You might think that all fermented foods are probiotics. But that's not always the case. While many fermented foods contain live microbes, not all of them meet the scientific criteria to be called probiotics. According to the FAO/WHO, probiotics are defined as "live microorganisms that, when administered in adequate amounts, confer a health benefit on the host1."
In this guide, you'll learn how to tell the difference. We’ll walk through which foods are likely to contain live beneficial bacteria, how to choose them wisely, and easy ways to include them in your meals without overspending. Foods like yogurt, kimchi, and kombucha may have live cultures, but that doesn’t automatically mean they’re proven to support your health.
Understanding this matters because of your gut microbiome. It plays a crucial role in digestion, immunity, and even mood. Feeding it the right foods can make a significant difference in your overall well-being.
Fermented foods are made through a natural process. This is when bacteria, yeasts, or other microorganisms break down sugars and starches. This process – called fermentation – can change the texture, flavor, and nutritional profile of the food.
Many traditional foods around the world are made this way, including yogurt, kimchi, kefir, and sourdough bread. Fermentation can help preserve food, enhance flavor, and sometimes increase the number of beneficial bacteria present.
While fermented foods often contain live cultures, they aren’t automatically considered probiotic. That depends on whether the microbes in the food have been studied and shown to offer specific health benefits.
To be called a true probiotic, a product must meet strict scientific standards. These aren’t just any live bacteria; they must be tested and proven to be beneficial for human health.
The World Health Organization (WHO) defines probiotics as “live microorganisms that, when administered in adequate amounts, confer a health benefit on the host.” That means it’s not enough for a food to just contain bacteria. It has to contain the right kind, in the right amount, and with proven results.
It’s easy to assume that any food with live bacteria is a probiotic. But that’s not the case. Researchers have pointed out that the term “probiotic” is often used too loosely by the media and marketers, which leads to confusion and misplaced expectations2.
Why does this matter? If we treat all fermented foods as probiotics, we risk assuming they all provide the same benefits. In reality, each strain can behave differently, and only some have been tested in humans.
That’s why it’s important to check product labels. Look for specific strain names and evidence that the bacteria in the product have been studied for health effects. Using the right terms not only keeps information accurate, but it also helps you make smarter decisions about your health.
Some fermented foods can be a source of live bacteria. But only if they’re processed and stored in the right way. The key is to look for products that are raw, unpasteurized, and clearly labeled as containing “live and active cultures.” Below are some common fermented foods that may offer gut-supporting benefits, even if they don’t qualify as true probiotics.
Yogurt: Look for yogurt that’s labeled with “live and active cultures.” Not all yogurts contain these live bacteria. Some are heat-treated after fermentation, which kills the microbes. Plain yogurt tends to have fewer additives and more beneficial strains than flavored varieties.
Kefir: Kefir is a fermented milk drink that typically contains a wider variety of bacteria and yeasts than yogurt. You can also find water kefir, a dairy-free version made with sugar water or coconut water. Both may offer beneficial microbes, but check the label for live cultures.
Sauerkraut, kimchi, and pickles: These tangy foods can contain live bacteria, but only if they’re raw and unpasteurized. Shelf-stable versions found in the middle aisles of the grocery store are usually heat-treated and won’t have active cultures. Look for ones stored in the refrigerated section and, ideally, made using traditional brining methods, not vinegar.
Miso, tempeh, kombucha, and water kefir: These fermented foods are popular non-dairy options. Miso and tempeh are typically pasteurized but may still contain some live bacteria depending on how they’re made.
Kombucha and water kefir can contain live cultures if they’re raw and unfiltered. Check for signs like sediment at the bottom of the bottle or labels that mention active cultures.
These options are great for vegans, people with lactose intolerance, or anyone looking to expand the variety of fermented foods in their diet.
Not all beneficial bacteria work the same way. Even within a species like Lactobacillus, different strains can have very different effects. One strain might help with digestion, while another has been studied for immune support. That’s why the term “probiotic” only applies when a specific strain has been tested in people and shown to offer a clear health benefit3.
A product that's helpful for gut regularity may not be useful for something like anxiety or inflammation. Always check for strain information and clinical backing if you’re choosing a product for a specific health goal.
Probiotics are live microorganisms. When taken in the right amounts, they can provide health benefits to the person consuming them. These are typically bacteria, though some yeasts (like Saccharomyces boulardii) are also considered probiotics.
They help maintain a balanced gut microbiome. This means a diverse mix of bacteria that plays a key role in digestion, immune response, and more. Some common probiotic strains found in foods and supplements include:
Lactobacillus (e.g., Lactobacillus rhamnosus GG)
Bifidobacterium
Saccharomyces boulardii
Once inside the gut, probiotics may help by restoring balance to your gut flora. They produce short-chain fatty acids, supporting your immune system, or help reduce symptoms like bloating or diarrhea. But their effects depend on the strain, the dose, and the individual’s gut environment.
Prebiotics are types of fiber that feed the beneficial bacteria already living in your gut4. Think of them as fuel for your microbiome. They don’t contain bacteria themselves, but they help the good ones grow.
