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