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4 things you must do after a course of antibiotics

4 things you must do after a course of antibiotics

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Antibiotics are a touchy subject. There is a lot of overuse (you hear all the time about doctors prescribing them straight away, without even being sure what the issue is) and resistance is becoming a real problem.

4 things you must do after a course of antibiotics

Whilst I’d love to say I’d never take them, there are certain situations where antibiotics truly are a modern miracle. In fact, I took them not so long ago when I found out I was host to an unwelcome parasite. The problem with antibiotics, is that as well as killing off the infection, they also kill off all of the good bacteria in our gut.

With diminished good bacterial colonies in the gut, this can significantly reduce your immune system and mess with your hormone balance. But it doesn't have to be permanent. Here are some steps you can take to help your gut to repair as soon as you've finished the course of antibiotics.

1. Eat strict paleo

So perhaps you’re clean eating had lapsed slightly before your antibiotics – but now is the time to get back on the wagon. Ditch anything processed and eat real, whole foods, keeping sugar (from natural sources) and carbohydrates low whilst you’re healing.

2. Eat fermented foods everyday

Have some kombucha, sauerkraut, yoghurt or kimchi ready to go. Fermented foods will help to re-introduce probiotics to your gut – so make sure to mix up your fermented foods and eat them regularly. You can also look at probiotic supplements.

3. You've taken care of probiotics – don’t forget prebiotics

Soluble fibre such as that provided from root vegetables and peeled fruit is a great way to feed the good bacteria you need to re-establish.

4. Eat bone broth

Said to be able to resurrect the dead, bone broth is the ideal nourishment after your course of antibiotics. It will help support your liver and digestive system –so make sure you have a big batch ready to go.

Ok, so I've added a few more things…

5. Prioritise Sleep and Stress Management

Rest is one of the most overlooked components of recovery, but it’s absolutely essential after a course of antibiotics. Quality sleep allows your body to rebuild, repair tissues, and regulate immune function — all of which are vital when your gut is healing. Aim for at least 7 to 9 hours of uninterrupted sleep each night, and try to maintain a consistent bedtime. If you're struggling with sleep, reducing screen time before bed and using natural light during the day can help reset your circadian rhythm.

Equally important is managing stress. Chronic stress impacts the gut-brain axis and can hinder gut repair. Mindfulness practices such as meditation, yoga, breathing exercises, and even spending time in nature have been shown to reduce cortisol levels and support digestive health. The gut is incredibly sensitive to emotional and psychological stress, so make self-care a part of your post-antibiotic protocol.

6. Remove Gut Irritants

Even if you’re eating a strict paleo diet, now is a good time to take it a step further by eliminating any known gut irritants. This might mean avoiding eggs, nightshades, nuts, or high-FODMAP foods temporarily if you suspect sensitivity. These foods, while healthy for many, can provoke inflammation in a compromised gut. Focus on easy-to-digest meals like soft cooked vegetables, slow-cooked meats, and broths while you rebuild gut integrity.

Additionally, consider reducing caffeine and alcohol intake during your recovery. Both can irritate the gut lining, impair liver function, and disrupt your sleep — all of which slow down healing. Once you’ve re-established gut balance and overall wellness, you can reintroduce these elements mindfully, if they suit your lifestyle.

7. Support Your Liver

Your liver plays a huge role in detoxification — and after antibiotics, it’s likely working overtime. Supporting liver health can make a big difference in how quickly your body bounces back. Incorporate liver-friendly foods like leafy greens, beetroot, lemon, and dandelion tea. Cruciferous vegetables like broccoli and cauliflower also help increase your liver’s natural detoxification enzymes.

Supplements such as milk thistle, turmeric, and NAC (N-acetyl cysteine) can support liver regeneration and antioxidant status, but it’s always best to check with a healthcare provider before introducing new supplements, especially post-antibiotics. Your focus should be on supporting the liver gently and naturally through nourishing foods and hydration.

8. Reintroduce Movement – Gently

While your energy may be lower after illness and antibiotics, light movement can support lymphatic drainage, circulation, and digestion. Gentle walks, stretching, or even slow yoga flows are excellent ways to stimulate the body without over-exerting it. Movement also helps regulate stress, boost endorphins, and support healthy sleep — all essential during your recovery phase.

If you feel up to it, increase intensity gradually as your energy returns. Be mindful of how your body responds to exercise post-antibiotics, and don’t push through fatigue. Recovery is not a race, and overtraining can set you back rather than speed up the healing process.

