Ritual Synbiotic+, the Ritual probiotic most people search for, pairs two well-studied probiotic strains, Lactobacillus rhamnosus GG (LGG) and Bifidobacterium animalis subsp. lactis BB-12, with a bacteriophage blend and 300 mg of tributyrin[1]. The strains have long research records. The finished capsule does not: its only registered trial finished in September 2026 with no results posted[2].
This review covers what is in the capsule, what each ingredient was tested for and in whom, side effects, cost per day, and how it compares with Seed and Culturelle.
Bottom line: Synbiotic+ is clearly labeled and built on two strains with real human evidence. Its other two ingredients, the phage "prebiotic" and the tributyrin "postbiotic", rest on small studies funded by the ingredient maker or on lab models[3][4]. If you want a probiotic for a specific goal, a product tested for that goal is a better bet, and some cost a third as much per day[5].
How we reviewed Ritual Synbiotic+
- We retrieved the Supplement Facts, directions and prices from Ritual's product page on 26 October 2026[1].
- We searched ClinicalTrials.gov for trials of Synbiotic+ with Ritual as a sponsor or collaborator and found one[2].
- We read the human trials and reviews behind each ingredient, plus the ISAPP consensus definitions of synbiotics and postbiotics[6][7].
- We did not test the product hands-on, and Biome Guide has no affiliate relationship with Ritual, Seed or Culturelle.
What is in Ritual Synbiotic+?
One capsule a day delivers three active ingredients inside a capsule-within-a-capsule[1]:
| Component | Amount per capsule | What it is |
|---|---|---|
| Probiotic blend: LGG and BB-12 (Bifidobacterium animalis ssp. lactis) | 40 mg, 11 billion CFU at expiration | Two live bacterial strains, supplied by Chr. Hansen |
| PreforPro | 15 mg | Four bacteriophages (LH01, LL5, T4D, LL12), supplied by Deerland |
| Tributyrin (CoreBiome) | 300 mg | A butyrate precursor, supplied by Compound Solutions |
| Capsule and other ingredients | 1 capsule | Acid-resistant outer capsule (hypromellose, gellan gum), inner capsule, MCT oil, silica, cellulose |
Ritual states the CFU count at the expiration date, not at manufacture[1]. That is the practice ISAPP advises and NIH's Office of Dietary Supplements highlights, because counts fall over a product's shelf life[8]. The label does not say how the 11 billion CFU splits between the two strains[1]. Our CFU guide explains how to read these numbers.
Ritual describes the outer layer as a delayed-release capsule designed to reach the colon rather than dissolve in the stomach. The capsule is vegan, shelf stable, and free of gluten and major allergens, and each bottle holds a scent tab infused with essential oil, which gives the capsules their mint flavor[1].
What is a synbiotic supplement?
The International Scientific Association for Probiotics and Prebiotics (ISAPP) defines a synbiotic as "a mixture comprising live microorganisms and substrate(s) selectively utilized by host microorganisms that confers a health benefit on the host"[6]. The same panel says a product with evidence only for each component, and not for the combination, "should not be called a synbiotic" until the mixture itself shows a health benefit in people[6].
By that standard, Synbiotic+ is waiting on its own data[2]. For the basics, see our guide to prebiotics vs. probiotics.
The "prebiotic" here is also not a fiber. Bacteriophages are viruses that attach to a specific bacterium, insert their genetic material and burst the cell[3]. The PreforPro blend targets Escherichia coli[9][3].
Is tributyrin a postbiotic?
Ritual calls tributyrin its postbiotic and says it fuels gut lining cells and gut barrier function[1]. ISAPP defines a postbiotic as "a preparation of inanimate microorganisms and/or their components that confers a health benefit on the host", and it states that purified microbial metabolites, including short-chain fatty acids, are not postbiotics[7]. Tributyrin is more accurately a butyrate supplement: a precursor that resists stomach acid and is converted to butyrate by pancreatic enzymes[4]. Our postbiotics guide covers what does qualify.
