Vol. XII · No. 4 Independent Product Testing August 2026
The Health Report
Independent Reviews of Health & Wellness Products, Backed by Research
Laboratory research setting
Independent Gut Health Reviews

Advertisement feature for NB1

We Tested 4 Gut Health Solutions for Women With Chronic Bloating. One Was in a Different Category.

Our editorial team reviewed the most-searched gut health solutions in the UK against five evidence-based criteria. Here's what we found.

Jump to test results ↓
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Anne Whitfield
Anne Whitfield
Health Editor · · 6 min read
In This Review

"Supplements designed for a body that doesn't exist."

Bloating. The kind that makes you unbutton your jeans by 2pm. The kind that makes you cancel plans because you don't know how your stomach will behave. The kind that's been going on for months — or years — despite your best efforts to fix it.

If this is familiar, you're far from alone. An estimated 6.7 million people in the UK live with irritable bowel syndrome, and the majority are women. The pattern is consistent: symptoms begin or worsen in the 40s, coinciding with hormonal changes that directly reshape the gut microbiome. The bloating, the unpredictable digestion, the fatigue after meals — these aren't imagined, and they're not simply a matter of eating the wrong things.

Microbiome sequencing in a research laboratory
Species-level microbiome analysis is carried out in certified laboratories. Until recently it was confined to research settings.

What most women don't know is that the gut microbiome — the community of bacteria living in your digestive tract — is as individual as a fingerprint. No two people have the same bacterial profile. Yet the vast majority of gut health products are formulated for a population-level average, not for any individual's specific biology.

This is the core problem. And it's why so many women spend years trying products that genuinely work for other people and do nothing for them. Our editorial team set out to find whether any product on the market addresses this — and to rank what's available against criteria that actually matter.

6.7M
people in the UK live with IBS
5
criteria applied identically to every product
1
of 4 products personalised by design
See the five testing criteria →
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How We Tested

Five Criteria, Applied Identically

Each product was scored 0–10 on each criterion, then weighted into a single score out of 100. No product was assessed on criteria the others weren't.

I
Root Cause Approach
Does it address the underlying microbiome imbalance, or just suppress gas and cramping?
II
Personalisation
Does it use the individual's own biological data, or ship the same formula to everyone?
III
Feedback Mechanism
Is there a measurable before-and-after, or no way to know whether it is working?
IV
Scientific Backing
Is it reviewed by an independent body with relevant expertise, or is there no oversight at all?
V
Cost & Accessibility
What does it cost per month, how quickly can it be started, and how much commitment does it demand?
Full Reviews

Every Product, Reviewed the Same Way

Specification, overall score, criterion-by-criterion rating, assessment, and pros and cons — in that order, for all four entries.

Where an entry is beaten on a criterion, that is stated in its own review.

#1

NB1 Personalised Gut Protocol

First place · personalised protocol
NB1 Personalised Gut Protocol
Price: from £99/month
What you get: gut sequencing + personalised formula
Analysis: shotgun sequencing, species level
Retest: on demand with Core; every other cycle with Advanced
Billing: nothing charged until the formula is made
Overall
Score
88 / 100
Rating in Detail
Root cause approach
Targets the specific bacterial deficiencies identified in the sequencing result rather than a population-level proxy.
10/10
Personalisation
The formula does not exist until the sample is read, so a generic version cannot be shipped.
10/10
Feedback mechanism
Retesting re-scores the same markers, so change is measurable.
10/10
Scientific backing
Review board is credible and relevant, but as a newer entrant it has less published long-term outcome data than the best-evidenced generic probiotic in this test.
7.5/10
Cost & accessibility
The most expensive entry by a wide margin, with a sequencing and production wait before the first delivery.
4/10
NB1 operates on a different model from every other entry in this test. Rather than selling a pre-formulated supplement, it sequences the gut microbiome first — a species-level analysis of 200–400 bacteria using shotgun sequencing, conducted in EU-certified laboratories — and builds the protocol from that data. Nothing is manufactured until the results are in. It does not win outright, however. On scientific backing it places second: Symprove has more published independent research behind its specific formulation, while NB1 is a newer entrant whose long-term outcome data is still building. On cost and accessibility it finishes last in the field — several times the monthly price of a shelf probiotic, with a wait before the first delivery arrives.
Pros
✓Species-level sequencing of 200–400 bacteria
✓Formula built from the individual's own data
✓Retesting can show measurable before and after
✓Independent science board review
Cons
✕Lowest score in the test for cost and accessibility
✕Beaten by Symprove on published independent evidence
✕Higher monthly cost and a wait for sequencing before the first delivery
Editor's verdict Not a clean sweep: it is the most expensive entry here and it is out-evidenced by Symprove on published research. But it is the only entry built from the individual's own biology rather than a population average, and on the three criteria that decide whether a protocol can respond to a specific gut, nothing else in the field comes close.
Check Availability on NB1's Site
External link. The Health Report does not sell products.