9. Track Your Symptoms and Progress

Everyone’s microbiome is unique, so it’s a good idea to track your progress during recovery. You may want to keep a food and symptom journal for a few weeks to identify patterns. Pay attention to bloating, bowel movements, skin changes, mood, and energy levels — all of these are connected to gut health. If you’re noticing lingering symptoms such as fatigue, digestive issues, or new food sensitivities, it might be worth consulting with a functional medicine practitioner or naturopath to assess your gut more thoroughly.

There are also comprehensive stool tests available that can give insight into your current gut bacteria, the presence of pathogens, and levels of inflammation. While not always necessary after a single course of antibiotics, they can be helpful for those recovering from multiple rounds or long-term gut dysfunction.

10. Be Cautious with Future Use

Once you’ve been through the process of rebuilding your gut microbiome, you’ll likely be more mindful about when antibiotics are truly necessary. Not every cold or sore throat needs medication — in many cases, your body can heal with rest, hydration, and immune-supporting nutrition. The more we use antibiotics for minor issues, the greater the risk of antibiotic resistance, and the more damage we may be doing to our gut ecosystems.

If you do need antibiotics in the future, prepare your body ahead of time. Eat fermented foods, reduce sugar intake, and start a probiotic supplement alongside your medication (at a separate time of day to avoid immediate neutralisation). Continue the protocol of bone broth, prebiotics, and stress reduction throughout the course and for several weeks afterward.

Final Thoughts on Gut Recovery

While antibiotics can be life-saving when used appropriately, they come with consequences — particularly for your gut health. Fortunately, your body has an amazing capacity to heal when given the right support. By eating a wholefood paleo diet, prioritising rest, reducing stress, and nourishing your gut with probiotics, prebiotics, and broth, you can significantly reduce the disruption caused by antibiotics and bounce back stronger than before.

As always, stay in tune with your body. If something doesn’t feel right or symptoms persist, seek advice from a healthcare professional who understands gut health from a holistic perspective. Your microbiome is a living, responsive ecosystem — treat it well and it will return the favour.

What’s your approach to antibiotics? Have you taken many courses?

Paleo Diet Primal Gut Health Flora Healthy Probiotics-min

How Is Your Gut Health?

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After the stress and perhaps over indulgences of the festive season – how is your gut health?

Our ancestors were surrounded by dirt – and certainly won’t have washed their hands in antibacterial soap before touching everything! Today, everyone is terrified of germs and dirt. Children aren't allowed to get dirty – people can’t even make food without wearing those horrible blue plastic gloves – yuck!

Paleo Diet Primal Gut Health Flora Healthy Probiotics-min

So many factors in our modern lifestyle are stacked against maintaining good gut flora. The antibiotics given out by so many doctors kill off most bacteria (good as well as bad). Stress hormones also do a good job of killing of gut flora. It’s probably therefore little wonder that so many of us don’t have good gut health.

Having good gut health promotes a good immune system, which is why some people never seem to catch the germs going around the office. Healthy gut bacteria is also essential in proper, good digestion. Healthy gut flora enable you to properly absorb the nutrients in the food you’re eating (after all, we are what we absorb, rather than what we eat)

Whilst yoghurts with live cultures have become extremely popular as a method of improving gut health, they don’t appear to be the best solution, given that many people don’t tolerate dairy – and of course the pasteurisation has an significant impact on the amount of live culture left in the finished product. A lot of these yoghurts also have a lot of sugar added.

One of the better options to improve your gut health is taking probiotic supplements. When you compare the ingredients, you’ll notice huge variations between the different brands. For this reason, I like Primal Flora, as it’s been created with an ancestral diet in mind.
Primal Flora

More Ways to Support Your Gut – Naturally

While probiotics often steal the spotlight when it comes to gut health, there’s a whole ecosystem of strategies that can help you nurture your microbiome naturally. A healthy gut isn’t just about what supplements you take — it’s also about the food you eat, the lifestyle choices you make, and even the timing of your meals.

Fermented Foods: The Forgotten Gut Superstars

Before refrigeration, our ancestors preserved foods through fermentation — and unknowingly promoted excellent gut health in the process. Incorporating traditional fermented foods into your daily routine is a simple and delicious way to encourage microbial diversity. Think sauerkraut, kimchi, kombucha, kefir (non-dairy versions are available), and naturally fermented pickles (without vinegar).

Fermented vegetables are easy to make at home with just salt, water, and patience. Even a tablespoon a day can provide trillions of beneficial bacteria. If you’re unsure where to start, try adding a spoon of sauerkraut to your dinner plate or sipping on a small glass of kombucha between meals.