Does Ritual Synbiotic+ work? What the evidence shows
No published trial has tested Synbiotic+ itself[2]. Its claims rest on separate studies of each ingredient, ranging from decades of trials for LGG to lab models for tributyrin:
| Ingredient | Best human evidence we found | Main caveat |
|---|---|---|
| LGG | Meta-analysis of 12 trials (1,499 people): fewer cases of antibiotic-associated diarrhea[10] | Significant in children, not in adults overall |
| BB-12 | Trial of 1,248 adults with infrequent bowel movements: more bowel movements per week[11] | No better than placebo for abdominal discomfort |
| PreforPro phages | Three small trials in healthy adults[12][9][3] | Paired with a different strain (BL04); no significant difference between groups |
| Tributyrin, 300 mg | No human trial found; a lab gut model only[4] | Lab and animal models are not validated as predictive[6] |
The finished-product trial
Colorado State University ran a 12-week, double-blind, placebo-controlled trial of Synbiotic+ in 103 women aged 25 to 65 with moderate digestive symptoms, with Ritual as collaborator. It measured symptom scores, stool form and frequency, stool short-chain fatty acids, and whether LGG and BB-12 turn up in stool[2]. The study was completed on 3 September 2026, and the registry showed no posted results when we checked in October 2026[2].
Until results are published, there is no finished-product evidence to weigh. The trial also enrolled only women, so it will say little about Ritual probiotic use in men[2].
LGG: strong for some uses, not all
LGG was the first Lactobacillus strain to be patented, in 1989, chosen because it survives stomach acid and bile and sticks to gut cells[13]. Our L. rhamnosus GG profile covers its uses in detail.
Its best-known use is preventing antibiotic-associated diarrhea. In a meta-analysis of 12 randomized trials, LGG cut the risk from 22.4% to 12.3%. The benefit was clear in children but not statistically significant in adults overall, except in people taking antibiotics for Helicobacter pylori eradication[10].
BB-12: regularity, mostly in people who go less often
BB-12 appears in more than 300 publications, including over 130 human studies, according to a review by scientists at Chr. Hansen[14], the company that supplies it to Ritual[1]. In smaller trials, its effect on stool frequency showed up mainly in people prone to constipation[14].
The largest trial gave 1,248 adults with infrequent bowel movements and abdominal discomfort 1 or 10 billion CFU of BB-12, or placebo, for 4 weeks. BB-12 raised the average number of bowel movements, and both doses worked about equally. It did not beat placebo for relief of abdominal discomfort, and its main responder measure narrowly missed significance[11].
See our B. animalis subsp. lactis profile and our guide to probiotics for constipation.
PreforPro: three small trials
In a 28-day crossover trial, 32 adults with digestive complaints completed both the phages and a placebo[12]. The phages were safe and well tolerated, but symptoms improved on placebo too[12]. A second trial found the phages lowered fecal E. coli without changing overall microbiome diversity, with fewer microbes related to Clostridium perfringens[9].
The PHAGE-2 trial randomized 68 healthy adults to placebo, the probiotic B. lactis BL04, or BL04 plus PreforPro for 4 weeks[3]. The combination improved a gut inflammation symptom score within its own group, but the differences between groups were not significant[3]. Deerland, which makes PreforPro, funded the study, and the strain tested was BL04, not BB-12[3].
Tributyrin: a lab model, not a human trial
In a simulated digestive system, 41% to 49% of a CoreBiome dose turned into butyrate in the small intestine, and the rest reached the simulated colon intact. Over 3 weeks in that colon model, it raised butyrate and the abundance of Bifidobacterium and Akkermansia muciniphila, and it protected the gut barrier in a cell model. These are lab results from researchers at ProDigest, a Belgian company, not human data[4].
Ritual says tributyrin has been clinically studied at 300 mg[1]. We searched for a published human trial at that dose and found only animal, cell and lab studies.
How do probiotics affect gut health in healthy adults?
Less than marketing suggests. A 2026 meta-analysis of randomized trials in healthy people (22 studies, 1,068 participants) found probiotics did not change gut microbiome diversity on any of four standard measures[15]. Effects depend on the strain: a benefit from one Lactobacillus does not necessarily carry over to another[16]. That is why our ranking of the best probiotic strains by clinical evidence sorts by strain and goal, not by brand.
Is Ritual a good, trustworthy probiotic brand?
On labeling and testing, Ritual does more than most brands. On proof that this product works, the evidence is not in yet. Ritual markets Synbiotic+ as science-backed and "Made Traceable"[1]; here is what that covers.
