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Lactic acid bacteria constitute the largest group of probiotic bacteria out of which many are a part of the Lactobacillus genus.
Lactobacillus also have several other interesting properties, it's a gram-positive lactic acid bacterium. Historicaly most iGEM teams have worked with only a few model organisms, the vast majority of which is E.
Fresh Kefir GrainsKefir is a traditional fermented food made from milk, full of beneficial probiotic bacteria and yeast. Kefir is great eaten by itself or with fruit, in smoothies, on muesli and granola, in salad dressings, made into cheese or even tasty fruit flavored popsicles that kids will love. These instructions may look long and involved, but kefir is one of the quickest, simplest and easiest of all the fermented foods to make. You can make any amount of kefir you like per batch, but the ratio of 1 cup milk to 1 tablespoon of kefir grains is a good rule of thumb for fermenting a batch in 24-48 hours. Put the kefir grains and milk into a clean glass jar with a tight-fitting lid and fasten the lid on.
Leave the jar with the milk and kefir grains out on your kitchen counter top for 24-48 hours.
Once the kefir is finished fermenting pour the contents of the jar into a wide mouth container. As you retrieve the grains, put them into the jar, and trawl through the kefir liquid searching for more grains until you think you’ve got them all. The second technique for increasing the health benefits of the kefir is to simply leave it sit for another 24 hours, in the fridge after removing the grains.
There is another excellent alternative for making your own kefir (shipping only in the USA).
In my opinion the ideal would be to use both the Body Ecology products (so you know that at least you have those strains of bacteria that are listed for each product) and to make your own kefir from fresh kefir grains. The benefits of probiotic foods are amazing, they are crucial for good health and people are catching on to that fact. DISCLAIMER: The statements enclosed herein have not been evaluated by the Food and Drug Administration. EARL APPRILL says: February 23, 2016 at 5:40 pmDonna, we just purchased a thirst clenching juice drink with ginger at a farmers market!
I’m loving making it and looking forward to getting to the point where I can use it as a base for dressings and smoothies.
I know the kefir will be great for me in so many ways… I’m hoping it will help me to feel no further cravings for Coke, too!!! Interesting, so the water kefir makes a sort of fizzy drink, that you feel helped you give up alcohol? I think I have a generally addictive personality — there are all kinds of things I currently like, or have consumed in the past, that I know are not good for me, yet I wanted to keep having them. I hope to post again at some point with the news that I no longer crave, and am no longer drinking, cola. I also use the Kefir in a dessert by making flavoured (low cal)jelly with little water and when very cold and still liquid, mixing it with a few cups of kefir.
December 4, 2011 at 5:03 pmHi, I am reading Eat Fat, Lose Fat for the third time trying to re-educate myself re fats! Allow jar to sit in oven for about 18-24 hours, and then place in refrigerator to halt the incubating process. Allow yogurt to cool in fridge for about 5 hours, and stir in The Myers Way Chai Cleanse protein powder for added protein, if desired. Have the latest articles delivered to your inbox every week and get a free juice and smoothie recipe eBook for your free subscription. April 24, 2014 By Jennifer Porteus As a woman, knowing that there is a multitude of bacteria inhabiting my vagina used to make me feel squeamish.
The human vagina is inhabited by over 50 species of bacteria.  Although this sounds like an awful lot, compare this to over 400 species of bacteria found in our digestive tract. Sometimes changes to the vaginal microbiome are caused when the vagina’s Ph (the measure of acidity or alkalinity) is altered.  Changes in Ph can make it harder for the Lactobacillus bacteria to stick to the vaginal wall where they colonize in healthy vaginas. The Lactobacillus bacteria, which dominate a healthy vagina, are the species of bacteria most closely tied to vaginal health.
Urinary Tract Infections or UTIs are caused when bacteria from the digestive tract (often E. The usual treatment for the microbial urogenital infections such as BV, yeast infections or UTIs is antimicrobial treatment.  Antibiotics are typically prescribed to treat BV (particularly metronidazole or clindamycinare) and UTIs, and antifungals are typically prescribed for yeast infections. In addition to being only partially effective, antimicrobials can cause side-effects.  This has made research into the use of probiotics a medical priority. Prevention and treatment of urogenital infections with probiotics, either with or without concurrent anti-microbial treatment (antibiotics or antifungals), focuses on returning healthy bacteria to the vagina.  There have been multiple studies showing significant improvements in treating vaginal infections with probiotics versus traditional treatments, but results are bacterial strain specific – meaning only certain probiotic bacteria seem to have effects against certain vaginal infections.
