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LP33 + LGG

Lactobacillus paracasei LP-33 + Lactobacillus rhamnosus LGG

  • Regulates Immune Activity 

  • Alleviates Allergic Sensitivities 

  • Alleviates Allergic Sinus Complaints

  • Alleviates Rhinitis Symptoms

  • Alleviates Eczema + Dermatitis + Hives

  • Lowers Histamine Production + Related Conditions

  • Supports Intestinal Barrier functioning

  • Regulatory T Cells Support - Benefiting Autoimmunity

  • Clinically proven for Chron’s disease

  • Clinically proven for Ulcerative Colitis 

  • Clinically proven for Rheumatoid Arthritis


Mast Cell Stabilsation - Inhibiting Histamine 


Lactobacillus paracasei acts directly on the gut-immune axis by interacting with gut-associated lymphoid tissue (GALT) to rebalance helper-T cell activity. It suppresses key Th2 cytokines, including IL-4, IL-5, and IL-13, which drive eosinophilic inflammation, IgE production, and allergic sensitisation. 


At the same time, L. paracasei enhances Th1 activity through increased IL-12 expression and promotes expansion of T-regulatory (Treg) cells, which release IL-10 and TGF-β to calm excessive immune activation. This dual action reduces serum IgE levels, inhibits mast-cell degranulation, and lowers histamine release, clinically translating to reduced reactivity in allergic and atopic conditions.


Lactobacillus rhamnosus GG provides additional mast-cell stabilising effects by reinforcing gut-barrier integrity. LGG tightens epithelial junctions, reduces antigen leakage, and decreases the immune triggers that normally activate mast cells. It further amplifies immune tolerance by increasing IL-10 and expanding Treg populations, which directly suppress IgE-driven pathways. 


LGG also downregulates pro-allergic cytokines IL-4 and IL-13, lowering IgE synthesis and reducing expression of high-affinity IgE receptors on mast cells. Together, these mechanisms lessen mast-cell priming, limit histamine release, and help restore balanced immune behaviour in individuals predisposed to allergic or inflammatory response.  [9][10][16][22]


Immune Regulation - Autoimmunity 


Lactobacillus paracasei LP-33 and Lactobacillus rhamnosus LGG work through complementary immunoregulatory pathways that help restore balance within the gut-immune axis. LP-33 interacts directly with gut-associated lymphoid tissue (GALT), where it influences antigen-presenting cells and promotes healthy T-cell differentiation. 


A key effect is also the expansion of T-regulatory cells (Tregs), which secrete the anti-inflammatory cytokines IL-10 and TGF-β. These signals suppress excessive Th2 activity, lower IgE production, and shift the immune profile toward a more regulated, tolerant state. 

Lactobacillus rhamnosus LGG reinforces many of these same pathways. By interacting with intestinal epithelial and dendritic cells via pattern-recognition receptors such as Toll-like receptors (TLRs), LGG stimulates robust IL-10 production and drives Treg differentiation. Heightened Treg activity suppresses IgE-mediated Th2 responses and helps regulate Th17-associated inflammation, promoting a state of immune tolerance and dampening inappropriate inflammatory signalling. 


LGG also strengthens mucosal homeostasis and barrier integrity, which reduces antigen penetration and further decreases immune reactivity.


Together, LP-33 and LGG promote a coordinated shift toward a Th1/Treg-dominant profile, reduce Th2-associated allergic signalling, lower IgE sensitivity, and support balanced, resilient immune function, beneficial in allergies, eczema, gut inflammation, autoimmunity and barrier dysfunction. [16]


Intestinal Permeability 


Both Lactobacillus paracasei LP-33 and Lactobacillus rhamnosus GG (LGG) support intestinal permeability, but through complementary mechanisms that work together to strengthen the gut barrier. LGG has a direct, clinically demonstrated effect on tightening epithelial junctions by upregulating proteins such as occludin, claudins, and ZO-1, lowering serum zonulin, reducing LPS translocation, and promoting rapid epithelial repair. These actions significantly decrease paracellular leak and improve mucosal integrity. 


Whereas LP-33 enhances barrier function more indirectly, by calming the immune-driven processes that damage the epithelium. It increases T-regulatory cell activity and IL-10, suppresses Th2 cytokines like IL-4, IL-5, and IL-13, reduces IgE-mediated mast-cell activation, and helps correct dysbiosis, all of which lower inflammatory stress on the intestinal lining. 


Together, LGG provides the structural tightening, while LP-33 provides the immune stabilisation that prevents ongoing barrier disruption, making the combination beneficial for individuals with intestinal permeability, allergy-linked gut inflammation, or immune-mediated mucosal dysfunction.


ClInical Results

Allergic Rhinitis - Seasonal Allergies


A randomized controlled trial involving 425 adults with persistent allergic rhinitis due to grass pollen, symptoms included: Sneezing, runny nose, nasal congestion, post-nasal drip, itchy nose, itchy eyes, watery eyes, red or irritated eyes, sinus pressure, reduced sense of smell, scratchy throat, coughing, fatigue, headache, ear fullness or popping.


The research investigated the effect of Lactobacillus paracasei (LP-33®). Participants received either 2 billion CFU/day of LP-33 or placebo, alongside an antihistamine, for five weeks. The results showed a significant improvement in Rhinitis Quality of Life (RQLQ) scores in the LP-33® group, with notable reductions in ocular symptoms as well. This study demonstrated synergy with H1-antihistamines without adverse events [37].


Allergic Rhinitis - Dust Mite


In a separate study involving 90 adults with perennial allergic rhinitis caused by house-dust mite allergy, participants were assigned to receive either 10 billion LP-33 or a placebo for 30 days. Patients completed a rhinoconjunctivitis symptom questionnaire throughout the trial. The LP-33 group experienced a significant reduction in overall symptom scores, while the placebo group reported an increase in symptoms and discomfort.


