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It is now my twelfth year of successfully treating sinus infections with only the probiotic Lactobacillus sakei. My twelfth year! This includes regular sinus infections, my initial chronic sinusitis, and even when there are just a few sinus symptoms (you know, the gradual slide toward sinusitis).

Amazingly, no antibiotics and no antibacterials in all this time! Just using a product with the beneficial bacteria L. sakei when needing it is all it takes. To say it feels miraculous is an understatement.

Studies show that the beneficial bacteria Lactobacillus sakei occurs naturally (in tiny amounts) in healthy sinuses, but is depleted or missing in those with sinusitis. It is normal for a community of bacteria, viruses, fungi to live in the sinuses - this is the sinus microbiome.

My journey started in the winter of 2013 after reading research in late 2012 about L. sakei. I started with kimchi back then, but in the last few years I've used the product Lanto Sinus, which contains a kimchi-derived strain of Lactobacillus sakei.

In the past decade, I have heard from hundreds of people from all over the world, and the majority agree that L. sakei works great as a sinus treatment! Other probiotic species just don't work, even though they may help with some symptoms. [See Best Probiotics For Sinusitis for details on results and products used.]

Lessons Learned Over the Past Eleven Years:

1) Lactobacillus sakei alone is enough to treat sinus infections or sinusitis. It helps with all the associated symptoms: mucus dripping down the throat (post-nasal drip), sinus pressure, sinus headaches, earaches and coughs from sinusitis, etc.

2) Using L. sakei (whether in kimchi or Lanto Sinus) should take about a minute! No fancy methods or protocols needed.

3) Only use L. sakei when needed. This means when there are sinus symptoms (e.g., lots of mucus, post nasal drip) or you're sliding towards sinusitis. No need to wait till the sinus infection is full-blown.

4) Stop using it when feeling better. Don't use it daily or as a preventive, but only when needed. There are many species of microbes living in the sinuses, so you don't want to flood the sinuses with just one species for weeks on end.

5) After using it for a few days, evaluate whether you can stop or whether you need to keep using it longer. The sinuses frequently keep improving and rebalancing after stopping L. sakei.  One can always use more if needed.

6) People use L. sakei products (e.g., Lanto Sinus) all sorts of ways. Can mix the powder with bottled/sterile water and dab/smear in nostrils (regular use). Or swish alone in the mouth - a gentle and cautious method. Or use it with saline nasal irrigation - a strong way to use. Yes, you can use less than the recommended dosage.

Please note: The only way kimchi (the juice) has an effect is by dabbing or smearing a little in the nostrils.

7) Don't overdo it. Using a little bit in the nostrils (as described in Sinusitis Treatment Summary) is sufficient. Let the little buggers travel on their own throughout the sinuses!

8) L. sakei normally lives in healthy sinuses, which is why it is such an effective sinus infection treatment for so many people. L. sakei overpowers or dominates over harmful (pathogenic bacteria), and so researchers are now studying its use for a variety of health conditions.

9) Over time a person typically needs less L. sakei to treat sinus symptoms. The L. sakei colonizes in the sinuses (can be short-term or long-term). Weeks or months can go by without needing to use it again.

10) When L. sakei works for a person, it can feel miraculous as sinusitis symptoms disappear, frequently within a few days. Others have slower improvement. Unfortunately, it doesn't work for everyone and only self-experimentation determines whether it does and how best to use it.

11) It is OK to do ordinary nasal irrigation once or twice a day on same day as using L. sakei product. Also OK, if needed, are nasal corticosteroids (e.g., Flonase), decongestants (e.g., Sudafed), and guaifenesin (e.g., Mucinex).

12) Every person's sinus and respiratory microbiome is a little different, which is why finding what works for a person is self-experimentation.

13) After using L. sakei in any product (e.g., kimchi) for an extended time, can start feeling like it's not working well anymore or some sinus symptoms may appear (e.g., mucus). This could be overuse or too much of a product - that is, flooding the respiratory system with too much of whatever you're using, and now need to add a little bit of other beneficial bacteria.