Daily supplementation with probiotics (including Lactobacillus acidophilus) is often recommended by the medical community to prevent UTIs. In another randomized, controlled study on pregnant women in their first-trimester with BV, researchers assigned subjects into one of three groups.
Another study looked at the effectiveness of treating BV by inserting capsules into the vagina containing probiotics (L. Treatment of BV with probiotics, either alone or in conjunction with antibiotic treatment, appears to be a very promising area for further study.  Since probiotics are widely thought to be well-tolerated and safe, except for people with impaired immune systems, people with BV might discuss with their doctor the possibility of taking a probiotic supplement containing high levels of L.
The science done to date provides only mixed support to the claim that probiotics can prevent yeast infections.
It has been shown that the composition of bacteria in the vagina change following menopause, with levels of healthy Lactobacillus generally decreasing.
With this decrease in health-promoting bacteria, post-menopausal women are more likely to get urogenital infections (such as BV, yeast infections or UTIs).
The bacteria that inhabit the vagina are not just incidental dwellers, but actually have an evolutionary purpose – helping infants to thrive. During the course of a woman’s pregnancy, the composition of vaginal bacteria change to include the optimal mix of healthy microbes required for colonization of her baby’s intestinal tract.  In the womb, babies are essentially free of bacteria and yeasts, and receive their primary exposure to during vaginal birth.
However, if the mix of microbes found in a pregnant woman’s vagina are unhealthy, those too can be passed along to the infant during birth.  Therefore, it is important for pregnant women planning on having a vaginal birth to promote the health of their vaginal microbiome by avoiding unnecessary antibiotics (which can kill healthy as well as unhealthy bacteria), avoiding altering the vaginal Ph by douching, eating prebiotic containing foods and taking probiotic supplements, if approved by the obstetrician. The most common Lactobacillus bacteria found in the vaginas of healthy, pre-menopausal women are:  L. I think all this constant flushing out my body with antibiotics removing all the good and bad bacteria seems obvious to me, its a constant circle of events and cost. So i now have a packet of antibiotics sitting here and just ordered some of these probiotics which i have been researching into a lot recently.
Hi Anna, it works for as long as you are not eating any form of sugar whether refined or natural.
Doctors really need to be more careful with the use of antibiotics to treat any type of infection in their patients . A few weeks ago I begin to consume kefir to improve my gut health, because that seems like a good idea. This article is great- this information is so valuable for women who suffer from recurrent infections, for whom treatment with an antibiotic or an antifungal is, at best, a short-term solution. Eating probiotic rich foods and eating the prebiotic foods that nourish our health gut bugs is definitely the way to go to improve overall health.
I have found that by using Braggs organic apple cider vinegar daily has totally eliminated odors. I wonder if your diet is also altering your vaginal microbiome (as well as your gut microbiome). They have been extensively used for fermentation and food preservation and represents an ancient and very primitive form of biotechnology. Their long and extensive use as probiotics means they have been proven safe to eat and make them suitable as a new probiotic chassi. The name comes from that all lactobacillus transform lactose and some other sugar to lactic acid.[2] The lactic acid lowers the pH levels.
So if you have 4 tablespoons of grains you can make 1 litre (1 quart) of kefir in 24-48 hours.
If you are just starting out making your own kefir, this is a good time to start doing some taste tests until you get an idea of how fermented you like your kefir to be. When the milk has started fermenting and turning to kefir it will probably contain some curds which can resemble the kefir grains. But I’m so pleased to say I’ve now found a great source of fresh, organic kefir grains! Even though it’s not fresh kefir grains, the Body Ecology site has excellent probiotic starter cultures for making a variety of fermented foods, including a Kefir Starter Culture. However, the advantage of the Body Ecology starters is that they are guaranteed to contain a number of specific beneficial strains of bacteria.