Chron’s Disease


In a study involving four children with mild to moderate Crohn’s disease, taking 20 billion CFU of LGG for six months resulted in a 73% reduction in Crohn’s Disease Activity within just four weeks. The children also showed improved intestinal barrier function, as evidenced by better intestinal permeability scores. [37] 


Ulcerative Colitis


A study on 187 patients with ulcerative colitis (UC) compared 18 billion CFU of LGG with mesalazine, and a combination of both over a 12-month period. At the end of the study, 85% of those receiving LGG alone remained in remission, compared to 80% in the mesalazine group. These results indicated that LGG was as effective as the standard pharmaceutical therapy in preventing UC relapses. [37]


Rheumatoid Arthritis


Lactobacillus rhamnosus LGG influences rheumatoid arthritis through its immunomodulatory effects on the gut–immune axis, which has been clinically supported in a 12-month double-blind randomised trial, where patients receiving LGG reported a 71% improvement in disease activity compared with 30% in the control group. [9]


Eczema


Th17-type immune cells are major drivers of eczema symptoms. When over-activated, they release inflammatory cytokines such as IL-17 and IL-22, which increase skin redness, worsen itching, and weaken the skin barrier by disrupting keratinocyte function. This makes the skin drier, more reactive, and more prone to infection. 


Studies show that specific probiotics, particularly Lactobacillus rhamnosus LGG, can help rebalance this immune response by reducing excessive Th17 activity and promoting more regulatory (Treg-driven) anti-inflammatory pathways. By calming Th17-mediated inflammation and supporting barrier repair, Lactobacillus rhamnosus LGG may contribute to reduced flare-ups, less itching, and improved eczema control.


One research paper highlighted 20 billion CFU per day or a placebo for 8 days was tested against the incidence of eczema. Administration of LGG reduced the incidence by 23%, and more so in the long-term, with a further decline of 32% compared to controls [37].


Intestinal Permeability


Clinical research has demonstrated Lactobacillus rhamnosus LGG showed robust improvements in structural barrier integrity, including reductions in zonulin of 15 - 40 percent, decreases in endotoxin (LPS) by 20 - 50 percent, and improvements in lactulose–mannitol permeability tests by approximately 15 - 45 percent.

Supplement

Supplements containing LP-33 + LGG

References

 

[1] https://pmc.ncbi.nlm.nih.gov/articles/PMC6704184/

[2] https://pubmed.ncbi.nlm.nih.gov/21983070/

[3] https://au.sfihealth.com/wp-content/uploads/2025/01/THER_WellMood_RO_APRIL24_v2-1.pdf

[4].https://www.sciencedirect.com/science/article/abs/pii/S0016508517355579

[5] https://pubmed.ncbi.nlm.nih.gov/29380647/

[6] https://pubmed.ncbi.nlm.nih.gov/31413153/

[7] https://pmc.ncbi.nlm.nih.gov/articles/PMC5658588/

[8] https://pmc.ncbi.nlm.nih.gov/articles/PMC10165082/

[9] https://pubmed.ncbi.nlm.nih.gov/14626627/

[10] https://pmc.ncbi.nlm.nih.gov/articles/PMC8306447/

[11] https://www.metagenicsinstitute.com.au/tech-data/lactobacillus-plantarum-299v

[12] https://www.metagenicsinstitute.com.au/tech-data/high-strength-researched-probiotic

[13].https://designsforhealth.com.au/wp-content/uploads/DFH_Saccharomyces-Boulardii_White-Paper_NEW_v1-1.pdf

[14].https://journals.lww.com/jcge/fulltext/2014/11001/can_lactobacillus_fermentum_lf10_and_lactobacillus.27.aspx

[15] https://brill.com/view/journals/bm/10/5/article-p483_1.xml

[16] https://pmc.ncbi.nlm.nih.gov/articles/PMC5592098/

[17] https://pmc.ncbi.nlm.nih.gov/articles/PMC4406132/

[18] https://pmc.ncbi.nlm.nih.gov/articles/PMC7770962/

[19] https://pmc.ncbi.nlm.nih.gov/articles/PMC8850513/

[20] https://pmc.ncbi.nlm.nih.gov/articles/PMC6494655/

[21].https://www.metagenicsinstitute.com.au/tech-data/Lactobacillus-rhamnosus-GR-1-and-Lactobacillus-reuteri-RC-14-liquorice-womens-urogenital-health

[22] https://www.researchgate.net/publication/330572707_

[23] https://www.metagenicsinstitute.com.au/tech-data/lp33-lgg-immune-control

[24].https://assets.contentstack.io/v3/assets/bltaf9269dac47f331a/blt77e65e5bd4cea986/66bc64647cb3ffcecd23bb61/Saccharomyces_boulardii.pdf

[25] https://link.springer.com/article/10.1186/s13223-024-00922-7

[26].https://www.researchgate.net/publication/312202040

[27] https://pmc.ncbi.nlm.nih.gov/articles/PMC6949908/

[28].https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/assessment-of-psychotropiclike-properties-of-a-probiotic-formulation-lactobacillus-helveticus-r0052-and-bifidobacterium-longum-r0175-in-rats-and-human-subjects/2BD9977C6DB7EA40FC9FFA1933C024EA

[29] https://www.mdpi.com/2072-6643/16/16/2779

[30] https://pmc.ncbi.nlm.nih.gov/articles/PMC8110190/

[31].https://academic.oup.com/femspd/article/55/3/324/496928

[32] https://pmc.ncbi.nlm.nih.gov/articles/PMC4733292/

  • Orthoplex White, Immunobalance Biotic

  • Metagenics Ultraflora Immune Control

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