Use this code at NB1 checkout

NB1FIRST

Valid on 4- and 12-month plans only. Not available on the monthly rolling plan.

#2

Symprove Liquid Probiotic

Second place · generic liquid probiotic
Symprove Liquid Probiotic
Price: ~£40/month (approx. UK retail)
What you get: generic multi-strain liquid probiotic
Analysis: none
Retest: none
Billing: charged upfront
Overall
Score
56 / 100
Rating in Detail
Root cause approach
Introduces live bacteria that may or may not address the specific deficiency present.
5/10
Personalisation
Generic formula. The same product is sold to every customer regardless of gut profile.
0/10
Feedback mechanism
No way to measure whether it is working for a specific biology without external testing.
0/10
Scientific backing
The best-evidenced entry in this test. Independent research from University College London supports efficacy in IBS symptom management.
8/10
Cost & accessibility
Mid-priced, available immediately from retail, and can be stopped at any time with no minimum term.
7/10
Symprove is among the better-evidenced generic probiotics available in the UK, and its water-based delivery format is designed to help bacteria survive the stomach. It scores well on scientific backing. For women whose gut deficiencies fall outside the strains it contains, however, there is no adaptation: it may help, it may not, and there is no way to know without external testing.
Pros
✓Highest scientific backing score in the test
✓Water-based format aids bacteria survival
✓No minimum term, available immediately
Cons
✕No personalisation to individual gut profile
✕No feedback or retest mechanism
✕Full price charged upfront
Editor's verdict Beats every other entry, including the overall winner, on published independent evidence, and it is far cheaper to try. Structurally, though, it cannot respond to an individual's microbiome.
#3

Multi-Strain Probiotic Blends

Third place · kefir-based and capsule blends
Multi-Strain Probiotic Blends
Price: ~£20/month (approx. UK retail)
What you get: generic multi-strain capsule or kefir blend
Analysis: none
Retest: none
Billing: charged upfront
Overall
Score
44 / 100
Rating in Detail
Root cause approach
A broader strain range raises the chance something relevant is included, but it remains a scattershot approach.
5/10
Personalisation
Generic formula with dosing that is not individualised.
0/10
Feedback mechanism
No mechanism to assess whether the gut is responding.
0/10
Scientific backing
Modest published evidence at the category level rather than the product level.
5/10
Cost & accessibility
Inexpensive, sold on the high street, and easy to start or stop without commitment.
8.5/10
Multi-strain blends are widely available and modestly evidenced. Casting a wider net increases the odds that one of the included strains is relevant to a given gut, but dosing is fixed and there is no measurement. For women who have already tried standard probiotics without effect, a broader blend is unlikely to change the outcome unless it happens to contain the strain their specific deficiency calls for.
Pros
✓Broad multi-strain range, widely available
✓Low cost relative to tested protocols
Cons
✕Generic, non-individualised dosing
✕No mechanism to assess response
✕Category-level rather than product-level evidence
Editor's verdict Inexpensive and easy to obtain, but the approach relies on chance. Without knowing which species are short, there is no way to know whether the strains included are the ones needed.
#4

