Dr. Amy Nett: This is a really good question. I like it because I don’t have a clear answer, and I think it depends a little bit on the person you’re dealing with. Some people like taking supplements. Some people, I think, just feel better having a cabinet full of supplements and taking some here and there. I think prebiotics are one that I don’t generally recommend them as an essential maintenance supplement, but if someone kind of prefers to take supplements, then, yeah, I might include it. If someone is following a Paleo diet, they don’t have GI issues like constipation, then I would say you could probably tell them, “OK, just be aware of your food sources of prebiotics, so your FODMAPs, resistant starch, and if you’re getting a good variety of green bananas and plantains and that sort of thing, then you probably don’t need to supplement, necessarily.” But a lot of us probably aren’t getting quite as much as we should in the way of fiber. I don’t have a specific number of grams that I recommend to patients, so you have to kind of play this one by ear. When patients are kind of saying, “OK, I feel great. Thanks so much. What should I take for maintenance supplements?” the two that I normally recommend are cod liver oil and magnesium. That’s kind of the most general answer in terms of maintenance supplements. Those are the two unless there are more specific indications, so prebiotics aren’t generally there. When I recommend prebiotics, it would be more if someone took antibiotics or they got sick or there’s more of an acute GI issue or change in health. That might be a place to bring them in, but I don’t know that they really need to be a maintenance thing. Personally I do like to take a supplemental form. I’ll do a variety of PHGG or there are those tiger nuts that have a lot of resistant starch, so I do kind of like the idea of keeping that variety in there, but for patients who really want to just minimize their long-term supplements, just emphasize variety, and if they’re eating out a lot or have a kind of rut in their diet where it’s not an optimal diet, maybe that’s the time to bring in prebiotics. But in general, no, I probably don’t go there.