- Strains named: both strains carry their strain codes, which is what links a product to research[1][16].
- Count at expiration: the 11 billion CFU is guaranteed through the expiration date[1].
- Supply chain: Ritual names each supplier and manufacturing location[1].
- Testing: Ritual says each lot is third-party tested for heavy metals, microbes and major allergens, and lists Non-GMO Project and Clean Label Project certifications[1].
These points matter because the FDA does not test supplements before they are sold[17], and some probiotic products have contained microbes not listed on the label[16]. Ritual's gut and immune claims carry an asterisk because they are structure/function claims the FDA has not evaluated[17][1].
What are the potential side effects of taking Ritual Synbiotic+?
Mild digestive changes are the most likely. Ritual lists minor gas, bloating or stomach rumbling when starting, and advises seeing a healthcare professional if they last beyond two weeks[1]. In PHAGE-2, about 12% of participants reported adverse events, all mild or moderate, including constipation, bloating and gas[3].
Probiotics have a long record of apparently safe use in healthy people, but few studies have tracked side effects in detail[16]. The risk of harm is higher in people with severe illness or a weakened immune system, and possible harms include infections[16]. Our guide to probiotic side effects covers what is normal and what is not.
Which probiotic is better, Seed or Ritual?
Neither is better for everyone. The choice is between Ritual's two well-known strains plus extras, and Seed's 24 strains in a two-capsule dose[1][18]. Culturelle Digestive Daily, which contains LGG alone, is the budget comparison[5].
| Ritual Synbiotic+ | Seed DS-01 | Culturelle Digestive Daily | |
|---|---|---|---|
| Probiotic strains | 2 (LGG, BB-12) | 24 | 1 (LGG) |
| Count per daily dose | 11 billion CFU | 53.6 billion AFU | 10 billion CFU |
| Capsules per day | 1 | 2 | 1 |
| Count measured at | Expiration | Not stated on page we read | Expiration |
| Price, 30-day supply | $54.00 subscription | $49.99 subscription | $17.99 |
| Cost per day | $1.80 | $1.67 | $0.60 |
Prices and counts come from each maker's website, retrieved in October 2026[1][18][5].
Key differences between Seed and Ritual Synbiotic+
- Breadth vs. depth: Seed spreads its count across 24 strains; Ritual uses two of the most studied single strains[18][14][13].
- Product evidence: Seed describes DS-01 as clinically validated for bloating, gas and irregularity[18]; our Seed review examines those trials. Ritual's product trial has no published results yet[2].
- Extras: only Ritual adds bacteriophages and tributyrin, the two ingredients with the thinnest human evidence[3][4].
If LGG is the ingredient you want, Culturelle delivers 10 billion CFU of it for about a third of Ritual's daily cost[5][1]. Our Culturelle review covers its evidence.
Is Ritual Synbiotic+ actually worth it?
It depends on what you are paying for. A subscription costs $54.00 a month, or $1.80 a day; a one-time bottle costs $61.36 plus $10.99 shipping[1]. New subscribers were offered 20% off the first order when we checked, and Ritual offers a 30-day money-back guarantee[1].
The case for paying: one capsule, named strains, a count guaranteed at expiration and disclosed testing. The case against: part of the price buys phages and tributyrin, which lack human evidence at these doses[3][4]. BB-12's regularity benefit appeared at 1 billion CFU a day, with no added gain at 10 billion[11].
Who should consider Ritual Synbiotic+, and who should skip it?
It may suit you if you are a healthy adult who wants a simple daily probiotic with named strains and transparent labeling, and you accept that the combination is unproven. People with occasional infrequent bowel movements have the most relevant strain evidence, from BB-12[11].
Skip it, or ask a clinician first, if you:
- have a weakened immune system or a serious illness, where probiotic risks are higher[16];
- are pregnant or nursing: Ritual advises checking with your practitioner, and its trial excluded pregnant and breastfeeding people[1][2];
- have a diagnosed digestive condition such as IBS, or new symptoms: NIH advises against using probiotics as a reason to postpone care[16];
- are on a tight budget: LGG alone costs about $0.60 a day[5].
Can you get these strains from food instead?
