Healthcare Professional FAQ

HCP - Recommending Bimuno

What is Bimuno?

Bimuno® is a unique B-GOS mixture that combines a prebiotic, immune modulatory, anti-pathogenic and low grade anti-inflammatory effect.

There are four different Bimuno products. These are: Bimuno® POWDER, TRAVELAID, IBAID and IMMUNAID.

Who can take Bimuno?

Customers and patients who could benefit from helping to maintain their immune, digestive and gut travel health and general wellbeing. Those aged 55 years or over or have depleted beneficial bacteria (particularly immunity boosting bifidobacteria) could particularly benefit from Bimuno.

How should my customers or patients take Bimuno?

Bimuno® POWDER: This is the original product available in convenient powder single dose sachets.

For Immune Health Maintenance: Children 12 years and over and adults, 1 sachet (5.5g) daily. For children 3 to 11 years of age ½ a sachet daily (2.75g). Since the benefits build over time, a daily intake is recommended.

For Digestive Health Maintenance: For children from the age of 3 years and for adults, ½ a sachet (2.75g) daily. Since the benefits build over time, a daily intake is recommended.

Bimuno powder can be added and stirred into everyday food and drink such as cereal, coffee or tea. For easy dispersion we recommend mixing into a hot beverage.

Bimuno® IBAID: Available in pleasant soft chewable pastilles

Adults and children 4 years and over: two pastilles a day, ideally after breakfast; take one pastille immediately after the other. Since the benefits build over time, a daily intake is recommended.

Bimuno® IMMUNAID: Available in pleasant soft chewable pastilles

Adults and children aged 4 years and over: two pastilles a day, ideally after breakfast; take one pastille immediately after the other. Since the benefits build over time, a daily intake is recommended.

Bimuno® TRAVELAID: Available in pleasant soft chewable pastilles

Adults and children 6 years and over: three pastilles a day, ideally after breakfast; take one pastille immediately after the other. It is recommended pastilles are taken daily seven days before travel and each day whilst abroad.

Is Bimuno a medicinal product?

Bimuno®’s legal status is that of a food supplement. It is not available on prescription and is free from any pharmacy supervisory restrictions. Healthcare Professionals can recommend Bimuno to their customers and patients. Note: Bimuno® is not a medicine and is not intended to prevent or treat medical conditions or their symptoms.

Are there any side effects associated with Bimuno?

Bimuno® is a health food ingredient of natural origin. Its safety has been confirmed in scientific studies.

The recommended servings should be observed at all times. Although no adverse effects have been reported, milk allergy sufferers should exercise caution when taking Bimuno for the first time.

Lactose intolerance sufferers should also exercise caution when first taking Bimuno®. Lactose doses of less than 12g per day are likely to be tolerated by most of the population of lactose deficient adults… EFSA Journal (2007) 565,1-6 and EFSA Journal 2010;8(9):1777.

There is also published evidence that up to13.3g lactose can be tolerated without developing symptoms (Suarez et al NEJM 1995 333 1-4). 

Is Bimuno safe to take long term?

Bimuno® can be taken daily on a regular basis. Bimuno is a health food ingredient of natural origin. Its safety has been confirmed in scientific studies. The recommended servings should be observed at all times.

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Where can my customers or patients buy Bimuno from?

In the UK, the complete Bimuno® range is available online at Bimuno.com as well as Boots nationwide.

Bimuno® is also available in Ireland and in Hong Kong and there are plans to launch it in other markets around the world. A number of UK Travel Clinics also recommend and sell Bimuno to their customers to help them maintain their gut health while travelling.

 

The complete Bimuno® range is available online at Bimuno.com. Boots as well as number of travel clinics also recommend and sell Bimuno® to their customers to help them maintain their gut health while abroad.

HCP - Prebiotic facts

What is the difference between probiotics and prebiotics?

Probiotics are beneficial live bacteria which when taken in adequate quantities can confer a health benefit. They are commercially available as dietary supplements or foods.

Prebiotics are carbohydrates that act as food for the gut’s probiotic (beneficial) bacteria. Prebiotics are not destroyed or digested in the stomach or small intestine and therefore reach the colon where they exert a positive effect on the resident beneficial probiotic bacteria so as to confer a health benefit.