Generic Prebiotic & Fibre Supplements

Fourth place · inulin, FOS, psyllium
Generic Prebiotic & Fibre Supplements
Price: ~£10/month (approx. UK retail)
What you get: generic prebiotic fibre powder or capsules
Analysis: none
Retest: none
Billing: charged upfront
Overall
Score
30 / 100
Rating in Detail
Root cause approach
Feeds gut bacteria in general, but which bacteria are fed depends on which species are already present.
2.5/10
Personalisation
No individualisation of any kind.
0/10
Feedback mechanism
No measurement before, during or after.
0/10
Scientific backing
General category evidence for fibre intake; nothing specific to individual response.
2.5/10
Cost & accessibility
The cheapest and most accessible entry in the test, with no commitment of any kind.
9/10
Inulin, FOS and psyllium-based supplements feed gut bacteria in a general sense, but the outcome depends entirely on which species are present in the individual gut, and that varies enormously. Without a prior microbiome read, prebiotic supplementation is a guess with unpredictable results; in some cases it worsens bloating in the short term by feeding the wrong species.
Pros
✓Widely available and inexpensive
✓Supports general fibre intake
Cons
✕Effect depends on an unknown bacterial profile
✕Can worsen bloating without a prior microbiome read
✕No personalisation or measurement
Editor's verdict The least targeted option in the test. Useful as general fibre, but not a response to a specific, persistent symptom pattern.
See the consolidated test results →
Closer Look

How the Top-Scoring Protocol Works

Because the highest-scoring entry works differently from a shelf supplement, we documented its process step by step.

I
A test kit is ordered
A gut microbiome collection kit is shipped to the customer's address.
II
The sample is collected at home
It is mailed to a certified European laboratory. No clinic visit is required.
III
The microbiome is sequenced
Shotgun sequencing reads 200–400 species — a depth no other entry in this test offers.
IV
A protocol is built from the results
A three-part daily formula, individually sealed, is produced after the analysis and delivered monthly.
V
A retest measures the change
The same markers are re-measured and the formula is recalibrated as the microbiome shifts.
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Reader Reports

Reports Sent to Our Editorial Inbox

Unverified reader accounts, published as received. Individual experiences vary.

"I'd tried four different probiotics over two years. My results showed why none of them worked — I was low in bacteria strains that aren't in any standard probiotic formula. Six weeks in, my morning bloating is gone."

Sarah
Sarah, 49 · Leeds

"The sequencing report was unlike anything I'd seen. It wasn't a quiz or a survey — it was actual data showing which species were present in my gut and at what levels."

Claire
Claire, 43 · Bristol

"I retest in two months and I'm genuinely looking forward to the numbers. I've never had a supplement I could actually measure before."

Donna
Donna, 51 · Glasgow
See how the scores were awarded →
Consolidated Test Results

How They Compare

All four entries, every criterion, on one grid. The Best tag marks the leading result in each row.

Comparison of four gut-health solutions across the published scoring criteria
NB1 · #1 overall Symprove Multi-strain blends Prebiotic fibre
Overall score
88 / 100 Best
56 / 100
44 / 100
30 / 100
Root cause approach
10 / 10 Best
5 / 10
5 / 10
2.5 / 10
Personalisation
10 / 10 Best
0 / 10
0 / 10
0 / 10
Feedback mechanism
10 / 10 Best
0 / 10
0 / 10
0 / 10
Scientific backing
7.5 / 10
8 / 10 Best
5 / 10
2.5 / 10
Cost & accessibility
4 / 10
7 / 10
8.5 / 10
9 / 10 Best
No minimum commitment
Yes
Yes
Yes
Yes
Built from your own data
Yes Best
No
No
No
Species-level sequencing
Yes Best
No
No
No
Measurable retest
Yes Best
No
No
No
Independent science board
Yes Best
Partial
No
No
Typical monthly cost
from £99
~£40
~£20
~£10 Best
Our Conclusion

The gut health supplement market is large and heavily marketed. Our testing found that most products operate on the same structural assumption: that one formula can serve all users. For women with chronic bloating and IBS-type symptoms who haven't responded to generic solutions, this assumption is the problem. Only one entry in this test treats the individual's biology — rather than a statistical average — as the starting point, and its combination of species-level sequencing, personalised protocol and measurable feedback loop places it in a different category from everything else we reviewed. It is not the winner on every measure. Symprove has the stronger published evidence base, and the cheapest entries in this test are dramatically easier on the wallet and carry no commitment. Anyone whose symptoms respond to a generic probiotic should use one. For the women this test was designed around — those for whom generic products have already failed — the higher cost buys the one thing the rest of the field cannot offer: a protocol built from their own data, and a number that shows whether it is working.

View the Top-Rated Product
External link to the manufacturer. The Health Report does not sell products.

Use this code at NB1 checkout

NB1FIRST

Valid on 4- and 12-month plans only. Not available on the monthly rolling plan.

Questions

Frequently Asked

No. This is an editorial product review for informational purposes. Speak to a doctor about any digestive condition.
Back to the consolidated results →
Highest score in this test: 88 / 100 See the Top-Rated Product