Simply stop using the product and try adding some other microbes into the respiratory system for a day or two or even more if needed - this will help rebalance the sinuses. Open a multistrain probiotic capsule and swish the powder in the mouth. [See Sinusitis Treatment Summary] Lactobacillus and Bifidobacterium species are OK to use - they are normally found in our bodies in tiny amounts.

This first happened in 2013 when I kept using kimchi even when sinuses felt healthy - I thought I needed a boost several times a week. Nope. After many months I started developing sinus symptoms and only switching to a different type of kimchi got rid of the symptoms. Over the years I've done this with every L. sakei product, and adding other microbes for a day or more solved the problem, and I could go back to the original product when next needed.

14) One possibility why sinus infections keep occurring over the years, even if less frequently, is because other bacterial species are also diminished in those with sinus infections (as shown by sinus microbiome studies). And these species are not available in probiotics.

15) People report that using L. sakei has helped bacterial conditions other than sinusitis. This includes earaches, coughs (bronchitis), tonsil stones. Sounds like lots of self-experimentation going on!

Good health!

Over the years I've received many questions about vegan versus kimchi that contains seafood. Are the microbes in the kimchi the same?

One reason this is an important question is because at certain stages of kimchi fermentation the beneficial bacteria Lactobacillus sakei (which treat sinusitis in many people) appears for a time. And during that time when L.sakei is present, dabbing a little kimchi juice in the nostrils helps and treats many individuals with sinusitis. Amazing, yes?

Many people prefer to treat sinusitis with vegan kimchi - which is also my personal preference. I don't want to worry about what is in the seafood used in kimchi. Therefore, it's vegan kimchi for me.

Earlier studies have suggested that even though kimchi is made with cabbage, the L. sakei grows from the surface of raw garlic used in making  the kimchi. From the M.A. Zabat et al (2018) study:

"Because kimchi is made without the use of a starter culture, the raw ingredients play a key role in establishing the bacterial community that is responsible for fermenting kimchi (Jung et al., 2011; Lee et al., 2015)".

"Large amounts of garlic are associated with more kimchi-associated LAB [lactic acid bacteria] in the final product (Lee et al., 2015)." [Note: L. sakei is one of the lactic acid bacteria in kimchi]

This is why the 2018 study, which I just read, is so interesting. The researchers found that both vegan (no seafood)and kimchi made with seafood (e.g., fish sauce) contain the same microbes after fermentation. They may have started out with different populations of microbes, but during fermentation the microbes become similar.

"We found that, despite initial differences in microbial composition between vegan and non-vegan kimchi, there was no notable difference in the final products. Ultimately, the microbial community of both vegan and non-vegan kimchi is dominated by Lactobacillaceae and Leuconostocaceae, and lacks the Enterobacteriaceae found in the fish sauce or miso paste."

Well... that's a relief. What kimchi you choose to eat and use as a sinusitis treatment is personal preference. It's all good. And yes, fermented foods such as kimchi are great for the gut microbiome. They increase gut microbial diversity (good!) and reduce inflammation.

From Physics News: Vegan and traditional kimchi have same microbes, study finds

Good news, vegans: A new study finds that kimchi made without fish products has the same type of bacteria as more traditionally made kimchi. That finding suggests that any "probiotic" benefits associated with traditional kimchi could be present in vegan versions as well. ...continue reading "Kimchi Made With Seafood and Vegan Kimchi Contain the Same Microbes"

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It is now my eleventh year of successfully treating sinus infections with only the probiotic Lactobacillus sakei. This includes regular sinus infections, chronic sinusitis, and even when there are just a few sinus symptoms (you know, the gradual slide toward sinusitis). No antibiotics and no antibacterials in all this time! Yes, it still feels miraculous!

Studies show that the beneficial bacteria Lactobacillus sakei occurs naturally (in tiny amounts) in healthy sinuses, but is depleted or missing in those with sinusitis. It is normal for a community of bacteria, viruses, fungi to live in the sinuses - this is the sinus microbiome.

