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Jul 17, 2026

Effects of Probiotic-Phytonutrient Blends on Defecation, Intestinal Barrier Function, and Gut Microbiota: A Randomized, Placebo-Controlled Trial

Two probiotic-phytonutrient formulations improved stool consistency and increased fecal SCFAs compared to placebo over 8 weeks.

Evidence levelBRandomized clinical trial
Study typerct
Sample
Effect directionFavorable
CertaintyModerate
Clinical applicabilityModerate
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

Both PBP1 and PBP2 significantly increased the proportion of normal stool types (Bristol types 3–5) versus placebo. Fecal acetate, propionate, and butyrate levels were significantly elevated in both active groups, with butyrate showing notable increases. Fecal tryptophan decreased while indole metabolites showed an upward trend, with an inverse correlation between the two.

How it was done

Randomized, double-blind, placebo-controlled trial in which participants received PBP1, PBP2, or placebo for 8 weeks; outcomes included a 7-day Bristol Stool Form Scale diary, fecal SCFAs, tryptophan metabolites, zonulin, and gut microbiota assessed at baseline and week 8.

Risk of bias

Sample size is not reported in the abstract, precluding assessment of statistical power. Absence of the full text limits evaluation of baseline characteristics, dropout rates, and clinical magnitude of observed differences.

Interpretation limit

What this study does NOT prove

This study does not prove that either formulation restores intestinal barrier integrity or prevents gastrointestinal disease.

In clinical practice

Findings are preliminary; improved stool pattern and SCFA levels represent signals rather than established therapeutic indications.

Limitations

Sample size is not reported in the abstract, precluding assessment of statistical power. Absence of the full text limits evaluation of baseline characteristics, dropout rates, and clinical magnitude of observed differences.

Technical appendix

Version history

  • 1.0 · 2026-07-17 — Auto-generated under Evidence Standard v1.0
Source: DOI 10.3390/nu18132085 · 2026

Paid access: structured summary from public metadata; consult the original study at the source.

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