What are the benefits of prebiotics over probiotics?

As probiotic supplements and foods contain live bacteria, they need to survive the passage through the upper gastrointestinal tract, the acidity of the stomach, secretions of the small intestine and then compete with existing bacteria for colonisation sites in the large intestine (colon). According to research published by the Food Standards Agency in 2005, not all commercially available probiotic products can claim to survive this passage and colonise at an effective rate.

Prebiotics are ‘non-digestible’. This means that they reach the large intestine where they exert a beneficial effect on the resident beneficial probiotic bacteria so as to confer a health benefit. The latest in Key Opinion Leader thinking is that it is preferable to feed our indigenous beneficial microflora (prebiotic effect) as opposed to adding manufactured strains of beneficial bacteria into our eco-system (probiotic effect).

How many different types of Prebiotics are there?

Prebiotics fall into three categories. These are Fructo-oligosaccharides (FOS), Galacto-oligosaccharides (GOS) and Lactulose.

Prebiotics are either 1st generation or 2nd generation. FOS, GOS (except B-GOS) and Lactulose prebiotics are classed as 1st generation. There is only one 2nd generation prebiotic. This is referred to as B-GOS.

1st generation prebiotics are selective at the genus level. In other words they are fermented at the family group level (e.g. by Bifidobacteria or Lactobacillus) and produce a prebiotic effect (increase the number and activity of the beneficial bacteria) or bifidogenic effect (increase the number and strength of the Bifidobacteria).

2nd generation prebiotics are tailor made to offer selectivity at species level (e.g. by Bifidobacterium bifidum) and also offer added functionality i.e. anti-adhesive or anti-pathogenic properties.

How does Bimuno differ from other prebiotics?

Bimuno® is the result of intensive research & development including peer reviewed, clinical trials conducted in collaboration with the University of Reading’s Food Microbial Sciences Unit and other globally recognized research institutes.

Bimuno was first launched in the UK market as the only 2nd generation prebiotic with documented added functionality over other prebiotics and also probiotic foods and supplements. Its unique structure, one that is similar to human milk oligosaccharides (HMOS) established it as the world’s most advanced prebiotic.

Recent clinical trials prove that Bimuno’s unique properties go well beyond its advanced prebiotic action.

Bimuno acts via a triple mode of action in the gut. It has been proven to:

  1. Positively rebalance gut microflora by selectively promoting health-promoting bacteria (bifidobacteria)
  2. Prevent adhesion of bacterial pathogens, thereby helping protect against infections
  3. Help combat chronic inflammation (via its direct action with the immune system) that causes many debilitating, long term illnesses.

HCP - Health Advice

Is Bimuno suitable for children?

Bimuno® in its powdered form is suitable for children aged 3 years and above – while the pastille formulation is recommended for those of 4 years (Bimuno® IMMUNAID and IBAID) and 6 years (Bimuno® TRAVELAID) to reduce the likelihood of choking.

Is Bimuno suitable for diabetics?

Bimuno® has been available in the UK since March 2007. To date, there have been no reported cases of adverse reactions involving diabetic patients. The content of Bimuno®’s monosaccharides (glucose and galactose) is clinically modest.

Is Bimuno suitable for people suffering from milk allergy or lactose intolerance?

Although no adverse effects have been reported, milk allergy or lactose intolerance sufferers should exercise caution when first taking Bimuno®. The milk protein content is negligible, under 1% for the powder and under 0.5% for the pastilles. Although no adverse effects have been reported, it can represent a problem for extreme serious allergies.

The lactose content of Bimuno® varies from 0.36g to 1.5g per daily dose, dependent on the Bimuno® product recommended. This is a small amount. There is published evidence that up to 13.3g lactose can be tolerated without developing symptoms (Suarez et al. NEJM 1995 333 1-4).  This compares with the Food Standards Agency’s figure of 12g. It should be noted that lactose doses of less than 12g per day are likely to be tolerated by most of the population of lactose deficient adults. EFSA Journal (2007)565.1-6. and EFSA Journal 1010;8(9):1777.

Will Bimuno interfere with prescribed medication?

Bimuno® is a food supplement of natural origins and there are no reported cases, to date, of interactions with medicines.

Can I recommend Bimuno to be taken while on a course of antibiotics?