You want to try to get the greatest diversity of beneficial gut bacteria that you can for maximum health benefits, and in my opinion combining both the traditional live cultures and the excellent Body Ecology products is the way to maximize the diversity of your inner ecosystem. Use kefir and fruit to make smoothies that taste like the Indian sweet lassi drink, mango and peach work especially well for this. I blended up some kefir, honey and the pitted plums and some rosewater (optional but a delicious twist – rosewater for cooking can be found in stores that stock Middle Eastern foods) and made these sweet-tart, tasty frozen treats. This is a great, quick way to use any soft fruit you find in season, where you can get large volumes for cheaply, or for free if you have fruit trees, or know someone who does. The products and information mentioned on this site are not intended to diagnose, treat, cure, or prevent any disease.
I have made milk kefir for a while now, but had never considered making it into ice lollies for the kids. I was just sitting here a moment ago wondering if it was too long and if it would be better if I broke it down into separate articles. I just finished a beautiful herb and walnut kefir cheese I made a couple days ago, I should have the recipe for that up in a couple of days (I need to finish the basic kefir cheese recipe first), so keep an eye out for that one. I stummbled on your site after looking for a recipie for Apple Cider Vinegar and I am so happy that I did! You’ve inspired me to look into incorporating more fermented foods into my diet in general.

I’m totally enthusiastic about them too, especially after hearing what probiotics expert Donna Gates has to say about them. And I’ve not tried it but if you do a secondary ferment, where you bottle the fermented kefir after you remove the grains, adding a bit more sugar, usually in the form of fruit juice and then seal it up really tight then it does get really fizzy. That would include fruit, fruit juice, alcohol, in addition to the more obvious sodas, candies, desserts and chocolate. It can be fermented to be bubbly like pop and is so much better than the chemicals in normal soft drinks. Is there a way to make coconut yogurt using coconut flesh, coconut water and WATER KEFIR GRAINS or does it have to be the MILK KEFIR GRAINS? I wonder if the beneficial attributes of the Kefir is in any way diminished by using it in a cooking process such as makng muffins etc. I got some grains from Cultures for Health that I rehydrated and having been using for about 1 month.
I think the grains that have been dehydrated take much longer to start growing, I have done some experimenting with drying them and had some that never actually started growing again. Yes I have heard from a few people that you can freeze them, I’ve never done it myself though. The pasteurization process kills everything anyway, I don’t see any advantage in heating it, and if the milk is too warm it can kill the kefir grains. If you prefer your yogurt to be a little runny, then use the clear liquid at the bottom of the can.
If using tapioca starch to thicken the yogurt, add to coconut milk mixture and whisk together again. Place the jar in the oven, and allow the coconut milk to incubate while the oven remains off (the temperature will be warm enough to incubate the yogurt cultures). The flavor of the yogurt is directly related with the time it spends incubating, so if you want a tangier and tart flavor, let your yogurt incubate longer. We focus on a whole foods diet and therefore don’t post information such as calorie content, etc.
However, upon learning that the majority of the bacteria typically found “down there” are health-promoting rather than disease causing, I have learned to appreciate them.
Changes to the vaginal microbiome are sometimes caused by changing hormones, such as those found with the menstrual cycle, pregnancy, birth control pills, menopause and Hormone Replacement Therapy (HRT).  Probiotics have been found to be helpful in treating unhealthy vaginal conditions caused by altered microbial composition. Lactobacillus bacteria have been shown to bind to and disable disease causing bacteria, produce antibacterial compounds that can kill pathogens and outcompete pathogenic bacteria for resources. Recurrence may occur because the antimicrobials fail to kill all pathogenic bacteria or because the disease-causing microbes return from their original source – e.g. As the baby passes through the mother’s birth canal and vagina, they become immersed in (and even swallow) these strategically placed bacteria which colonize the baby’s gut and help the infant’s immune system begin its development. If you’ve read this far, you are either (1) a woman who is clearly interested in vaginal health, or (2) you’re a teenage boy and landed on the wrong page from your Google search.  If you are the former (not the latter), it would be great to hear your comments below on your own experiences with these or related topics. I may try them both at the same time, or i could try the probiotics alone then all eles fails go back to the antibiotics. I soak in braggs vinegar about 2 oz and alternate with hydrogen peroxide 4oz in a dish pan with warm water for 10 min then I wash my it with waterworks.
Wow, this is a happy discovery, and your article seems to explain some of what I experienced. It mentions eating prebiotic foods as one approach to encouraging beneficial bacteria to thrive in the gut, but there are prebiotic products designed for vaginal use, too.
