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we do use a lot of prebiotics and probiotics in our practice first of all theres so many medications that people take every day they dont think much about them but the ppis proton pump inhibitors the acid inhibitors for the stomach so many patients are on those kind of medicines today millions of Americans well this will interfere with the normal physiology of the body in so many different ways antibiotics you know who do you know that hasnt been on antibiotic not too many people in in the last lets say 10 years so many people have been on antibiotics throughout their lives and these will interfere with the normal health and nourishment of the bacteria thats supposed to be in our gut and so itll destroy the friendly bacteria and then youre left with the less friendly or unhealthy bacteria so using things that include pre and probiotics would have to be good quality ones of course and theyre all different but these are very important and its not always the number the people y