Bimuno® is normally recommended to be taken before or during the course of antibiotics.

HCP - Nutritional Issues

Is Bimuno suitable for vegetarians?

Bimuno® Powder is suitable for vegetarians. It is not suitable for vegans.

Bimuno® TRAVELAID, IMMUNAID and IBAID are not suitable for vegetarians nor vegans.

Is Bimuno suitable for Kosher and Halal diets?

Bimuno® (pastilles) TRAVELAID, IMMUNAID and IBAID are suitable.

Bimuno® Powder is not suitable for Kosher or Halal diets. 

Is Bimuno gluten free?

Yes, Bimuno® is suitable for people with gluten free diets.

Does Bimuno contain artificial colours or flavourings?

Bimuno® is a health food supplement of natural origin. It is free from artificial colours, flavours and preservatives.

How many calories does Bimuno contain?

At the recommended daily dosage the calorific content of Bimuno® is as follows:
Bimuno® Powder: 15kcal
Bimuno® IBAID: 13kcal
Bimuno® IMMUNAID: 13kcal
Bimuno® TRAVELAID: 26kcal

How much sugar does Bimuno contain?

At the recommended daily dosage the sugar content of Bimuno® is as follows:
Bimuno® Powder: 1.9g
Bimuno® IBAID: 1.6g
Bimuno® IMMUNAID: 1.6g
Bimuno® TRAVELAID: 3.1g

How much fat does Bimuno contain?

At the recommended daily dosage the fat content of Bimuno® is as follows:
Bimuno® Powder: 0.03g
Bimuno® IBAID: 0.0g
Bimuno® IMMUNAID: 0.0g
Bimuno® TRAVELAID: 0.0g

How much lactose does Bimuno contain?

At the recommended daily dosage the lactose content of Bimuno® is as follows:
Bimuno® Powder: 1.5g
Bimuno® IBAID: 0.36g
Bimuno® IMMUNAID: 0.36g
Bimuno® TRAVELAID: 0.71g

It should be noted that lactose doses of less than 10g per day are likely to be tolerated by most of the population of lactose deficient adults. EFSA Journal (2007) 565.1-6.

Can Bimuno Powder be added to food and drinks?

Bimuno® Powder can be added and stirred into everyday food and drink such as cereal, yoghurt, coffee or tea. For the best dispersion, recommend Bimuno® to be taken with the patient’s favourite hot drink. Bimuno® is flavour free and does not alter the taste of food or drink.

HCP - Digestive issues

Can I recommend Bimuno for gut health maintenance in customers visiting countries with a medium to high risk of Travellers’ Diarrhoea?

Bimuno® is not a medicine and is not indicated for prevention or treatment of medical conditions or their symptoms. In scientific studies, Bimuno® has been shown to help prevent the attachment of salmonella and e.coli pathogenic bacteria in the gut. In another scientific study (Drakoularakou A et al) Bimuno®, compared to placebo, was shown to help maintain the gut health of holidaymakers.

Can I recommend Bimuno® for gut health maintenance?

Bimuno® is not a medicine and is not indicated for prevention or treatment of medical conditions or their symptoms. Bimuno’s prebiotic effect of positively balancing gut microflora has been shown to help maintain gut function.  In another two scientific studies, Bimuno was shown to help maintain gut health (Vulevic et al) and (Costabile et al). 

Can I recommend Bimuno for digestive health maintenance in Irritable Bowel Syndrome (IBS) sufferers?

Bimuno® is not a medicine and is not indicated for prevention or treatment of medical conditions or their symptoms. Bimuno®’s unique action and superior efficacy profile has demonstrated effectiveness in enhancing bifidobacterial levels and helping maintain gut health in IBS sufferers (Silk et al). There are also a number of Bimuno® scientific studies demonstrating a significant increase in the beneficial bacteria, Bifidobacteria, which are normally found in reduced numbers in IBS sufferers.

Bimuno® is not classed as a FODMAP, moreover as a low FODMAP diet has been shown to decrease the levels of bifidobacteria in IBS sufferers (Staudacher al), and given that Bimuno® has been shown to significantly increase bifidobacteria in IBS sufferers (Silk et al), Bimuno® may be a useful addition to a low FODMAP diet.

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