Common prebiotic-rich foods include:
Onions and garlic
Bananas (especially slightly green ones)
Asparagus
Leeks
Oats
When you combine prebiotics with probiotics (whether through food or supplements) you create what's known as a synbiotic. This pairing can help beneficial bacteria thrive and potentially improve their overall effect in the body.
Fermented foods and certain probiotic strains may support your overall health. But it’s important to note that the benefits vary by product, strain, and individual. Research in this area is growing, but not all findings apply to every type of fermented food or supplement.
Some specific probiotic strains have shown potential in human studies. Fermented foods, even if not officially probiotic, may still offer microbial diversity and contribute to gut balance. Here's what current research suggests, along with where caution is needed.
There is emerging (but not universal) evidence that some probiotic strains may support digestion and nutrient absorption5. These strains may help maintain a healthy balance of bacteria in the gut, especially after illness or antibiotic use.
Certain probiotic products have been shown to relieve symptoms like bloating, irregularity, and mild digestive discomfort in some people. Fermented foods may also be a gentle way to reintroduce bacteria to the gut, particularly during or after travel, when digestive upsets are more common6.
Some research suggests a connection between the gut microbiome and immune function. Specific probiotic strains have been studied for their potential to support immune health, including reducing the frequency or severity of common colds7.
There is also early research into how probiotics might influence inflammation or help regulate the immune system in people with autoimmune conditions8. But this area is still developing, and results can vary widely.
The idea that gut health can affect your mood is gaining attention. Some probiotic strains may influence the gut-brain axis – a communication pathway between your gut and your brain. Early studies have explored links between certain probiotics and reduced symptoms of anxiety or depression9.
That said, this area of research is still in its early stages. Not all fermented foods or probiotic supplements have this effect, and individual responses can differ based on many factors.
For most people, fermented foods and probiotic products are safe to eat and may offer benefits. But like any food or supplement, they’re not risk-free, and they don’t work the same for everyone.
Some important things to consider:
Some people may experience mild side effects when first adding fermented foods to their diet.
Common symptoms include gas, bloating, or changes in bowel habits.
These effects usually improve as your gut adjusts over time.
To minimize discomfort, start with small portions and increase gradually.
Fermented foods can sometimes trigger allergic reactions, especially if they contain soy, dairy, or histamines.
Always read ingredient labels carefully if you have food allergies or sensitivities.
If you have a weakened immune system, chronic illness, or a serious medical condition, it’s best to speak with a doctor before adding probiotic products or high amounts of fermented foods to your diet. In some rare cases, introducing large amounts of live bacteria may not be appropriate.
You don’t always need a supplement to support your gut. Many people get what they need from a diet that includes a variety of fermented foods. But in some cases, supplements may be helpful – or even necessary.
Probiotic supplements can be especially useful after a course of antibiotics. These can often disrupt the balance of bacteria in the gut. Some supplements are designed with specific strains to help restore this balance more quickly.
They may also be helpful for people with digestive conditions, like IBS or chronic bloating, or for those who struggle to eat enough fermented foods due to dietary restrictions or taste preferences.
Supplements have one major advantage: they can provide a specific strain of bacteria at a known dose, measured in CFUs (colony-forming units). That makes it easier to match your supplement to a health concern, especially if the product has been studied in clinical trials.
Feature 👇 | Fermented Foods 🥬 | Probiotic Supplements 💊 |
Bacteria content | Varies by product and batch | Specific strains and measured CFUs |
Strain provenance | May not include clinically studied strains | Often includes strains studied in trials |
Nutritional value | Offers additional nutrients (e.g., vitamins, fiber) | Limited to bacteria, no added nutrients |
Convenience | Requires refrigeration, shorter shelf life | Shelf-stable or refrigerated, easy to travel with |
Cost | Generally more affordable | Often more expensive for high-quality options |
Use case | Great for everyday health and variety | Ideal for targeted health concerns |
Storage needs | Often needs refrigeration | Check label—some require it, others don’t |
In the end, whether you choose food, supplements, or a mix of both depends on your lifestyle, needs, and personal preferences. If you’re considering a supplement, look for one that clearly lists the strains, includes a best-before date, and has been tested in humans.
Adding fermented foods with live cultures into your meals doesn’t have to be complicated. With a few small tweaks, you can include them throughout the day – even if you’re short on time or feeding a picky household.
Here’s a simple day plan with options you can adjust to your routine:
Meal 🍽️ | Fermented Food Idea 🥒 |
Breakfast | Yogurt with fruit and a sprinkle of oats |
Lunch | Sandwich or grain bowl with a spoonful of kimchi or sauerkraut on the side |
Snack | Kombucha or water kefir |
Dinner | Stir-fry topped with tempeh or miso soup |
Dessert | Kefir smoothie with berries and banana |
You don’t need to eat fermented foods at every meal. Even 1-2 servings a day is a good start.
Synbiotic meals pair probiotics (live cultures) with prebiotics (fibers that feed those bacteria). This combo may help the good bacteria thrive.
