| Digestive discomfort: BS50 | BS50 may be considered for mild digestive discomfort; the result concerns this strain and the combined scale.A reduction of at least two points in the combined bloating, burping and gas score occurred in 47.4% versus 22.2% with placebo, a difference of about 25 percentage points; odds ratio 3.2 (95% CI 1.1–8.7). This is the proportion of participants whose score changed, not the percentage reduction in symptoms. Gas alone did not differ significantly. | 2/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗ | 76 healthy adults aged 30–65 with mild gas, bloating or burping; all completed the trial, with 74 in the per-protocol analysis | - The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗
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| Bloating and gas: MB40 | This trial does not provide a firm basis for expecting overall relief of bloating with MB40.No significant differences in bloating, pain or gas were found in the overall sample. Positive findings appeared only in men after analysis by sex. | 2/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.A Randomized, Double-blind, Placebo-controlled, Parallel Study Evaluating the Efficacy of Bacillus subtilis MB40 to Reduce Abdominal Discomfort, Gas, and Bloating ↗ | 100 healthy adults | - A Randomized, Double-blind, Placebo-controlled, Parallel Study Evaluating the Efficacy of Bacillus subtilis MB40 to Reduce Abdominal Discomfort, Gas, and Bloating ↗
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| Digestive well-being: R0179 | No convincing advantage of R0179 for noticeable digestive improvement was shown in a similar population.Overall well-being and digestive measures did not improve significantly versus placebo. Increased shedding of spores in stool does not itself mean improved well-being. | 2/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.Evaluation of Bacillus subtilis R0179 on gastrointestinal viability and general wellness: a randomised, double-blind, placebo-controlled trial in healthy adults ↗ | 81 healthy adults with mostly mild symptoms at baseline | - Evaluation of Bacillus subtilis R0179 on gastrointestinal viability and general wellness: a randomised, double-blind, placebo-controlled trial in healthy adults ↗
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| Bowel regularity and stool consistency | This trial found no convincing added benefit of BS50 for changing normal bowel habits.Bowel-movement frequency and stool consistency did not differ significantly from placebo: p=0.94 and p=0.29 for differences in change. People with chronic constipation were not specifically recruited. | 2/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗ | 76 healthy adults aged 30–65 with mild gas, bloating or burping; all completed the trial, with 74 in the per-protocol analysis; bowel habits were mostly normal at baseline | - The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗
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| Days with cold-like symptoms | CU1 did not convincingly reduce days with cold-like symptoms in the full group.Respiratory symptoms: 4.4 versus 6.2 days per person, p=0.1027; at least one episode: 24/50 versus 31/50, p=0.1609. The primary measure of days with respiratory or intestinal symptoms was 5.1 versus 6.6, p=0.2015. | 2/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.Probiotic strain Bacillus subtilis CU1 stimulates immune system of elderly during common infectious disease period: a randomized, double-blind placebo-controlled study ↗ | 100 healthy, independently living adults aged 60–74 with a history of recurrent infectious episodes | - Probiotic strain Bacillus subtilis CU1 stimulates immune system of elderly during common infectious disease period: a randomized, double-blind placebo-controlled study ↗
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| Usual sleep quality | BS50 has no confirmed sleep benefit in people with a similar baseline status.Mean self-rated sleep and the proportion reporting good or excellent sleep did not change versus placebo. Before supplementation, more than 75% already reported good or excellent sleep. | 1/5 | 1One named direct randomized controlled trial; repeated BS50 outcomes concern the same 76 participants.The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗ | 76 healthy adults aged 30–65 with mild gas, bloating or burping; all completed the trial, with 74 in the per-protocol analysis; mean baseline sleep rating was 7 out of 10 | - The probiotic Bacillus subtilis BS50 decreases gastrointestinal symptoms in healthy adults: a randomized, double-blind, placebo-controlled trial ↗
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