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Written by Dr. Michael Ruscio, DC on May 1,
Written by Dr. Michael Ruscio, DC on May 1, — Reviewed by Hannah Wright
Butyrate has become a popular term in the world of gut health. Butyrate supplements are often marketed as solutions for gut issues, based on their potential benefits for the digestive system.
But does research back the benefits of butyrate supplements? Let’s take a look at butyrate, its functions, and whether upping your intake by taking supplemental butyrate will deliver on its promises.
Butyrate (butyric acid) is a short-chain fatty acid (SCFA). That means it’s a type of “good fat,” though it’s not widely found in food. Butter is the best food source, but most of the butyrate in our bodies is produced by bacteria in the bowels 1.
Beneficial gut bacteria in the colon ferment (break down) fiber and carbohydrates—prebiotics like resistant starch—that the gastrointestinal tract can’t digest. This fermentation process makes SCFAs as byproducts. Of these, butyrate is the most well-known, but other common SCFAs include propionate and acetate.
If you’re into the scientific details (like I am), some of the main bacteria responsible for producing butyrate—accounting for about 5–10% of bacteria in the human gut—include 2:
Butyrate-producing bacteria are key to gut health. The butyrate they make helps block harmful microbes from taking hold by keeping the gut environment low in oxygen, which harmful bacteria like Salmonella and E. coli need 3.
Butyrate also fuels gut cells and triggers the production of natural germ-fighting compounds like cathelicidins and reuterin. These substances help keep the balance of good microbes in check and prevent infections 3.
A popular theory is that taking probiotics will increase butyrate levels and improve gut health. But the research we have so far doesn’t strongly support that. Instead, studies suggest that probiotics may increase butyrate levels a little, but not enough to be meaningful 4 5 6.
Since the jury is still out on the benefits of supplementing with probiotics that make butyrate, what about supplementing with butyrate directly? Let’s break down where butyrate supplements (aka sodium butyrate) seem to provide benefit—and where they may be less than helpful.
They may improve weight and metabolic health.
A randomized controlled trial (gold standard of human studies) found that people with obesity who took sodium butyrate supplements for eight weeks had greater reductions in weight, BMI, waist size, blood sugar, and “bad” (LDL) cholesterol than those who took a placebo 7.
They may reduce symptoms of ulcerative colitis.
A randomized controlled trial showed that people with active ulcerative colitis—an inflammatory bowel disease (IBD)—who took sodium butyrate supplements for 12 weeks had lower inflammation, a healthier circadian rhythm, and better sleep and quality of life than those who took a placebo 8.
Another trial supported these findings: It found that sodium butyrate supplements can increase gut bacteria that produce anti-inflammatory SCFAs, which may reduce inflammation and improve quality of life for people with IBD 9.
They may support a healthier gut microbiome.
Randomized controlled trials show that sodium butyrate supplements can increase the levels of beneficial gut microbes such as Akkermansia muciniphila, Butyricicoccus, and Lachnospiraceae 9 10.
They may relieve symptoms of IBS.
A randomized controlled trial involving 60 patients with irritable bowel syndrome (IBS) found that those who took sodium butyrate for 12 weeks had less abdominal pain, constipation, and pain during bowel movements than those who took a placebo 11.
They may help reduce episodes of diverticulitis.
A randomized controlled trial found that diverticulosis patients who took sodium butyrate for 12 months had fewer diverticulitis episodes (acutely inflamed pouches in the intestine) and better quality of life than those who took a placebo 12.
They may protect against traveler’s diarrhea.
A randomized controlled trial found that travellers who took sodium butyrate and other SCFAs for three days before their trip—and while traveling—had fewer occurrences of traveller’s diarrhea than those who took a placebo 13.
Note that all these potential benefits are supported by well-designed studies, but they’re pretty small and sparse. That means we don’t yet have a large body of evidence showing that butyrate supplements are especially beneficial.
They may raise cholesterol and insulin in type 2 diabetes.
A randomized controlled trial showed that people with type 2 diabetes who took sodium butyrate for six weeks had lower blood pressure and blood sugar after meals, but they also had higher cholesterol and insulin compared to those who took a placebo. Though we need more studies to be sure, in this study butyrate supplements weren’t clearly better than placebo—in some ways they may have been worse 14.
Elevated butyrate is linked to worse metabolic health in some people.
