In the realm of health and wellness, the concept of probiotics has gained immense popularity. These live microorganisms, when consumed in adequate amounts, confer myriad benefits to the human body. One area where probiotics have sparked significant interest is in addressing allergies, afflictions that affect millions of people worldwide. But do probiotics truly hold the key to alleviating allergy symptoms? This article delves into the scientific evidence to explore the potential of probiotics in mitigating the discomfort and distress associated with allergies.

Can Probiotics Alleviate Allergy Symptoms?

The relationship between probiotics and allergies is a complex and actively researched area. While there's no definitive answer yet on whether probiotics can cure allergies, emerging evidence suggests they may offer some benefits in managing allergy symptoms and preventing the development of allergies, particularly in infants and young children. The effectiveness varies greatly depending on the specific probiotic strain, the type of allergy, the individual's immune system, and the dosage. More research is needed to establish clear guidelines and confirm the efficacy of probiotic use for allergy management.

What are Probiotics and How Do They Work?

Probiotics are live microorganisms, primarily bacteria and yeasts, that are intended to have health benefits when consumed or applied to the body. They work by influencing the composition and function of the gut microbiota, the complex community of microorganisms residing in our intestines. A balanced gut microbiome is crucial for immune system regulation. By introducing beneficial bacteria, probiotics can help restore balance, potentially reducing inflammation and modulating immune responses that contribute to allergic reactions. Different strains of probiotics have different mechanisms of action, and their effects on allergies are likely strain-specific.

Probiotics and the Prevention of Allergies

Several studies suggest that administering certain probiotic strains during pregnancy or early infancy may reduce the risk of developing allergies like eczema, asthma, and food allergies in children. The theory is that introducing beneficial bacteria early in life can help establish a healthy gut microbiome, leading to a more balanced immune response and a reduced predisposition to allergies. However, the results have been inconsistent across studies, and more rigorous research is needed to definitively establish a causal link.

Probiotics and the Management of Existing Allergies

While the preventative benefits are more extensively studied, some research indicates that probiotics may also help manage existing allergic symptoms. Certain probiotic strains have shown potential in reducing the severity of allergic rhinitis (hay fever) symptoms, such as nasal congestion, sneezing, and itching. They may also alleviate some symptoms of food allergies, but the evidence is less conclusive. The mechanism may involve reducing inflammation and modulating the immune response to allergens.

Which Probiotic Strains Show Promise?

Not all probiotic strains are created equal. Some strains, like Lactobacillus rhamnosus and Bifidobacterium longum, have shown more promising results in allergy-related studies than others. However, the effectiveness is highly strain-specific, and the optimal strain for a particular allergy may vary depending on individual factors. It's important to note that the research on specific strains is still ongoing, and more studies are necessary to confirm their efficacy and safety.

Limitations and Considerations

It's crucial to acknowledge the limitations of current research. Many studies are small-scale, with inconsistent results. Furthermore, the effects of probiotics can vary significantly among individuals due to differences in gut microbiota composition, genetic predisposition, and other factors. Probiotics should not be considered a replacement for established allergy treatments. If you have allergies, it's essential to consult with a healthcare professional or allergist before using probiotics as a complementary therapy. They can help determine if probiotics are appropriate for you and advise on the appropriate strains and dosage.

Probiotic Strain	Potential Benefits	Limitations
Lactobacillus rhamnosus	May reduce eczema severity, improve immune response	Effectiveness varies, more research needed
Bifidobacterium longum	May reduce risk of atopic dermatitis, modulate immune response	Strain-specific effects, inconsistent results across studies
Lactobacillus casei	Potentially reduces allergic rhinitis symptoms	Limited evidence, more research required

Can Probiotics Alleviate Allergy Symptoms?

The relationship between probiotics and allergies is a complex and actively researched area. While there's no definitive answer yet on whether probiotics can cure allergies, emerging evidence suggests they may offer some benefits in managing allergy symptoms and preventing the development of allergies, particularly in infants and young children. The effectiveness varies greatly depending on the specific probiotic strain, the type of allergy, the individual's immune system, and the dosage. More research is needed to establish clear guidelines and confirm the efficacy of probiotic use for allergy management.

What are Probiotics and How Do They Work?

