Supplements for Inflammatory Bowel Disease

When I first started working with clients who have inflammatory bowel disease (IBD), I quickly learned how overwhelming the world of supplements can be for the average person. Every week, I’d hear questions like: “Should I be taking probiotics?”, “What about omega-3s?”, or “Is this turmeric supplement actually worth it?”  

As someone passionate about helping people heal and thrive, I realized that understanding which supplements are helpful and which ones are just hype is critical for managing IBD. Let me share what I’ve learned over the years, both from a research and real world point of view. 

First Things First: Supplements Aren’t a Cure  

Before diving into specifics, it’s important to understand that supplements are just that , supplements.. They’re not a replacement for a balanced, IBD-friendly diet or your prescribed medications. Think of them as something that “supplements” your diet, to fill gaps, manage symptoms, and support overall gut health.  

When deciding whether a supplement is right for you, consider three things:  

  1. Your IBD type (Crohn’s or ulcerative colitis)  
  2. The phase you’re in (flare, remission, or maintenance)  
  3. Your diet and unique nutrition needs

The Supplements I Often Recommend 

1. Probiotics: For Gut Balance  

Probiotics are live bacteria that can help rebalance your gut microbiome. Not all probiotics are created equal, though. For IBD, I’ve seen promising results with strains like Saccharomyces boulardii and Lactobacillus rhamnosus GG. These strains may help reduce inflammation and diarrhea, especially during or after antibiotic use.  

But here’s the catch: not everyone tolerates probiotics well. Start with a small dose and monitor how you feel.  

What I Tell My Clients:  “Think of probiotics as a team of tiny gut helpers. Sometimes they work wonders, but if your gut isn’t ready for them, they can stir up trouble. Listen to your body.”  

 2. Omega-3 Fatty Acids: For Inflammation

Found in fish oil or algae oil, omega-3s are anti-inflammatory powerhouses. Research suggests they may help reduce inflammation in people with IBD, particularly in Crohn’s disease. I recommend high-quality fish oil supplements with at least 1,000 mg of EPA and DHA per serving.  

Personal Note: “I’ve seen omega-3s work wonders for some of my clients in remission. One client called it her ‘gut peacekeeper.’ However, during flares, high doses of omega-3s can upset sensitive stomachs. Timing is everything.”  

 3. Vitamin D: For Immune Support  

Many people with IBD have low levels of vitamin D, and this vitamin is crucial for immune regulation and bone health. A simple blood test can reveal if you’re deficient. I typically recommend 2,000 IU daily, but the dose may vary depending on your levels.  

My Own Experience:  “Vitamin D is one of the first things I check when working with a new IBD client. I can’t count how many times optimizing their levels has boosted their energy and overall well-being.”  

 4. Turmeric (Curcumin): For Flare Management  

Curcumin, the active compound in turmeric, has potent anti-inflammatory properties. Studies suggest it can be particularly helpful for people with ulcerative colitis. Look for a supplement with enhanced bioavailability (such as one combined with black pepper extract).  

What I’ve Seen: “One of my clients swore by her daily turmeric latte. While it wasn’t a cure-all, she noticed fewer flare-ups when using a high-quality curcumin supplement alongside her treatment plan.”  

 5. Iron: For Energy Levels  

Anemia is a common issue in IBD, especially during flares. If your iron levels are low, supplementation can help restore your energy. However, oral iron supplements can irritate the gut, so I often recommend gentle forms like ferrous bisglycinate or consider discussing IV iron with your doctor if needed.  

Client Success Story: “One client with Crohn’s disease felt like she couldn’t get out of bed. After addressing her severe iron deficiency, it was like watching her come back to life. It’s moments like these that remind me why I do this work.”  

Supplements to Approach with Caution  

Not all supplements are helpful—or safe—for people with IBD. For example:  

– Fiber Supplements: The type or amount of fiber may worsen symptoms, especially in a flare.

– Magnesium: Some forms of magesium can cause loose stools.

– “Gut Healing” Powders: Many are expensive, contain too many ingredients that can be difficult to absorb or you may tolerate some ingredients and not others.

If a supplement claims to “cure” IBD, it’s best to be skeptical. Always consult your healthcare provider before trying something new.  

My Final Thoughts  

Choosing supplements for IBD can feel like navigating a maze. My advice? Start with one, focus on quality over quantity, and listen to your body. Supplements can be a powerful addition to your IBD management plan, but they work best when combined with a nutrient-rich diet, stress management, and proper medical care.  

If you’re unsure where to begin, consider booking an appointment with me for personalized feedback or visit my supplement store at Fullscript for discounted supplements.