An observational (data comparison) study found that people with higher butyrate levels in their poop samples were significantly associated with 15:
Note that this observational study cannot tell us whether:
Some researchers believe that butyrate may contribute to obesity, but until we understand how it works, we can’t make that call 16.
Because the research on supplementation is mixed, it might be better to simply get your butyrate the old-fashioned way—through your diet—before investing in a butyrate supplement.
As I mentioned earlier, butyrate isn’t found directly in food—instead, your gut bacteria make it by fermenting (breaking down) prebiotic fibers, particularly resistant starch. Here are some foods that are great sources of resistant starch:
*Tip for increasing resistant starch in potatoes and rice: Cooked and then thoroughly cooled rice and potatoes (such as leftovers) have more resistant starch than when they’re freshly prepared.
Additionally, eating a variety of fruits and vegetables rich in fermentable fibers can encourage a healthy population of butyrate-producing bacteria in your gut. Some examples include:
What does all this mean? There’s no simple equation that says high butyrate equals good gut health and low butyrate equals poor gut health.
In some cases, high butyrate levels might actually signal gut problems, like inflammation or a leaky gut 17 18.
What’s more, people with digestive issues might hear that butyrate is great and start loading up on fiber and prebiotic supplements to boost it—thinking it will help. But that can backfire.
Although a high-fiber diet is good for a healthy gut, it can make symptoms worse for people with sensitive guts or existing problems, like bloating or IBS.
Research shows that for many people with gut issues, particularly IBS, a low FODMAP diet (which restricts certain fermentable carbs and their fibers), can significantly reduce symptoms and improve gut health. This is true even though a low FODMAP diet can reduce the diversity of gut bacteria and how much butyrate they produce 19 20.
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So, although eating a high-fiber diet (which is also high in FODMAPs) might sound ideal in theory, real-world clinical evidence supports limiting certain fibers for those with sensitive or compromised guts. For example, an umbrella meta-analysis (a study of many meta-analyses) found that a low FODMAP diet can improve stool consistency, frequency, overall gut discomfort, and quality of life in people with IBS 21.
We have found this to be true in the clinic. After our clients follow a temporary low FODMAP diet (while taking probiotics and building a gut-supportive lifestyle) for 4–6 weeks, they start to tolerate foods that certain bacteria can use to make butyrate.
Every step—starting with this gentle diet and adding in probiotics (more on that next)—helps build a healthier gut, which becomes more capable of processing a diverse diet that feeds butyrate-producing bacteria.
Although the evidence for probiotics and butyrate supplements boosting butyrate levels is inconsistent, the research on the benefits of probiotics for gut problems is pretty solid.
Before experimenting with butyrate supplements for gut health, we recommend that our clients who struggle with inflammation, gut dysbiosis, and other gut issues take a well-formulated broad-spectrum probiotic supplement.
Why? Extensive research shows that probiotics can:
To choose a quality probiotic, look for one that is:
Butyrate undoubtedly plays an important role in gut health. For people with a healthy gut, eating a varied diet rich in plant fibers and prebiotics is usually enough to support natural butyrate production—no need for a butyrate supplement.
However, for those with gut problems like IBS, research shows that reducing fermentable carbs and fiber with a low FODMAP diet—while using probiotics—can help calm the gut. This makes it easier later on to handle a more varied diet that feeds the good bacteria that make butyrate.
If you’re looking for more gut health support, you can check out my book, Healthy Gut, Healthy You, which has a comprehensive step-by-step plan for gut healing. Or, for more individualized healthcare support, please reach out and request a consultation.
The Ruscio Institute has developed a range of high-quality formulations to help our clients and audience. If you’re interested in learning more about these products, please click here. Note that there are many other options available, and we encourage you to research which products may be right for you. The information on DrRuscio.com is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment.
Dr. Michael Ruscio is a DC, natural health provider, researcher, and clinician. He serves as an Adjunct Professor at the University of Bridgeport and has published numerous papers in scientific journals as well as the book Healthy Gut, Healthy You. He also founded the Ruscio Institute of Functional Health, where he helps patients with a wide range of GI conditions and serves as the Head of Research.In the early s Michel-Eugène Chevreul, a French organic chemist, first discovered butyric acid in its impure form while acidifying animal fat soaps. (Source)
Butyric acid, also known as butanoic acid, is a four-carbon short-chain fatty acid that is found in a number of foods and is also produced in our bodies. Its name comes from the ancient Greek word for butter.