Probiotics are live microorganisms, primarily bacteria and yeasts, that are intended to have health benefits when consumed or applied to the body. They work by influencing the composition and function of the gut microbiota, the complex community of microorganisms residing in our intestines. A balanced gut microbiome is crucial for immune system regulation. By introducing beneficial bacteria, probiotics can help restore balance, potentially reducing inflammation and modulating immune responses that contribute to allergic reactions. Different strains of probiotics have different mechanisms of action, and their effects on allergies are likely strain-specific.

Probiotics and the Prevention of Allergies

Several studies suggest that administering certain probiotic strains during pregnancy or early infancy may reduce the risk of developing allergies like eczema, asthma, and food allergies in children. The theory is that introducing beneficial bacteria early in life can help establish a healthy gut microbiome, leading to a more balanced immune response and a reduced predisposition to allergies. However, the results have been inconsistent across studies, and more rigorous research is needed to definitively establish a causal link.

Probiotics and the Management of Existing Allergies

While the preventative benefits are more extensively studied, some research indicates that probiotics may also help manage existing allergic symptoms. Certain probiotic strains have shown potential in reducing the severity of allergic rhinitis (hay fever) symptoms, such as nasal congestion, sneezing, and itching. They may also alleviate some symptoms of food allergies, but the evidence is less conclusive. The mechanism may involve reducing inflammation and modulating the immune response to allergens.

Which Probiotic Strains Show Promise?

Not all probiotic strains are created equal. Some strains, like Lactobacillus rhamnosus and Bifidobacterium longum, have shown more promising results in allergy-related studies than others. However, the effectiveness is highly strain-specific, and the optimal strain for a particular allergy may vary depending on individual factors. It's important to note that the research on specific strains is still ongoing, and more studies are necessary to confirm their efficacy and safety.

Limitations and Considerations

It's crucial to acknowledge the limitations of current research. Many studies are small-scale, with inconsistent results. Furthermore, the effects of probiotics can vary significantly among individuals due to differences in gut microbiota composition, genetic predisposition, and other factors. Probiotics should not be considered a replacement for established allergy treatments. If you have allergies, it's essential to consult with a healthcare professional or allergist before using probiotics as a complementary therapy. They can help determine if probiotics are appropriate for you and advise on the appropriate strains and dosage.

Probiotic Strain	Potential Benefits	Limitations
Lactobacillus rhamnosus	May reduce eczema severity, improve immune response	Effectiveness varies, more research needed
Bifidobacterium longum	May reduce risk of atopic dermatitis, modulate immune response	Strain-specific effects, inconsistent results across studies
Lactobacillus casei	Potentially reduces allergic rhinitis symptoms	Limited evidence, more research required

Which probiotics are best for allergies?

Which Probiotics are Best for Allergies?

Research on probiotics for allergies is ongoing, and there's no single "best" probiotic for everyone. The effectiveness depends on various factors, including the specific allergy, the individual's gut microbiome, and the strain of probiotic used. While some promising results exist, more large-scale, well-designed studies are needed to definitively establish the efficacy of probiotics in allergy management. It's crucial to consult with a healthcare professional before starting any probiotic regimen, especially if you have pre-existing health conditions or are taking medications.

Specific Probiotic Strains Showing Promise

Several probiotic strains have demonstrated potential benefits in alleviating allergy symptoms in some studies. Lactobacillus and Bifidobacterium genera are frequently mentioned. However, the efficacy varies considerably depending on the specific species and strain. For example, Lactobacillus rhamnosus GG (LGG) and Lactobacillus reuteri have shown some positive results in reducing the severity of certain allergic reactions in certain individuals. It's important to note that these are just examples, and not all strains within these genera are equally effective. More research is necessary to identify the most potent strains for various allergy types.

1. Lactobacillus rhamnosus GG (LGG): Often studied for its impact on gut health and immune modulation.
2. Lactobacillus reuteri: Demonstrates potential benefits in modulating immune responses related to allergies.
3. Bifidobacterium infantis: May play a role in supporting gut barrier function.

The Role of the Gut Microbiome in Allergies

The gut microbiome plays a critical role in immune system development and regulation. An imbalance in gut bacteria (dysbiosis) has been linked to an increased risk of developing allergies. Probiotics aim to restore this balance by introducing beneficial bacteria into the gut. A healthy gut microbiome can enhance the integrity of the gut barrier, reducing the passage of allergens into the bloodstream, thus potentially minimizing allergic reactions. However, the complex interplay between gut bacteria and the immune system requires more in-depth understanding.