Partly. BB-12 came from Chr. Hansen's collection of dairy cultures, and several of its bowel-function trials gave it in fermented milk rather than capsules[14]. A food only delivers a specific strain if its label names it.
Our probiotic foods guide lists options, and our microbiome supplements comparison shows how Synbiotic+ stacks up against other gut products.
This article is for general educational purposes and is not medical advice. Product details and prices were retrieved from the manufacturers' websites in October 2026 and may change. Talk to a qualified healthcare professional before starting a probiotic, particularly if you are pregnant, immunocompromised, taking prescription medication, or managing a diagnosed condition.
Frequently Asked Questions
Is Ritual Synbiotic+ FDA approved?
No, and no dietary supplement is. Under US law, the FDA does not have the authority to approve dietary supplements before they are sold, and it generally does not approve their labels or claims. Ritual is responsible for the product's safety and for having evidence that its claims are truthful. That is why Synbiotic+'s gut and immune claims carry an asterisk pointing to the statement that the FDA has not evaluated them.
Is Ritual probiotic safe during pregnancy?
Ritual says Synbiotic+ was evaluated in a safety study for pregnant and nursing women, but it still recommends checking with your healthcare practitioner first. That safety study is not described on the product page, and the only registered trial of Synbiotic+ excluded pregnant and breastfeeding people. Ask your obstetric clinician before starting it, especially if you have other health conditions.
What's the best time of day to take probiotics like Ritual?
For Synbiotic+, Ritual says the time does not matter: take one capsule a day, morning or evening, with or without food. Taking it at the same time each day mainly helps you remember it. If you are also taking an antibiotic, timing questions are different; our guide to when to take probiotics covers spacing and meals in more detail.
How long should you take probiotics before judging Ritual Synbiotic+?
Give it about 4 weeks before deciding. The large BB-12 trial ran for 4 weeks, the PreforPro trials ran for 4 weeks, and the Synbiotic+ trial ran for 12 weeks. Ritual notes that probiotics stay in the gut only for days to weeks, so any effect depends on taking it daily. If you notice no change after a month, the product may simply not suit your goal.
Should you have a break from taking probiotics, or take them every day?
There is no set rule. Probiotics have a long record of apparently safe use in healthy people, and Ritual notes that the strains stay in the gut only for days to weeks, so benefits depend on steady use. A break costs nothing but may end whatever effect you had. Stop and ask a clinician if symptoms persist, or if you develop a serious illness or weakened immune system.
Should I take a probiotic with Macrobid (nitrofurantoin)?
Ask the prescriber; do not change how you take the antibiotic. For LGG, one of Synbiotic+'s two strains, a meta-analysis found it lowered antibiotic-associated diarrhea overall, but the benefit was significant in children and not in adults as a group. No study we read tested Synbiotic+ with nitrofurantoin. Our guide to probiotics with antibiotics covers which strains have the strongest evidence.
What is the best probiotic or synbiotic brand on the market now?
No single brand is best, because probiotic effects depend on the strain and the condition. A better test is whether the label names each strain, states the count at expiration, and whether that product or strain was tested for your goal. Our ranking of the best probiotic strains by clinical evidence compares the main options, and our reviews of Seed and Culturelle cover two common alternatives to Ritual.
What are the signs you need probiotics?
There is no reliable symptom that shows you need a probiotic. In healthy people, probiotics did not change gut microbiome diversity in a 2026 meta-analysis of randomized trials. Ongoing bloating, a change in bowel habits or abdominal pain are reasons to see a clinician, not to self-treat; NIH advises against using probiotics as a reason to put off care.