Known as the “stinky fat,” butyric acid boasts an aromatic odor (to put it kindly) that has been described as both rancid butter and stale cheddar. It’s also responsible for the familiar lactic acid flavor that we often associate with fresh, homemade bread, butter, and yogurt.
Although butyric acid is naturally occurring in different types of dairy products, it's found in even greater amounts in the digestive tracts of humans and other mammals. The organic compound is produced when complex sugars are broken down during the process of fermentation. Its main function is to provide energy to cells of the colon, but it also supports the immune system with its powerful anti-inflammatory and antimicrobial properties.
In today's edition, we're exploring butyric acid, AKA the pungent, rancid odor that you might recognize from that time your butter went bad — and also a powerful healing nutrient in our bodies.
Butyric acid, also known as butanoic acid, is a short-chain, saturated fatty acid (SCFA) that is found in plant oils and animal fats, especially products such as butter, ghee, and raw milk. It’s also produced when carbohydrates like fiber are fermented by bacteria in the colon.
Butyric acid is the preferred fuel of your enterocytes, the cells that line the intestines. In other words, it's what your gut cells prefer to burn for energy. Estimates suggest that the compound provides your colon cells with about 70% of their energy needs. (Source)
Note: Although the terms “butyric acid” and “butyrate” are commonly used interchangeably even in the literature, scientifically speaking, the two compounds have slightly different structures (butyrate has one less proton than butyric acid). However, research appears to show that they have identical health benefits.
Butyric acid can also help support your immune function and keep your gut barrier healthy. It's known to have anti-inflammatory and anti-carcinogenic properties and to play a role in gut barrier function, immune system regulation, and metabolic regulation. (Source) That's why the compound has gained attention for its potential role in treating inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), and colorectal cancer. On the flip side, decreased butyrate concentrations and numbers of butyrate-producing bacteria have been linked with disorders, ranging from dysbiosis to strokes and even metabolic conditions. (Source, Source, Source, Source)
A diet high in fiber has long been considered a cornerstone of gut health, and now science is backing that up. Fiber promotes healthy intestinal flora and helps maintain healthy gut barrier function. It can also help reduce inflammation and insulin resistance, and may help reduce your risk of developing certain diseases, such as diabetes and heart disease.
As dietary fiber is fermented by bacteria in the gut, butyric acid is formed. Research suggests butyric acid in the gut helps kill colon cancer cells, making a high-fiber diet an important cancer prevention tool. (Source) Beyond that, butyrate can affect our brains by acting via the gut–brain axis. Through its ability to cross the blood–brain barrier, butyrate can activate the vagus nerve and hypothalamus, indirectly affecting appetite. (Source)
Thanks to its anti-inflammatory properties, butyrate can help control inflammation and modulate the immune response. In addition, butyric acid helps regulate the production and development of regulatory T cells in the colon, which are responsible for helping your body distinguish between itself and foreign invaders. Without the ability to tell self from nonself, the immune system may begin to attack your own tissues and organs, resulting in an autoimmune condition. (Source)
Related to immune function, butyrate also helps maintain healthy gut barrier function and prevent the incidence of leaky gut. (Source) Emerging evidence suggests there may be a link between butyrate and autoimmunity in humans as well. For example, people with type 1 diabetes — an autoimmune condition that affects the ability of the pancreas to produce insulin — have been found to have lower levels of butyrate-producing bacteria in their gut than those without diabetes. (Source)
Studies have revealed that butyric acid has a profound effect on the brain, ranging from memory and cognition issues to neurodegenerative diseases. In rat studies, butyrate stimulated the release of brain-derived neurotrophic factor (BDNF), a molecule that supports the growth and differentiation of healthy neurons in the brain. (Source) And in studies looking at animal models of Huntington’s disease and Parkinson’s disease, butyric acid has been shown to protect brain neurons from cell death and to extend the lifespan of mice with Huntington’s. (Source, Source)
Numerous studies have reported that butyrate metabolism is impaired in patients with IBD. (Source) Butyric acid has been shown to decrease colitis-associated intestinal inflammation and colon cancer in both animal and human models. In a small study looking at the effects of butyrate on Crohn’s disease, 69% of patients saw clinical improvements after treatment, with 53% of participants achieving remission. (Source)
Emerging evidence suggests that butyric acid may be a potential treatment option for IBS as well. (Source)
In one double-blind, randomized, placebo-controlled study, 66 adult patients with IBS took either a placebo or 300 milligrams of sodium butyrate (the sodium salt of butyric acid) per day, in addition to receiving standard therapy. Just four weeks into the 3-month study, researchers found that subjects who took the butyric acid had a statistically significant decrease in the frequency of abdominal pain during bowel movements. (Source)
One of the more controversial potential applications of butyric acid is its ability to impact insulin sensitivity and obesity. In many studies, butyrate has been shown to significantly improve insulin sensitivity and reduce insulin resistance in people with metabolic syndrome. (Source) Researchers believe that this may be a result of the compound's ability to increase GLP-1 (glucagon-like peptide-1) and PYY (peptide YY), hormones that help your body to control food intake and increase fat burning (Source, Source, Source).
