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Speaker explains the intent to guide toward nutrients that increase bifidobacteria: "vitamin C increases bifidobacteria, vitamin D increases bifidobacteria, bovine immunoglobulins, ... increases bifidobacteria." Probiotics based on bifidobacteria were shown in newborns and "decrease with old in old people." He warns, "majority of probiotics out there say they have bifidobacteria but don't even have bifidobacteria," and that even when present, "it's not making it all the way to the large intestine" because "it gets broken down by the stomach acids" or "small bowel, which now causes SIBO." If a patient has some bifidobacteria, he uses vitamins to increase it; if not, "I will give a probiotic," but "the probiotic you have to make sure the probiotic is quality. You have to make sure it goes to the colon." Overuse can cause gas, bloating, and SIBO. Baseline testing is essential: "You have to test it ... know where you are at baseline," not using unvalidated labs. They rely on a validated assay and fecal transplant data; if a patient had "4% Bifidobacteria" and the probiotic raises it to "5%", but if it drops to "zero," "we have a problem," akin to antibiotics.