Feed Your Flora: Prebiotic-Rich Foods

It’s not just about adding bacteria — it’s about feeding them, too. Prebiotics are the indigestible fibres that act as food for your good gut bugs. Foods like garlic, onions, leeks, asparagus, green bananas, and cooked-and-cooled potatoes are natural prebiotics that can enhance the growth of friendly bacteria in your gut.

By pairing these with fermented foods, you’re effectively creating a thriving environment for your microbiome. This combo — probiotics plus prebiotics — is often referred to as synbiotic support and is a fantastic way to boost gut resilience over time.

The Gut-Brain Connection: Don’t Forget the Stress Factor

Chronic stress is one of the biggest saboteurs of gut health. Cortisol and adrenaline may serve us well in short bursts, but ongoing stress alters the permeability of the gut lining and can lead to what’s commonly referred to as ‘leaky gut’. This makes it easier for toxins and undigested food particles to enter the bloodstream, leading to inflammation and immune dysfunction.

Managing stress isn’t just about relaxation — it’s about consistency. Try building in daily habits like breathing exercises, short meditations, time in nature, or gentle movement like walking or stretching. Even five minutes of mindfulness a day can help regulate your nervous system and, by extension, your digestion.

Why Quality Sleep Matters

There’s growing evidence that the microbiome follows a circadian rhythm — meaning your gut bacteria respond to your sleep and wake cycles. Poor sleep can disrupt this rhythm, reducing bacterial diversity and impairing digestion. Prioritising seven to nine hours of quality sleep each night gives your gut a chance to rest and repair.

If you’re struggling with sleep, consider your evening routine. Avoid screens an hour before bed, try magnesium-rich foods like leafy greens at dinner, and create a wind-down ritual that helps cue your body for rest. Your gut will thank you.

Exercise for Your Digestive Tract

Regular, moderate physical activity improves digestion by stimulating intestinal contractions and reducing bloating. It also increases microbial diversity, with some studies showing athletes have greater gut diversity than sedentary individuals. But don’t worry — you don’t have to run marathons. A brisk walk, yoga session, or some bodyweight exercises at home can all contribute to better gut health.

What matters is consistency. Even moving for 20 to 30 minutes a day can make a big difference, especially after meals to aid digestion and reduce sluggishness.

Hydration and the Microbiome

Water may seem like a minor factor, but dehydration can slow digestion and reduce the production of mucus in the gut lining — a key defence mechanism. Staying properly hydrated helps flush toxins, supports bowel regularity, and creates an optimal environment for microbial balance.

Filtered water is best, especially if your local tap water contains chlorine or fluoride, both of which can impact gut flora. Herbal teas like peppermint, ginger, or fennel are great options for soothing the digestive tract while staying hydrated.

Consider the Bigger Picture: Environmental Factors

While diet and lifestyle play a huge role in gut health, it’s also worth considering your broader environment. Are you spending enough time outdoors? Are you exposed to nature, animals, and soil? Our microbiome is shaped by the world around us — not just what we put in our mouths.

Try to incorporate ‘green time’ into your week. Walk barefoot in the garden, plant herbs in a pot on your balcony, or let your kids play in the dirt. These interactions expose us to microbes that may help re-establish balance in our internal ecosystem, especially after illness or antibiotic use.

Rethinking Cleanliness

While hand hygiene is important, excessive sterilisation can hinder the healthy exchange of microbes. Consider switching to natural cleaning products at home and avoiding antibacterial hand sanitisers unless necessary. Letting kids play in the mud or helping out in the veggie patch is not just fun — it’s vital for developing a diverse gut microbiome from a young age.

Listen to Your Gut

If you find yourself regularly bloated, sluggish, or getting sick more often than usual, your gut could be trying to send you a message. Rather than masking symptoms, consider keeping a simple food and mood journal. Track what you eat, how you feel afterwards, and any changes in energy or digestion. Over time, this can reveal patterns that help you identify food intolerances or triggers that need addressing.

The Takeaway: Trust Your Instincts and Go Ancestral

Modern life has made it harder to maintain a naturally balanced gut — but it hasn’t made it impossible. By leaning into a lifestyle that reflects ancestral habits — such as eating real food, managing stress, moving daily, and connecting with nature — you can dramatically improve your gut health without needing to micromanage every bite.

Whether it’s a spoon of sauerkraut with dinner, a barefoot walk on the grass, or taking five deep breaths before you eat, every small habit helps support the microbial army working tirelessly inside you. And the ripple effect? Better digestion, improved immunity, steadier moods, and perhaps most importantly — a sense of vitality that starts from within.

What do you do to improve your gut health? Do you take probiotics? Please share, in the comments below!