Fiber supplements compared
Extends The dietary fiber paradox. This page compares common isolated products, not an exhaustive catalog.
| Supplement | Type | IBS symptom RCTs (summary) | Microbiome (typical) | Caution |
|---|---|---|---|---|
| Psyllium (ispaghula) | Soluble, gel-forming, moderate fermentation | Benefit in meta-analyses | Modest shifts | Take with water; gradual dose |
| Wheat bran | Insoluble | No clear benefit; dropout/worsening in some trials | Bulking | Can worsen bloating |
| Inulin / FOS | Highly fermentable prebiotic | Mixed; gas common | ↑ Bifidobacterium often | High FODMAP |
| GOS | Fermentable prebiotic | IBS variable | ↑ bifidobacteria | FODMAP overlap |
| PHGG (partially hydrolyzed guar gum) | Soluble, low viscosity | Some IBS benefit in trials | ↑ Bifidobacterium, Faecalibacterium in studies | Generally better tolerated than inulin in some cohorts |
| Methylcellulose | Non-fermentable soluble | Constipation relief (laxative data) | Minimal fermentation | Less prebiotic effect |
| Resistant starch | Fermentable | Metabolic/butyrate research | ↑ butyrate producers (variable) | See /interventions/resistant-starch |
ACG / primary care: psyllium among best-supported fibers for global IBS symptoms in guidelines citing Moayyedi meta-analysis.
Related pages
- Reading your microbiome report
- Dietary fiber paradox · SCFAs
- High-fiber diet · Resistant starch
- Chronic bloating · Constipation
- FODMAPs (fermentable fiber overlap)