Our standard

Evidence before product

Most microbiome supplements are sold on species names and general promises. Rhealiz applies the opposite standard: the one used in clinical research. This page describes that standard, with primary sources.

Three rules we apply

  1. 01

    The strain, not the species

    “Lactobacillus rhamnosus” is a species name. “Lactobacillus rhamnosus GG” is a precise strain — the one actually tested in trials. Results obtained with one strain do not transfer to another strain of the same species. A label without the full strain designation cannot be connected to any study at all.

  2. 02

    The population, not “everyone”

    The same organism can help in one population and do nothing in another. A result in children does not carry over to adults; a result in intensive care says nothing about a healthy person. Any evidence cited must say who it was obtained in.

  3. 03

    The primary endpoint, not the abstract's conclusion

    A clinical trial pre-specifies its primary endpoint. That is what the trial is judged on — not a favourable subgroup, not the closing sentence of the abstract. We read trials on their pre-specified primary endpoint.

One example: one strain, three answers

Lactobacillus rhamnosus GG is the most-studied probiotic strain in the world. The same evidence, read population by population, gives three different answers:

Lactobacillus rhamnosus GG — One example: one strain, three answers
Population and questionStudy designPrimary-endpoint resultSource
Children — antibiotic-associated diarrhoeaMeta-analysis, 5 RCTs, n=445 (children)Risk reduced (RR 0.48; 95% CI 0.26–0.89), moderate qualitySzajewska & Kołodziej, Aliment Pharmacol Ther 2015
doi:10.1111/apt.13404
Adults — antibiotic-associated diarrhoeaSame meta-analysis, 6 RCTs, n=863 (adults)Not significant (RR 0.48; 95% CI 0.20–1.15), low qualitySzajewska & Kołodziej, Aliment Pharmacol Ther 2015
doi:10.1111/apt.13404
Critically ill adults, ICU — ventilator-associated pneumoniaDouble-blind placebo RCT, n=2,653, 44 ICUsPrimary endpoint missed (21.9% vs 21.3%; HR 1.03). All 20 secondary outcomes nullJohnstone et al., JAMA 2021
doi:10.1001/jama.2021.13355

A bottle saying “contains Lactobacillus rhamnosus” communicates none of this. That gap between label and evidence is exactly what our standard exists to close.

What this commits Rhealiz to

This page describes scientific publications; it is not medical advice and makes no health claim about any Rhealiz product. The product and programme are under development.

Last updated : 2026-08-09

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