Chapter 115 (author: Jason A. Hawrelak) reviews prebiotics, synbiotics, and colonic foods. It defines prebiotics and the four criteria for classification, lists potential prebiotic compounds (Table 115-1), and focuses on the best-researched agents: fructooligosaccharides (FOS), galactooligosaccharides (GOS), and lactulose — covering sources, commercial forms, mechanisms, clinical applications (immune effects, bifidogenic effects, constipation, atopy prevention, mineral absorption, satiety), dosing ranges, toxicity/adverse effects, synbiotic considerations, and non-specific 'colonic foods'.

Questions this document answers

Jason A. Hawrelak; "Prebiotics, Synbiotics, and Colonic Foods" (Chapter 115).

Textbook of Natural Medicine, 4th ed., 2013; ISBN 9781437723335; Chapter pages 966–978.

"A nondigestible food ingredient that beneficially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria in the colon."

2.5 to 20 g/day (studies noted effects at ≥5 g/day; 10 g/day considered well-tolerated).

Alterations seen at doses as low as 3 g/day; laxative dosing recommended 15–40 g/day (higher doses ~35 g/day used for liver disease).

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