Try these easy pairings:
Miso soup with steamed asparagus or leeks
Kefir smoothie with oats and banana
Tempeh stir-fry with garlic, onions, or chicory root
Yogurt topped with cooked apples and ground flaxseed
Sauerkraut on a sweet potato and black bean taco
For more ideas on how to serve sauerkraut, check out our full guide. You’ll find a range of easy recipes to inspire you that focus on improving your gut health.
Fermented foods can be strong in taste and smell, so it helps to start small and go slow. If you’re introducing them to kids (or adults who are unsure) use these ideas:
Begin with milder options like fruit-flavored kefir, miso soup, or lightly sweetened yogurt
Stir kefir into smoothies with familiar fruits
Add a teaspoon of sauerkraut or kimchi into a sandwich, burger, or rice bowl
Serve miso broth with noodles and vegetables for a gentler flavor
Mix fermented pickles into a wrap with creamy dressing
Start with small amounts (just a spoonful or 2) and build up over time. Let taste buds adjust gradually, and you’re more likely to stick with it.
If you’re interested in experimenting with fermented foods at home, there are plenty of simple options to try – like yogurt, kefir, sauerkraut, or fermented pickles. Many people enjoy the process, and it can be a cost-effective way to include more live cultures in your diet.
That said, home fermentation involves live bacteria, time, and the right environment. It's important to do your research first. Proper sanitation, temperature control, and storage are key to keeping your homemade foods safe and effective.
Many trusted guides, books, and online communities offer step-by-step instructions and safety tips. If you're new to fermenting, start small and stick to well-documented recipes to build confidence.
To get the most from fermented foods with live cultures, proper storage is essential. Good bacteria are sensitive to heat, air, and time. So knowing how to handle these foods can help preserve their benefits.
Most fermented foods with live cultures need to be kept refrigerated after opening. Cold temperatures help slow down fermentation and keep the bacteria alive for longer.
Here are a few simple tips:
Use clean utensils each time you serve a portion. This helps avoid introducing unwanted bacteria or mold.
Keep lids tightly sealed to protect from air exposure.
Avoid high heat – don’t microwave or cook live-culture foods unless you’re okay with killing off the beneficial bacteria.
Food | How Long It Lasts (Once Opened) |
Yogurt | 1-2 weeks (check for sour smell or mold) |
Kombucha | Up to 6 months unopened; a few weeks once opened and refrigerated |
Raw sauerkraut | 1-2 months if kept cold and sealed properly |
To know if a fermented food still has live cultures, check for:
☑️ “Live and active cultures” on the label
☑️ Slight bubbling
☑️ Tangy flavor
☑️ Natural separation of liquids and solids
Products that have been pasteurized or shelf-stable at room temperature usually don’t contain live microbes anymore, unless specifically labeled otherwise.
By storing fermented foods correctly and choosing ones with verified live cultures, you’ll get the most from every bite.
To be considered a probiotic, a food or supplement must contain live microorganisms that have been identified by strain, tested in controlled human studies, and shown to provide a specific health benefit at an effective dose. Just having live bacteria isn’t enough – it must meet this scientific definition.
No. While many fermented foods contain live bacteria, only those with tested, well-identified strains and proven health benefits are considered true probiotics. Most fermented foods are beneficial, but they don’t automatically meet the probiotic standard.
Foods like yogurt, kefir, raw sauerkraut, and some kombucha may contain live probiotic cultures – if they’re labeled with “live and active cultures” and kept refrigerated. Always check the packaging for strain details or storage notes.
Not always, but supplements can help in certain cases. For example, after antibiotics or if you need a specific strain shown to support a health concern. Food-based sources vary in bacterial content and aren’t always targeted.
You can ferment foods at home, but they aren’t considered probiotic unless tested for specific strains and health effects. Homemade ferments can still offer diversity and gut-friendly microbes – they just can’t be classified as probiotics without research.
No, probiotics don’t “clean” your gut like a detox. Instead, they may help maintain a healthy microbial balance by supporting beneficial bacteria – especially after illness, antibiotics, or digestive changes.
1. https://pubmed.ncbi.nlm.nih.gov/24912386/
2. https://pmc.ncbi.nlm.nih.gov/articles/PMC6425910/
3. https://www.nccih.nih.gov/health/probiotics-usefulness-and-safety
4. https://pmc.ncbi.nlm.nih.gov/articles/PMC6463098/
5. https://pmc.ncbi.nlm.nih.gov/articles/PMC9733784/
6. https://www.sciencedirect.com/science/article/pii/S1477893924000176
7. https://pmc.ncbi.nlm.nih.gov/articles/PMC3560336/
Jessica White is a writer at DeliveryRank. After teaching herself to cook at age 12 - to escape her Mom’s ‘interesting’ recipes - she has spent many happy hours in the kitchen. Whether it’s sampling a different cuisine or creating a new recipe from scratch, she enjoys imagining new food combinations and making them a reality. As a certified and experienced copywriter, she has contributed to a range of online publications on topics ranging from well-being to recruitment. When she’s not in the kitchen, she’s walking her dogs and dreaming up new ways to make tofu interesting.