patients, daily glutamine supplementation (15 g) for six weeks, combined with a low FODMAP diet, improved IBS severity symptom scores to a greater degree than the diet alone. (The low FODMAP diet alone was also shown to be beneficial.)

Preliminary research also suggests that taking glutamine (15 g daily) helps ease symptoms of postinfectious, diarrhea-dominant IBS. Larger trials are needed to validate these findings.

A 2021 review of seven clinical trials concluded that glutamine supplementation does not improve symptoms of Crohn’s disease, an inflammatory bowel disease.

Collagen, the protein that forms connective tissue in skin, bones, muscles, tendons and ligaments, has been referred to as a “digestive super food.”

Collagen supplements are touted to strengthen the gut lining, improve leaky gut, aid digestion and relieve IBS symptoms. Bone broth, a source of collagen, is also promoted for gut health.

I found only one published study that was conducted in people. Among 14 healthy women who took 20 g of collagen peptides for six weeks, most reported fewer mild digestive symptoms, including bloating. There was no control group for comparison. Hardly a rigorous study.

Probiotic supplements, on the other hand, have been the focus of much research.

Randomized controlled trials have demonstrated that specific strains of probiotic bacteria can improve ulcerative colitis, constipation, IBS symptoms, antibiotic-associated diarrhea and traveller’s diarrhea.

This doesn’t mean, though, that taking a one-a-day probiotic supplement is a fast-track to a healthy gut for people without gastrointestinal conditions.

While studies conducted in healthy people have shown that taking a probiotic supplement increases the amount of healthy bacteria in the gut, this may or may not be a good thing.

It’s possible that taking a concentrated amount of a few probiotic strains could upset the balance of your gut microbes. You might not only be crowding out some of the bad microbes but also some of the beneficial ones.

Probiotic supplements may have different effects in different people depending on their unique gut microbiome.

Research also suggests that taking a probiotic supplement after antibiotic treatment delays the return of the gut’s normal bacteria.

Small studies have shown that supplements of prebiotics, fibres that nourish good gut microbes, help treat constipation, regulate gut inflammation and beneficially alter gut microbiome composition.

Even so, it’s best to nourish your gut bacteria with fibre-rich whole foods rather than a purified prebiotic supplement. Prebiotic supplements may worsen bloating and gas in some people with IBS.

How to promote a healthy gut

There’s no quick fix to a healthy gut or, for that matter, a flat belly, despite what you see on TikTok.

Evidence does, however, point to healthy lifestyle habits that can benefit gut health. Regular exercise, proper sleep, managing stress and limiting alcohol intake are among them.

So is eating a healthy diet. Diet is considered the most powerful tool that can alter the composition and activity of the gut microbiome.

A diet rich in whole grains, vegetables, fruits, nuts, seeds, beans and lentils provides prebiotic fibres, polyphenols and other compounds that nourish healthy gut bacteria. Fermented foods that contain probiotic bacteria are also thought to benefit gut health.

When to check in with your doctor

Ongoing gastrointestinal symptoms such as diarrhea and abdominal pain could indicate a health problem that requires medical care.

Consult your doctor before experimenting with supplements.

Leslie Beck, a Toronto-based private practice dietitian, is director of food and nutrition at Medcan. Follow her on X @LeslieBeckRD

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Do gut-health supplements actually work? Here's what the science says - The Globe and Mail
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What's the key to combating deadly invasive strep infections? Detection and treatment, says doctor - CBC.ca

A blonde woman in a light blue blazer stands in front of the camera.
Dr. Natalie Bridger, a pediatric and infectious diseases specialist, says it's important to recognize the symptoms of group A strep so it can be detected and treated. (Peter Cowan/CBC)

There are a number of symptoms to watch out for in order to identify and treat a deadly disease that is seeing a spike in cases in Newfoundland and Labrador, says one doctor.

Last year cases of invasive group A streptococcal disease totalled 52, more than double any previous year in Newfoundland and Labrador. There were three deaths and it's part of a rising trend happening across Canada.

"It does carry with it a fairly significant rate of mortality and that's why early recognition and treatment is so important," said Dr. Natalie Bridger, pediatric infectious disease physician with Newfoundland and Labrador Health Services (NLHS).

Bridger said anyone can get this disease and advised that if someone gets very sick quickly, they might want to consider if the case could be group A strep.

"I mean, most severe infections are hardest on the people at the extremes of life, so the very old and the very young," she said.

One symptom to look out for is a full body rash that looks like a sunburn or sandpaper, she said.

An electron microscope image shows group A streptococcus during phagocytic interaction with a human neutrophil.
Group A strep bacteria is passed from person to person through close contact. (National Institute of Allergy and Infectious Diseases/The Associated Press)

As well, if a child isn't eating, is very sleepy, has trouble breathing, complains of severe pain in a limb or has had a fever for five days or more, they should get checked, she said.

When a child is not old enough to communicate, Bridger said, a medical issue can be harder to discern.

Group A strep bacteria is passed from person to person through close contact, and outbreaks usually happen in households or where people are in close quarters, like in military barracks and daycare centres, said Bridger.

More dangerous

Bridger said most people are familiar with strep throat, which comes with a sore throat and white patches to appear on the back of the tonsils. It's also a common illness in kids between five and 15 years old.

But this strain is more deadly than the typical strep throat, she explained.

"Sometimes when the group A strep bacteria gets into places in the body that are normally sterile — like the blood tissue in the lungs, some of the lining of the muscles called the fascia — it can cause severe disease. And that's when we call it invasive, when it gets into places where it's not normally found," she said.

WATCH | These are the top symptoms to look for when it comes to invasive group A strep:

Early detection of invasive group A strep is key. Here are the symptoms

2 hours ago

Duration 0:49

Like most infections, invasive group A strep hits the very old and the very young harder, says Dr. Natalie Bridger, an N.L. pediatric infectious disease physician. What makes it different from common strep throat, she says, is bacteria gets into places it shouldn’t — like lung tissue and blood. But it responds very well to antibiotics, so knowing the signs and getting treatment as soon as possible is crucial.

Bridger said it's more dangerous than the usual strain of strep because of a protein called M protein.

"The invasive nature of this type of strep causes the immune system to go completely out of whack. And so the bug gets in, starts to do its damage and then the immune system kind of overdoes the response," said Bridger.

"What happens then is that blood vessels get leaky and people start getting low blood pressure. And most times people have to go to the intensive care unit with this kind of infection."

Bridger said there is no vaccine for group A strep but it is sensitive to regular antibiotics. 

"So good old penicillin still works like a charm against group A strep," she said.

She added it's important people are aware of the increased rates so that doctors, nurses and other health care professionals know to be on the lookout.

"Iif it's found quickly and treated quickly, the results can be very good."

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What's the key to combating deadly invasive strep infections? Detection and treatment, says doctor - CBC.ca
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