1. Gut barrier function: A healthy gut barrier prevents allergens from entering the bloodstream.
2. Immune modulation: Probiotics can influence the balance of immune cells, reducing inflammatory responses.
3. Dysbiosis: An imbalance of gut bacteria is associated with increased allergy risk.

Types of Allergies and Probiotic Effectiveness

The effectiveness of probiotics can vary depending on the specific type of allergy. Some studies have shown positive outcomes for atopic dermatitis (eczema), food allergies, and respiratory allergies such as asthma. However, the evidence is still relatively limited, and more research is needed to determine which probiotic strains are most effective for each specific allergy type. It's important to remember that individual responses can vary greatly.

1. Atopic dermatitis: Some probiotics show promise in reducing eczema severity.
2. Food allergies: Probiotics may help modulate immune responses to specific food allergens.
3. Respiratory allergies: Potential benefits in reducing asthma symptoms have been observed in some studies.

Dosage and Administration of Probiotics for Allergies

There isn't a universally recommended dosage of probiotics for allergies. The optimal dose varies depending on the specific probiotic strain, the individual's age and health status, and the severity of the allergy. Consult with a healthcare professional or registered dietitian to determine the appropriate dosage and administration method. They can assess your individual needs and recommend a suitable probiotic supplement or dietary approach. Probiotic products are not regulated in the same way as medications.

1. Strain-specific dosage: Dosage recommendations vary significantly between probiotic strains.
2. Individualized approach: Dosage should be tailored to individual needs and health status.
3. Professional guidance: Consult a healthcare professional before starting any probiotic regimen.

Potential Side Effects and Considerations

While generally considered safe, probiotics can cause side effects in some individuals, such as gas, bloating, and diarrhea. These side effects are usually mild and temporary. However, individuals with compromised immune systems or certain medical conditions should exercise caution and consult their doctor before using probiotics. It's crucial to choose high-quality probiotic supplements from reputable manufacturers to ensure the product's purity and potency.

1. Gastrointestinal discomfort: Gas, bloating, and diarrhea are potential side effects.
2. Immune system considerations: Individuals with weakened immune systems should consult a doctor.
3. Product quality: Choose high-quality supplements from trusted brands.

Can probiotics get rid of allergies?

The relationship between probiotics and allergies is complex and not fully understood. While there's growing evidence suggesting probiotics may play a beneficial role in managing or preventing allergies, they cannot be considered a cure. Research indicates that certain probiotic strains may modulate the immune system, potentially reducing allergic responses. However, the effectiveness varies greatly depending on the specific probiotic strain, the type of allergy, the individual's immune system, and other factors. More large-scale, well-designed clinical trials are needed to confirm these findings and establish clear guidelines for probiotic use in allergy management. Current research focuses on identifying specific probiotic strains and their mechanisms of action for targeted allergy therapies.

Can Probiotics Reduce Allergic Symptoms?

Some studies indicate that certain probiotic strains might lessen the severity of allergic symptoms. This is thought to be due to their influence on the gut microbiome and its interaction with the immune system. A balanced gut microbiota is crucial for immune regulation, and imbalances (dysbiosis) have been linked to increased allergy risk. Probiotics may help restore this balance, leading to a reduction in symptoms like sneezing, itching, or inflammation. However, the effects are not consistent across all individuals or allergy types.

1. Reduced inflammation: Probiotics can potentially decrease inflammation throughout the body, including in areas affected by allergies.
2. Improved immune regulation: They can help balance the immune response, preventing an overreaction to allergens.
3. Gut barrier function: Strengthening the gut lining can prevent allergens from entering the bloodstream and triggering an allergic response.

Which Probiotic Strains Show Promise?

Research is ongoing to identify the most effective probiotic strains for allergy management. Lactobacillus and Bifidobacterium species have shown some promising results in various studies. However, the specific strains within these genera matter significantly, and not all strains are equally effective. The effectiveness also depends on factors like the dosage and duration of probiotic supplementation. More research is crucial to pinpoint which specific strains are most effective for particular allergies.

1. Lactobacillus rhamnosus
2. Bifidobacterium bifidum
3. Lactobacillus casei

What are the Limitations of Probiotic Use for Allergies?