They are also essential for our digestive health, they synthesize important nutrients and keep pathogenic bacteria in check. This ability together with their ability to express and export bacteriocins is what gives them their ability to outcompete other bacteria and gives them their food preserving properties. The amount of time you ferment the milk for depends on the temperature and how tart you like your kefir to be. Just use a clean piece of muslin, or other clean cloth, in place of the lid to keep out foreign objects and curious insects.
The way to tell the difference is that when you squeeze the curds they will break up and disappear, the kefir grains will not. You’ll notice that after you squeeze the grains, when you open your hand there will be little clear, sticky strands attached between your fingers and the grains.
Many of the probiotic supplements that have been tested don’t even contain the strains of bacteria that they claim they do.
The information and statements found here are for education purposes only and are not intended to replace the advice of your medical professional. In fact, I was inspired to add the walnuts because of that beautiful walnut cheese you brought us!
Said to add it to a bottle of milk and sit on bench which i have but i started it sat night and tonight ( mon) it has little curddles on the top but its still milky, is that right? Now you can use the kefir, but be sure to strain out the grains so you can use them again to make more. You have great information and I thank you so much for letting others know how to make these things too! I was wondering if this article was too long, if I should split it into a couple articles, but I’ve gotten really good feedback on it so far. I used to drink sodas as a kid, but stopped when I was about 17 I guess, and got out on my own. In the summer I really looked forward to a cold bottle of Smirnoff’s Black Ice (or two). I have my first batch sitting atop the water heater right now… giving it the occasional gentle shake. It worked, but you have to make sure you alternate and put them back into dairy milk because that is what they have adapted to and they will fail to thrive if they are only in coconut milk. I am buying BioFarm yogurt, separating for whey and curd, making cheese, sour cream etc and wondering about a cheaper alternative.
It was a little slow to start, but everything seems to be going well, but the grains are not multiplying much.
What I read is that you pack them in a plastic bag or something with powdered milk all around them. After you make the yogurt, rather than immediately starting another batch is it ok to just put the grains in the frig with some milk over them. When you take them out and start using them again it can take a little while for them to start growing. Although I know with yogurt making you do have to heat the milk a bit, so maybe the people who told you that were confused about the difference between yogurt and kefir.
I have never done it myself but I have heard from many sources that freezing kefir does not kill the bacteria.
I had read that Kefir made from dry or dehydrated grains is not active in the best probiotics.
If you prefer very thick yogurt, you may want to use just the coconut cream from 2 cans, discarding the clear liquid or saving it for a smoothie.
Your little one can get plenty of calcium of dark, leafy greens, broccoli, sesame seeds, figs and almonds. I use to suffer with thrush every time time id take an antibiotic for an infection elsewhere in the the body. I went into the doc again and I was prescribed Flagyl again which I took but had no success. It was pretty miserable and painful, and there were other life stressors that probably didn’t help.
I had just become accustomed to BV being a part of my life along with using baby wipes and changing my underwear twice daily.
Sprays and suppositories only create an unpleasant combination of scents, not entirely masking the problem.
I read the Apple Cider Vinegar Miracle (not sure if that title is correct as I lent the book to a friend).
There are some bacteria that can cause damage to you, many bacteria are necessary for you to enjoy good health.Bacteria Disease Fermentation Food Health Kombucha Lactobacillus ProbioticLeave a Reply Cancel replyYour email address will not be published.
Studies have shown that probiotic bacteria play important roles in immunology and digestive functions.[1] They have also been shown to have an alleviating effect on infectious diseases, diarrhea and some other illnesses. We used specifically three species of lactobacillus in our project: Lactobacillus Bulgaricus, Lactobacillus Plantarum and Lactobacillus Reuteri.
Unlike yogurt, kefir can actually colonize your gut with the beneficial micro-organisms you need to have a healthy immune system and well-functioning digestive system. Make sure the cloth is large enough to completely cover the opening of the jar, and then some. Every time I go to the fridge to get something out I see the jar of fermenting kefir and remember to give it a gentle shake. This is especially true if you eat a lot of sweet foods and tart or sour foods don’t appeal to you.
