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    Health Benefits of Fermented Foods

    They can help protect your gut and ward off chronic illness

    several fermented foods including yogurt, kimchi, and sourdough bread.
    Kimchi, sauerkraut, kombucha, sourdough bread, and yogurt are all examples of fermented foods.
    Photo: Getty Images

    Yogurt, sauerkraut, and sourdough bread may not seem to have a lot in common. But they’re all the product of fermentation, a centuries-old process that generally involves adding microbes such as bacteria, yeast, or mold to foods to help preserve them.

    It turns out those microbes can do more. Studies suggest that eating certain fermented foods may help promote a healthy gut, lower blood pressure, and reduce the risk of heart disease and type 2 diabetes. But you have to pick the right kinds for these benefits, which can be tricky unless you know what to look for.

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    The Power of Microbes

    The microbes used in fermentation can alter food so that it becomes tastier, more digestible, or more nutritious. For instance, the yeast and bacteria that go into making sourdough bread not only give it its tangy flavor but also slow its digestion—reducing its effect on blood sugar—and increase the absorption of minerals like magnesium and zinc. Bacteria used in yogurt-making break down lactose in the milk, which makes the yogurt suitable for those with lactose intolerance.

    More on Healthy Eating

    In many cases, the microbes die after they ferment food. The broader health-protective benefits appear to come mainly from fermented food that has live microbes, says Moneek Madra, PhD, an assistant professor of nutrition at the Institute of Human Nutrition at Columbia University in New York City. These include yogurt, kefir, buttermilk, kimchi, sauerkraut, certain pickled vegetables, tempeh, and kombucha.

    Some of the microbes are probiotic bacteria, which support the trillions of “good” bacteria that live in your gut. These compounds help maintain the intestinal lining, regulate the immune system, prevent or cut short respiratory infections, and ease the symptoms of irritable bowel syndrome (IBS).

    A 2023 study published in the Journal of Nutrition that followed 46,091 people over 17 years found that every 3½ ounces (about a half-cup) of fermented food consumed each day led to increasing reductions in systolic blood pressure (the top BP number), triglycerides, and waist circumference, and a rise in HDL (“good”) cholesterol. According to a 2022 review in the journal Nutrients, probiotics can also synthesize vitamins, such as folic acid and vitamin B12.

    Fermented Foods to Try

    “There’s no official recommended daily intake for fermented foods,” says Emily Ho, PhD, director of the Linus Pauling Institute at Oregon State University in Corvallis, but consuming them regularly seems like a good move. Follow these suggestions on the fermented foods to look for and how to add them to your diet.

    Start slowly and increase gradually. Fermented foods can cause reflux, gas, or bloating in some people if too many servings are added to their diet at once, Madra says. Try a yogurt and berry smoothie for breakfast or add a side of crunchy kimchi to your salad at lunch. Dinner could be crumbled tempeh with brown rice and veggies.

    Prioritize dairy. Yogurt in particular has been linked to a lower risk of cardiovascular disease and type 2 diabetes, a reduced waist size, and better gut health and immune function. Scan labels for “live active cultures,” and look for plain, unsweetened varieties to avoid excess added sugars.

    Shop in the refrigerated section. Some microbes die when they’re heated or kept at room temperature. So for probiotics, buy refrigerated versions of kimchi, sauerkraut, pickled vegetables, and kombucha that say “probiotics” or “live active cultures” on their labels. Shelf-stable versions don’t have probiotics, nor do vegetables pickled in vinegar. To get the benefits of live cultures, choose pickled cucumbers, beets, and other veggies that have been brined (preserved in salt and water).

    Editor’s Note: This article also appeared in the June 2025 issue of Consumer Reports On Health.


    Janet Lee

    Janet Lee

    Janet Lee, LAc, is an acupuncturist and a freelance writer in Kansas who contributes to Consumer Reports on a range of health-related topics. She has been covering health, fitness, and nutrition for the past 25 years as a writer and editor. She's certified by the National Academy of Sports Medicine and Yoga Alliance, and is a trained Spinning instructor.