It's important to acknowledge the limitations of using probiotics for allergy treatment. Results are not guaranteed and vary significantly among individuals. The effectiveness depends on several factors, including the specific probiotic strain, the dosage, the duration of use, the type of allergy, and the individual's overall health. Moreover, the quality of probiotic supplements can vary greatly, and some products may not contain the advertised strains or concentrations. Careful selection of high-quality products is essential.

1. Individual variability: Responses to probiotics can differ significantly between individuals.
2. Limited research: More extensive research is needed to confirm the benefits and establish clear guidelines.
3. Product quality: Ensuring the quality and potency of probiotic supplements is crucial.

Are There Any Side Effects?

While generally considered safe, probiotics can cause some side effects in certain individuals. These are usually mild and temporary, such as gastrointestinal discomfort like bloating, gas, or diarrhea. Severe side effects are rare. Individuals with compromised immune systems or certain underlying health conditions should consult their doctor before taking probiotics. It's always advisable to introduce probiotics gradually to allow the body to adapt.

1. Mild gastrointestinal discomfort
2. Interactions with medications (rare)
3. Allergic reactions (rare)

What is the Future of Probiotics in Allergy Research?

The field of probiotic research for allergy management is rapidly evolving. Scientists are actively investigating the mechanisms by which probiotics influence the immune system and exploring the potential of combining probiotics with other therapeutic approaches. Personalized medicine approaches, tailoring probiotic treatments to specific individuals and their unique gut microbiomes, are also being explored. Future research may lead to the development of targeted probiotic therapies for specific allergy types.

1. Personalized probiotic therapies
2. Combination therapies with other treatments
3. Further investigation of mechanisms of action

Are allergies a gut issue?

The relationship between allergies and gut health is complex and increasingly recognized as significant. While allergies themselves aren't solely a "gut issue" in the sense that they involve an immune system response triggered by an allergen, the gut plays a crucial role in shaping the immune system's response to allergens. A healthy gut microbiome, the diverse community of bacteria and other microorganisms residing in the digestive tract, is vital for proper immune development and regulation. Dysbiosis, an imbalance in the gut microbiome, has been linked to an increased risk and severity of allergic diseases.

The Gut Microbiome and Immune Development

The gut microbiome plays a critical role in the development and maturation of the immune system, particularly during early childhood. Exposure to a diverse range of microbes in the gut helps train the immune system to distinguish between harmless substances and harmful pathogens. A lack of this early exposure, often linked to overly sterile environments or antibiotic overuse, can lead to an immature or dysregulated immune system, increasing susceptibility to allergies. This dysregulation can manifest as an exaggerated response to otherwise harmless allergens.

1. Early-life exposure to diverse microbes is crucial for proper immune development.
2. Gut dysbiosis can disrupt immune regulation, increasing allergy risk.
3. Antibiotic overuse can negatively impact the gut microbiome and immune system maturation.

The Gut-Brain-Axis and Allergies

The gut-brain axis describes the bidirectional communication pathway between the gut and the brain. This intricate connection influences various bodily functions, including immune responses. Emerging research suggests that alterations in the gut microbiome can influence the brain's regulation of immune responses, potentially contributing to the development or exacerbation of allergic conditions. The gut microbiota produces various metabolites and neurotransmitters that can impact immune cell activity and inflammatory processes throughout the body.

1. Gut microbiota influences immune responses via the gut-brain axis.
2. Changes in gut microbiota can impact brain regulation of immune responses.
3. Gut-derived metabolites and neurotransmitters can modulate immune function.

Leaky Gut and Allergen Penetration

The concept of "leaky gut," or increased intestinal permeability, suggests that a compromised gut lining allows undigested food particles and other substances, including allergens, to pass into the bloodstream. This increased permeability can trigger an immune response, leading to allergic symptoms. While the exact causal relationship remains under investigation, studies indicate that individuals with allergies often exhibit signs of increased intestinal permeability. This could potentially explain the link between gut health and allergic manifestations.

1. Leaky gut allows allergens to enter the bloodstream, triggering immune responses.
2. Increased intestinal permeability is associated with various allergic conditions.
3. Repairing gut lining integrity might help alleviate allergy symptoms.