Follow the instructions that come with the kefir starter, it’s a different technique than what you use for the live kefir grains. I do love spreading the word on things like this, helping people get back to basics and make their own food as much as possible, rather than relying on others. Then I went to University (as a mature student) and started drinking coke and those caffeinated sodas so I could stay up till all hours and work on my assignments. Go get her audio recordings and listen to them, you’ll learn so much more about them. That started feeling like a habit for sure, bordering on addiction because I would crave them when I didn’t have them. And from what I have read and heard it seems like almost everyone, at least in Western cultures, has a candida problem. Although you use your fingers I did see that you used the cheesecloth actually making the cheese (which sounds yummy by the way). To answer your question, yes the temperatures used in baking will kill the beneficial microorganisms in the kefir. Am so thrilled that Kefir grains not only supplies this cost effective alternative but is also better for us!!

Kefir is even healthier than yogurt and much easier to make as long as you have the kefir grains. She said if you can’t use the grains for a while, you can just freeze them, is this true? Make sure when you prepare them that you pat them dry as much as possible, then pack them with powdered milk, and you can keep them frozen for up to 3 months I think.
It’s like they have been in suspended animation and they need some time to warm up and get going again. Freezing grains is one way to put them into long term storage, and the sources I have heard from they all seemed to be able to take them out of frozen storage and they would be fine again. The probiotic capsules were administered nightly and the metronidazole gel was administered two times per day, for the study duration of thirty days.
So far my capsules inserts were the best i never seen all the stuff come out like that that i thought something was wrong for a second. I was so frustrated and depressed that nothing was working until I started doing some research. Today there are a lot of probiotic products on the market that are sold and eaten for their health benefits.
For this reason we have decided to make the Lactobacillus genus more approachable for future iGEM teams and provide some fundamental parts for biobrick based synthetic biology. While high-quality yogurt contains a few of the beneficial gut bacteria, kefir contains a much larger number of beneficial bacteria, as well as beneficial yeasts.
Use a rubber band or piece of string to fasten the cloth into place over the opening of the jar. Now some people like to use a strainer to separate the kefir grains out, but what I have found works the best for me is this… with clean hands trawl through the kefir using your fingers like a net to catch the kefir grains. The squeezing stimulates the kefir grains to produce a substance called kefiran, which has additional health benefits. Food is so important, and I think most of us in Western societies take it for granted because we seem to have such an abundance. They are free, just go to the Body Ecology website and click the big purple button to sign up for her mailing list. I think fermented foods are the best thing, they are like the antidote to sugar in all it’s forms. I didn’t drink sodas until I went back to university as a mature student when I was 39. I know many people who are much more addicted than that and would never even consider it an addiction, but if they were really honest, it is. The other thing that seems to happen quite often is that people get addicted to foods and substances that they are allergic too.
I think it will work if you blend up fresh coconut flesh along with the water, but it would have to be with young coconuts because the water has more sugar. However, because the microorganisms have already processed the lactose for to turn the milk into kefir it may help those who have a lactose intolerance to digest it better.
I’ve never used yogurt to make cheese, but it would work as well using the same process. If you have more grains than that, say like for a quart of milk if you have more than 4 tablespoons they will just ferment the milk faster. They take a while to really get up to speed with their fermenting activity, but they do in time.
In this small study, the BV was considered cured in 88% of the probiotic treatment group as compared to a cure rate of 50% in the metronidazole treated group6. Doctor put me on antibiotics which cured me within a week but right after I got a nasty case of yeast infection which lasted about two days and vanished on its own (thank goodness). I heard a lot about women using Vitamin C pills and hydrogen peroxide but I was afraid of using all those. Prebiotics, on the other hand, feed the good bacteria that are already present (albeit in too few numbers) so that they multiply and overtake the pathogens that are causing trouble.
Once you catch some grains, remove your hand from the liquid and squeeze the grains, just like you would a sponge to squeeze out most of the kefir they contain. The ironic thing of course, is that while we have an abundance of things to eat, to fill our stomachs so many people are malnourished because they have come to rely on others making food for them.
So many of the healthy eating experts I listen to say the one thing you can do that will make the most radical change in your health is to stop consuming sugar.
I consider something an addiction if it’s not healthy for you but you consume it regularly and would have a hard time not consuming it for an extended period. And if you start with really good quality, healthy yogurt with live acidophilus cultures it would be healthier than normal cheese.
How long does it usually take for grains to multiply and what’s the most that you would put with 1 quart of raw milk?
So you can have quite a lot of grains per quart, you just need to change the milk more often.
Another question would be if I’m not using raw organic milk but rather just organic whole milk from the store I was told that I should heat the milk to 170, then let cool and pour over the kefir grains.