References
- Ritual. Synbiotic+. Ritual (manufacturer website), retrieved October 2026. 2026. Available at: https://ritual.com/products/synbiotic-plus-for-gut-health ↩
- Colorado State University; Ritual. Ritual Synbiotic+, a Dietary Supplement Designed to Impact Gastrointestinal Health, Mood, and Behavior in Women (NCT06834984). ClinicalTrials.gov registry record (API), last updated September 2026. 2026. Available at: https://clinicaltrials.gov/api/v2/studies/NCT06834984 ↩
- Grubb DS, Wrigley SD, Freedman KE, et al.. PHAGE-2 Study: Supplemental Bacteriophages Extend Bifidobacterium animalis subsp. lactis BL04 Benefits on Gut Health and Microbiota in Healthy Adults. Nutrients. 2020;12(8):2474. doi:10.3390/nu12082474 ↩
- Duysburgh C, Verstrepen L, Van Meulebroek L, Marzorati M. Tributyrin (CoreBiome) enhances butyrate levels and modulates the gut microbiota, barrier function, and immune response in vitro. Front Nutr. 2025;12:1712993. doi:10.3389/fnut.2025.1712993 ↩
- Culturelle. Digestive Daily Probiotic Capsules. Culturelle (manufacturer website), retrieved October 2026. 2026. Available at: https://culturelle.com/products/digestive-daily-probiotic ↩
- Swanson KS, Gibson GR, Hutkins R, et al.. The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of synbiotics. Nat Rev Gastroenterol Hepatol. 2020;17(11):687-701. doi:10.1038/s41575-020-0344-2 ↩
- Salminen S, Collado MC, Endo A, et al.. The International Scientific Association of Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of postbiotics. Nat Rev Gastroenterol Hepatol. 2021;18(9):649-667. doi:10.1038/s41575-021-00440-6 ↩
- NIH Office of Dietary Supplements. Probiotics: Fact Sheet for Health Professionals. National Institutes of Health. 2026. Available at: https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/ ↩
- Febvre HP, Rao S, Gindin M, et al.. PHAGE Study: Effects of Supplemental Bacteriophage Intake on Inflammation and Gut Microbiota in Healthy Adults. Nutrients. 2019;11(3):666. doi:10.3390/nu11030666 ↩
- Szajewska H, Kołodziej M. Systematic review with meta-analysis: Lactobacillus rhamnosus GG in the prevention of antibiotic-associated diarrhoea in children and adults. Aliment Pharmacol Ther. 2015;42(10):1149-1157. doi:10.1111/apt.13404 ↩
- Eskesen D, Jespersen L, Michelsen B, Whorwell PJ, Müller-Lissner S, Morberg CM. Effect of the probiotic strain Bifidobacterium animalis subsp. lactis, BB-12, on defecation frequency in healthy subjects with low defecation frequency and abdominal discomfort: a randomised, double-blind, placebo-controlled, parallel-group trial. Br J Nutr. 2015;114(10):1638-1646. doi:10.1017/S0007114515003347 ↩
- Gindin M, Febvre HP, Rao S, Wallace TC, Weir TL. Bacteriophage for Gastrointestinal Health (PHAGE) Study: Evaluating the Safety and Tolerability of Supplemental Bacteriophage Consumption. J Am Coll Nutr. 2019;38(1):68-75. doi:10.1080/07315724.2018.1483783 ↩
- Capurso L. Thirty Years of Lactobacillus rhamnosus GG: A Review. J Clin Gastroenterol. 2019;53(Suppl 1):S1-S41. doi:10.1097/MCG.0000000000001170 ↩
- Jungersen M, Wind A, Johansen E, Christensen JE, Stuer-Lauridsen B, Eskesen D. The Science behind the Probiotic Strain Bifidobacterium animalis subsp. lactis BB-12. Microorganisms. 2014;2(2):92-110. doi:10.3390/microorganisms2020092 ↩
- Éliás AJ, Földvári-Nagy KC, Al-Gharati YZ, et al.. Effect of probiotic supplementation on the gut microbiota diversity in healthy populations: a systematic review and meta-analysis of randomised controlled trials. BMC Med. 2026;24(1):71. doi:10.1186/s12916-025-04602-0 ↩
- National Center for Complementary and Integrative Health. Probiotics: Usefulness and Safety. National Institutes of Health. 2026. Available at: https://www.nccih.nih.gov/health/probiotics-usefulness-and-safety ↩
- US Food and Drug Administration. Questions and Answers on Dietary Supplements. US Food and Drug Administration. 2026. Available at: https://www.fda.gov/food/information-consumers-using-dietary-supplements/questions-and-answers-dietary-supplements ↩
- Seed Health. DS-01 Daily Synbiotic. Seed Health (manufacturer website), retrieved October 2026. 2026. Available at: https://seed.com/daily-synbiotic ↩