However, although a large body of evidence has suggested that butyrate may attenuate obesity and insulin resistance, a few studies have shown the opposite effect. Therefore, more research is needed to understand the effects of butyrate on obesity.
Studies have shown that butyrate has multiple modes of action:
Butyrate is known to increase the expression of genes that promote the growth of gut cells and suppress genes that cause inflammation. It appears to do this by inhibiting histone deacetylase (HDAC), an enzyme that regulates gene expression. This protects the DNA wrapped around proteins called histones, which has led researchers to believe that butyrate has anti-inflammatory and anticancer effects in the gut. In other words, it prevents genes from getting damaged, rather helping them to survive and adapt. (Source)
As mentioned, butyric acid plays a key role in metabolism and mitochondrial activity. Not only does it serve as the primary source of fuel for colon cells, studies have also shown its ability to support energy homeostasis and promote mitochondrial activity in animal models. (Source) Researchers have also postulated that reduced glucose availability in the brain may contribute to mitochondrial dysfunction in acute and chronic neurological diseases, which could theoretically be supported via butyrate because of its effects on energy metabolism. (Source)
Research has shown that butyrate is a key regulator of microbiome health and helps to strengthen the gut barrier. As a major energy source for the cells that line the colon, butyrate is preferentially absorbed to repair damaged cells and support the growth of new ones. In effect, it also keeps harmful bacteria and endotoxins from passing through the intestinal wall into the bloodstream, which can help reduce inflammation and the risk for chronic disease. (Source)
G-protein-coupled receptors (GPCRs) are members of a large protein family that are activated by a variety of neurotransmitters, hormones, and drugs. GPCRs are involved in many important physiological functions, such as the regulation of cell growth and proliferation, hormone secretion, and neurotransmitter release.
They are a common target in medications, but interestingly butyrate has been found to signal through a GPCR receptor called GPR109a. Scientists believe that butyrate's triggering of GPR109a may be responsible for the compound’s anti-inflammatory and anti-carcinogenic effects. (Source)
Some of the food sources with the most naturally-occurring butyric acid include butter, ghee, parmesan cheese, and raw milk. (Source) Butter contains 3% to 4% butyric acid, making it the richest dietary source of butyrate. (Source) Some types of kombucha can also contain butyric acid as well. However, even the richest food sources contain relatively little of this fatty acid compared to the amount that can be created in the large intestine, so your best bet is to feed fiber to the microbes that generate butyrate in your gut.
Fructo-oligosaccharides (FOS) are a type of prebiotic, substances that promote the growth of beneficial bacteria in the colon, such as butyric acid. Other prebiotic superstars to consider incorporating into your diet include garlic, bananas, onions, leeks, and asparagus. One study in rats showed a high-FOS diet increased levels of butyrate in the large intestine while maintaining the levels of anaerobic bacteria. (Source)
Resistant starches are gut-friendly carbohydrates that feed the beneficial bacteria in your gut and help them thrive. As a bonus, they also increase butyrate production in the large intestine as they are fermented by other bacteria in the gut. The best way to get more butyrate is to eat prebiotic foods that are rich in resistant starch, such as artichokes, plantains, and cooked potatoes. (Source)
Although diet is typically the best way to increase butyrate production in the gut, if resistant starch isn't a staple in your diet you can also supplement with butyrate directly. It’s commonly found in fiber supplements and often sold as sodium butyrate. However, you may want to hold off if you’re pregnant or breastfeeding — one animal study found that giving pregnant and breastfeeding rats sodium butyrate led to insulin resistance and increased fat storage in their offspring. (Source)
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