The Role of Diet in Allergy Development

Diet plays a significant role in shaping the gut microbiome and influencing immune responses. A diet rich in processed foods, sugar, and unhealthy fats can contribute to gut dysbiosis, potentially increasing allergy risk. Conversely, a diet rich in fruits, vegetables, and fiber supports a healthy gut microbiome and may help regulate immune function. Specific dietary interventions, such as eliminating certain foods or introducing probiotics, are being explored as potential therapeutic approaches for allergies.

1. Diet significantly impacts gut microbiome composition and immune function.
2. Unhealthy diets contribute to gut dysbiosis and increased allergy risk.
3. Dietary interventions, such as probiotics and prebiotics, show promise in managing allergies.

Probiotics and Prebiotics in Allergy Management

Probiotics, live microorganisms with health benefits, and prebiotics, substances that promote the growth of beneficial bacteria, are increasingly being explored as potential therapeutic agents for allergies. Studies suggest that certain probiotic strains can modulate immune responses, reducing the severity of allergic symptoms. The use of prebiotics can also help restore balance in the gut microbiome, supporting overall gut health and potentially influencing allergic responses. However, more research is needed to fully understand the efficacy and optimal use of probiotics and prebiotics in managing allergies.

1. Probiotics can modulate immune responses and reduce allergic symptoms.
2. Prebiotics support beneficial gut bacteria and contribute to gut health.
3. More research is needed to determine the optimal use of probiotics and prebiotics in allergies.

How can I boost my immune system for allergies?

How Can I Boost My Immune System for Allergies?

Boosting your immune system isn't about making it stronger in a general sense, but rather about modulating its response to allergens. A hyperactive immune system is the root of allergic reactions. Therefore, the goal is to train it to react less aggressively to harmless substances. While you can't completely eliminate allergies, you can take steps to reduce their severity and frequency. This involves a multi-faceted approach combining lifestyle changes, dietary adjustments, and sometimes, medical interventions.

1. Optimize Your Diet for Immune Support

Nutrition plays a crucial role in immune function. A balanced diet rich in fruits, vegetables, and whole grains provides essential vitamins, minerals, and antioxidants that support immune cell activity. Avoid processed foods, excessive sugar, and unhealthy fats as these can weaken your immune system and contribute to inflammation. Focusing on anti-inflammatory foods can help manage allergy symptoms.

1. Increase your intake of anti-inflammatory foods: Fatty fish (salmon, mackerel), leafy greens, berries, and nuts are excellent choices.
2. Limit processed foods, sugar, and saturated fats: These can worsen inflammation and trigger allergic responses.
3. Ensure adequate vitamin D intake: Vitamin D is crucial for immune regulation; consider supplementation if needed after consulting a doctor.

2. Prioritize Sleep and Manage Stress

Sufficient sleep and stress management are paramount for a healthy immune system. Sleep deprivation weakens your immune response, making you more susceptible to allergic reactions. Chronic stress elevates cortisol levels, which can also suppress immune function. Implementing relaxation techniques is essential.

1. Aim for 7-9 hours of quality sleep each night.
2. Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises.
3. Ensure you have a regular sleep schedule and create a relaxing bedtime routine.

3. Regular Exercise and Physical Activity

Regular physical activity boosts your immune system by increasing circulation and promoting the production of immune cells. However, avoid strenuous exercise during allergy flare-ups as it can worsen symptoms. Moderate exercise, like brisk walking or cycling, is ideal.

1. Aim for at least 150 minutes of moderate-intensity aerobic exercise per week.
2. Include strength training exercises twice a week to build muscle mass.
3. Listen to your body and avoid overexertion, particularly during allergy seasons.

4. Maintain Good Gut Health

The gut microbiome plays a significant role in immune regulation. A diverse and balanced gut flora supports a healthy immune response. Probiotics can help improve gut health and reduce inflammation. Prebiotics, which feed beneficial gut bacteria, are also beneficial.

1. Consume fermented foods like yogurt, kefir, and sauerkraut, which are rich in probiotics.
2. Include prebiotic-rich foods such as bananas, onions, and garlic in your diet.
3. Consider taking a probiotic supplement after consulting with a healthcare professional.

