194
hydroxyl- methyl- glutaryl-Coenzyme-A reductase in liver and conversion of cholesterol into bile acid and enzymatic deconjugation of bile acid. In this deconjugation,
bile acid enters into the intestine, then excreted in the faeces resulting in decrease in
the serum cholesterol level.
10.8 Conclusion
Probiotics, prebiotics and synbiotics help maintain eubiosis in the gut microflora.
They play a major role in improving the health status of the host individual by modifying gut pH, antagonizing pathogens through the production of antimicrobial compounds, competing for pathogen binding and receptor sites and stimulating
immunomodulatory cells. The probiotic needs food and the prebiotic fuel for its
perfect survival in the GIT.  Synbiotic i.e., using both prebiotic and probiotic,
increases the beneficial effects on the host’s cell. The use of probiotics, prebiotics
and synbiotics on certain diseased states like diabetes, dyslipidemia, cardiovascular
diseases, hypertension and cancer have been the subject of extensive research until
now. Probiotics can be an adjuvant treatment to various types of gastrointestinal
disorders like diarrhea, C. difficile colitis, necrotizing enterocolitis and inflammatory bowel disease. The use of probiotics, prebiotics and synbiotics hold the promise of improving outcomes in treatment of illnesses. However, an increased
understanding of their role in these disease states is important for the development
of medicine directed mostly to diet modification. As Hippocrates would put it, “Let
food be thy medicine and medicine be thy food.”
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