A systematic review of 18 randomised controlled trials covering 819 healthy adults concluded that probiotic supplements have only a limited effect on circulating immune and inflammatory markers; 8 trials reported some changes, but the evidence was too inconsistent to size any effect.
What it shows: A solid basis for scepticism: this sweep of all the trials in healthy adults, 819 people across 18 studies, found the results so inconsistent that they could not even be combined into a single estimate. It says nothing about people with illness, where probiotics may behave differently.Systematic review · J Acad Nutr Diet