5. Consider Allergen-Specific Immunotherapy

Allergen-specific immunotherapy (also known as allergy shots or sublingual immunotherapy) is a medical treatment that aims to desensitize your immune system to specific allergens. It involves gradually introducing increasing doses of the allergen over time, helping your body tolerate it better. This is a long-term approach and should be discussed with an allergist.

1. Consult an allergist to determine if you're a candidate for immunotherapy.
2. Understand the potential benefits and risks associated with immunotherapy.
3. Strictly adhere to the prescribed treatment plan and schedule.

Can probiotics help with allergies?

While there's growing interest in using probiotics to manage allergies, the evidence isn't conclusive. Research suggests that certain strains of probiotics may influence the immune system, potentially reducing allergic responses. The idea is that probiotics can modulate the gut microbiome, which plays a significant role in immune development and function. An imbalanced gut microbiome, often characterized by a lower diversity of beneficial bacteria, has been linked to increased allergy risk. Probiotics, by introducing beneficial bacteria, could help restore balance and potentially reduce allergic reactions. However, the effects are not uniform across all individuals and allergy types. Many studies are small and show varied results, making it difficult to draw definitive conclusions. More large-scale, well-designed clinical trials are needed to confirm the efficacy and identify specific probiotic strains that are truly effective for allergy management. Current research is focusing on specific probiotic strains and their mechanisms of action, as well as the timing of probiotic intervention (e.g., during infancy or early childhood, when the immune system is developing). While some studies show promise, it’s crucial to approach probiotic use for allergies with a degree of caution and consult with a healthcare professional before starting any probiotic regimen.

What types of allergies might probiotics help with?

Research exploring the use of probiotics for allergies is still in its early stages, and the results are not uniform across all types of allergies. Some studies suggest a potential benefit for certain allergies, such as atopic dermatitis (eczema) and allergic rhinitis (hay fever). However, the evidence is not strong enough to definitively say that probiotics are effective for all allergic conditions. Furthermore, the specific probiotic strains that might be beneficial vary depending on the type of allergy. For example, a strain that shows promise for eczema may not be effective for food allergies or asthma. The mechanisms by which probiotics might influence different allergic reactions may also differ. Some research suggests that probiotics can help reduce inflammation, modulate immune responses, and improve the gut barrier function, all of which can play a role in different allergic conditions. It's important to remember that probiotics are not a cure for allergies, and their effectiveness varies greatly depending on the individual, the type of allergy, and the specific probiotic strain used. More research is needed to establish a clear link between specific probiotic strains and their effectiveness in treating different types of allergies.

Are there any side effects of using probiotics for allergies?

Generally, probiotics are considered safe for most people, but some individuals might experience mild side effects such as bloating, gas, or diarrhea, particularly when starting a new probiotic supplement. These side effects are usually temporary and resolve within a few days as the gut adapts to the new bacteria. However, individuals with weakened immune systems or underlying health conditions, such as short bowel syndrome, should exercise caution and consult their healthcare provider before using probiotics. Additionally, some probiotic strains may interact with certain medications, so it's crucial to discuss probiotic use with your doctor, especially if you are taking prescription drugs. While rare, more serious adverse effects are possible, particularly in individuals with compromised immune systems. It's vital to choose high-quality probiotic products from reputable manufacturers that have undergone rigorous testing and quality control measures. Always read the product label carefully and follow the recommended dosage instructions. If you experience any unexpected or concerning side effects, discontinue use and consult your doctor.

How should I choose a probiotic for allergies?

Choosing a probiotic for allergies can be challenging due to the lack of standardized guidelines and the limited evidence supporting the effectiveness of specific strains. First, consult with your healthcare provider or a registered dietitian before starting any probiotic supplement, especially if you have any underlying health conditions or are taking medications. They can help you assess your individual needs and recommend a suitable probiotic strain or product. When choosing a probiotic, consider factors such as the specific strains included, the number of colony-forming units (CFUs), and the strain's documented research on allergic conditions. Look for products that clearly state the strain names and CFUs per serving. Prioritize products from reputable manufacturers who conduct rigorous testing to ensure the quality and purity of their products. Keep in mind that not all probiotic strains are created equal and some may be more effective for certain types of allergies than others. The research on probiotics and allergies is ongoing, and more studies are needed to establish clearer guidelines for selecting the most appropriate probiotic strains for specific allergic conditions. Focusing on a high-quality product, following the recommended dosage, and being patient are key aspects to keep in mind.