My journey started in the winter of 2013 after reading research in late 2012 about L. sakei. I started with kimchi back then, but in the last few years I've used the product Lanto Sinus, which contains a kimchi-derived strain of Lactobacillus sakei.

Since starting this blog in 2013, I have heard from hundreds of people and the majority agree that L. sakei works great as a sinus treatment! Other probiotic species just don't work, even though they may help with some symptoms. [See Best Probiotics For Sinusitis for details on results and products used.]

Lessons Learned Over the Past Decade:

1) Lactobacillus sakei alone is enough to treat sinus infections or sinusitis. It helps with all the associated symptoms: mucus dripping down the throat (post-nasal drip), sinus pressure, sinus headaches, earaches and coughs from sinusitis, etc.

2) Using L. sakei (whether in kimchi or Lanto Sinus) should take about a minute! No fancy methods or protocols needed.

3) Only use L. sakei when needed. This means when there are sinus symptoms (e.g., lots of mucus, post nasal drip) or you're sliding towards sinusitis. No need to wait till the sinus infection is full-blown.

4) Stop using it when feeling better. Don't use it daily or as a preventive, but only when needed. There are many species of microbes living in the sinuses, so you don't want to flood the sinuses with just one species for weeks on end.

5) After using it for a few days, evaluate whether you can stop or whether you need to keep using it longer. The sinuses frequently keep improving and rebalancing after stopping L. sakei.  One can always use more if needed. ...continue reading "Ten Plus Years of Successfully Treating Sinus Infections With Probiotics"

People ask me: what's going on with research in the treatment of sinusitis with probiotics? Well, the answer is that things are moving along slowly - very slowly, but there are good signs.

Earlier this year an interesting article by researcher Anders U. Cervin at the University of Queensland (Australia) was published that specifically talked about "topical probiotics" as a potential treatment for chronic sinusitis. By this he means that probiotics (beneficial bacteria) could be directly applied to the nasal passages in the nose, such as a nasal spray. And he discussed how the prevailing view nowadays, based on scientific evidence, is that in sinusitis there is an "imbalance of the sinus microbiome" - the community of microbes living in the sinuses. Yes!!!

Cervin mentioned all sorts of research showing beneficial effects of using different strains of probiotics for various illnesses, mentioned the Abreu et al study (which is the reason I focused on Lactobacillus sakei as a sinusitis treatment, and which works successfully for many people), but.... nowhere did he mention Lactobacillus sakei by name. What??? There are already excellent L. sakei probiotics out there for chronic sinusitis treatment such as Lanto Sinus.

Cervin discusses how studies are needed to test nasal sprays for the treatment of sinusitis, and made a lot of good points. He looked at studies already done, wondered what bacterial strains might be beneficial, but obviously didn't read the Abreu et al study carefully to see that L. sakei might be a good candidate to test.

And Cervin didn't do an internet search to see what probiotics people are using already as a successful treatment for sinusitis (see Sinusitis Treatment Summary page). He did mention that the only good trial using nasal spray probiotics in humans with sinusitis found no effect - because they tested the wrong Lactobacillus strains - they were honeybee strains, and not ones found in humans.

Eh... So once again I'm heartened by the focus on the microbial community in sinusitis, and heartened that he said there it was time to get out of the laboratory and start testing probiotics as treatments on people. But I'm dismayed that the focus is so narrow that he's missing what is in front of him - what is already out there. He also missed that a "snot transplant" study is now going on in Europe, which is sure to have interesting results.

By the way, some of the questions the article raises are ones which, based on the experiences of myself and others over the past 5 years, we can already answer: living bacteria as a treatment are better than dead bacteria (using dead bacteria doesn't work), nasal treatments work but just swallowing a probiotic pill doesn't, Lactobacillus sakei works as a treatment for many, the L. sakei bacteria reduces inflammation in the nasal passages, the probiotic can be used in place of an antibiotic, and only treat when needed and not continuously (continuously treating can also result in an imbalance in the sinus microbiome). [See post The Best Probiotic For Sinus Infections where these issues are discussed and the best L. sakei products.] ...continue reading "Researcher Sees Potential for Sinusitis Nasal Probiotics"