I don’t have any infections anymore and if I get an itch of a yeast infection I stick another garlic clove and it goes away.
I paid for this article online which suggested the use of vitamin C but again I wasn’t satisfied and was hesitant in inserting a pill up my vag. Doctors can ruin health with antibiotics if they do not also include the necessary probiotic treatment along with it. I do take a probiotic supplement, and try to eat lots of probiotic-rich foods, too, because I think they are good for my health generally (and really good for BMs!) But inserting probiotic capsules vaginally didn’t seem to do much to ward off infections, whereas the prebiotic treatments have made a world of difference for me.
If you squeeze the grains every time before you start a new batch, you may notice that the batches of kefir start to thicken slightly.
But I just quit, without even trying, when I started drinking kombucha (that was my first fermented drink). Some just bluntly put it more like this, sugar is poison, it’s the worst thing you can possibly do to your body as far as your diet.
Then I got some water kefir grains and before I knew it, I just stopped drinking alcohol completely. But I will be ordering some as soon as I can ensure that my mail service is sorted out to the point where I can get them in a timely manner. One day I came across an article about getting rid of Gardnerella and I was willing to pay whatever amount just to find a solution to this terrible problem.
Vitamin c is acidic and the timed release tablet will steadily decrease the pH and kill off the bad bacteria as well as make it more favourable of an environment for good bacteria then follow up with lactobacillus probiotics (orally) and repeat the process once or twice a day , morning and night. I do think, and I have also read the accounts from others who say that the water kefir grains are sustainable using young coconut water. I bought the article online and it’s by a holistic doctor who is studying BV and how to get rid of it.
Take folic acid 400mcg x2 daily along with vitamin D, eat a big bowl of yogurt daily, and my meals consist of proteins and raw vegetables.
It can leave a sticky residue and discharge which is actually both the dissolved bonding agents from the tablets that keep the vitamin c in tablet form, and the bad bacteria that’s been killed off !!! I also think the milk and water kefir both really help me manage my chocolate cravings (and sugar cravings in general).
Whereas the milk kefir grains are not because they need the milk sugar (lactose) in order to survive indefinitely. Anyway so basically it all has to do with eliminating all sugars, carbs and the unhealthy foods out of your diet and replacing it with healthy natural foods and adding fermented foods to your diet. Now the water kefir I have every day is so much better than any soda, and my body knows it’s better for me. I make smoothies with milk kefir and add stevia, blueberries, 1-2 frozen bananas, vanilla extract – it’s almost like having ice cream! She suggested to make fresh keefir and insert 20 ml keefir into the vag using a medicine dropper for 3 weeks. I have read stories of the same happening to others when they started consuming fermented foods. The garlic will kill the bacteria good or bad and the keefir will spread the good bacteria. Internet Marketing Services by Studio98 XHTML CSS All material on this website is provided for your information only and may not be construed as medical advice or instruction.
I also drink a cup of keefir in the morning and a cup at night and I’ve eliminated all the unhealthy foods out of my diet. No action or inaction should be taken based solely on the contents of this information; instead, readers should consult appropriate health professionals on any matter relating to their health and well-being.
Instillation of Lactobacillus and stimulation of indigenous organisms to prevent recurrence of urinary tract infections. The information and opinions expressed here are believed to be accurate, based on the best judgment available to the founders and authors, and readers who fail to consult with appropriate health authorities assume the risk of any injuries. I’ve also started meditation and I will continue to do this for 3 weeks and make clean eating a part of my lifestyle.
Reid G, Beuerman D, Heinemann C, Bruce AW, Probiotic Lactobacillus dose required to restore and maintain a normal vaginal flora. If we can infest our gut with good bacteria, perhaps we can get rid of the bad bacteria for good. Anukam K, Osazuwa E, Ahonkhai I, Ngwu M, Osemene G, Bruce AW, Reid G, Augmentation of antimicrobial metronidazole therapy of bacterial vaginosis with oral probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14: randomized, double-blind, placebo controlled trial. Anukam KC, Osazuwa E, Osemene GI, Ehigiagbe F, Bruce AW, Reid G, Clinical study comparing probiotic Lactobacillus GR-1 and RC-14 with metronidazole vaginal gel to treat symptomatic bacterial vaginosis.
Association between the vaginal microbiota, menopause status, and signs of vulvovaginal atrophy.

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