Benefits
Bowel comfort in trials of other B. coagulans strains
Two placebo-controlled trials in adults with IBS, using different B. coagulans strains, reported less bloating, abdominal pain and diarrhea and better stool consistency than placebo. A third added a B. coagulans and inulin capsule to a low-FODMAP diet and improved only the overall severity score beyond diet alone. None tested the Progestive strain.
Spore-forming species
Bacillus coagulans forms dormant spores. None of the cited trials measured how many cells of any strain reach the intestine, and nothing has been published on the survival of Progestive's spores.
Mechanism of action
Lactic acid production
Bacillus coagulans is a lactic acid-producing bacterium. The proposed mechanism is that lactic acid made in the gut may favor beneficial bacteria. This was not measured in the cited trials and has not been studied for the Progestive strain.
Spore form
The dormant spore form is thought to help the bacteria get through stomach acid and storage before germinating in the intestine. This has not been tested for Progestive.