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Supplement × Supplement·Evidence index

Lactoferrin and Probiotics: what the research found

PubMed indexes 8 records that name Lactoferrin and Probiotics together, either in the title or in an interaction, co-administration, or pharmacokinetic context. The key findings come first, in the authors’ own words, followed by every study with its design and PubMed link.

A summary of published research, not medical advice. A pharmacist can check any combination against your full list of medicines and supplements.

Key findings

What the studies concluded.

Reviews and human studies first. Each quote is the authors’ own conclusion about their study, not a NutriStack assessment, and a single study is not a consensus.

“In this systematic review and NMA, moderate- to high-certainty evidence demonstrated an association between multistrain probiotics and reduction in all-cause mortality; these interventions were also associated with the best effectiveness for other key outcomes. Combination products, including single- and multiple-strain probiotics combined with prebiotics or lactoferrin, were associated with the largest reduction…”

Wang et al. · 2023 · Review or meta-analysis · details

“Bovine lactoferrin supplementation has minimal impact on microbiota composition/function in preterm infants receiving probiotics, and therefore, is unlikely to disrupt microbiota development.”

Grzywacz et al. · 2020 · Human study · details

“The results showed that symptoms (vaginal discharge and itching), Nugent score and recurrence rate were significantly improved by probiotics mixture in association with lactoferrin. This alternative approach may represent a safe and effective remedy for the restoration of healthy vaginal microbiota in preventing recurrent BV.”

The research

8 studies naming Lactoferrin and Probiotics.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Probiotics, Prebiotics, Lactoferrin, and Combination Products for Prevention of Mortality and Morbidity in Preterm Infants: A Systematic Review and Network Meta-Analysis.

JAMA pediatrics · 2023 · PMID 37782505

Network Meta-AnalysisSystematic ReviewHuman subjects

“In this systematic review and NMA, moderate- to high-certainty evidence demonstrated an association between multistrain probiotics and reduction in all-cause mortality; these interventions were also associated with the best effectiveness for other key outcomes. Combination products, including single- and multiple-strain probiotics combined with prebiotics or lactoferrin, were associated with the largest reduction in morbidity and mortality.”

Wang et al. · Authors' conclusion

Names both Lactoferrin and Probiotics in its title.

Bovine Lactoferrin Supplementation Does Not Disrupt Microbiota Development in Preterm Infants Receiving Probiotics.

Journal of pediatric gastroenterology and nutrition · 2020 · PMID 32404742

Randomized Controlled Trial

“Bovine lactoferrin supplementation has minimal impact on microbiota composition/function in preterm infants receiving probiotics, and therefore, is unlikely to disrupt microbiota development.”

Grzywacz et al. · Authors' conclusion

Names both Lactoferrin and Probiotics in its title.

Evidence-based mixture containing Lactobacillus strains and lactoferrin to prevent recurrent bacterial vaginosis: a double blind, placebo controlled, randomised clinical trial.

Beneficial microbes · 2019 · PMID 30525953

Multicenter StudyRandomized Controlled Trial

“The results showed that symptoms (vaginal discharge and itching), Nugent score and recurrence rate were significantly improved by probiotics mixture in association with lactoferrin. This alternative approach may represent a safe and effective remedy for the restoration of healthy vaginal microbiota in preventing recurrent BV.”

Russo et al. · From the abstract

Names both Lactoferrin and Probiotics in its title.

Effects of Probiotics and Lactoferrin on Necrotizing Enterocolitis in Preterm Infants.

Cureus · 2021 · PMID 34712533

“Of 134 infants who received probiotics and lactoferrin, 11 developed NEC, while 26 of the 150 infants in group 2 developed NEC, and the difference was statistically significant (p = 0.023). Conclusion Probiotics and lactoferrin given orally to very low birth weight preterm infants were associated with a decreased rate of NEC.”

Al-Alaiyan et al. · From the abstract

Names both Lactoferrin and Probiotics in its title.

Protective effects of the combination Bifidobacterium longum plus lactoferrin against NSAID-induced enteropathy.

Nutrition (Burbank, Los Angeles County, Calif.) · 2020 · PMID 31739175

Animal study

“Diclofenac induced ileal mucosal lesions by activation of inflammatory and pro-oxidant mechanisms. These detrimental actions were prevented by the combination of lactoferrin with Bifidobacterium likely through the modulation of TLR-2/-4/NF-κB proinflammatory pathways.”

Fornai et al. · Authors' conclusion

Names both Lactoferrin and Probiotics in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

How to read this page

A literature summary, not guidance.

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Lactoferrin, Probiotics, and several hundred other substances.

Log your routine, get reminders at the times you choose, and scan a label to add a product. The checker is a research and organisation tool, not a clinical decision aid.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.