Written by Dr. Andrew Akhaphong, DCN, MS, RD, LD, Mackenthun’s Fine Foods Registered Dietitian
Updated: March 18, 2026
What Are Fermented Foods?
The United States Department of Agriculture defines fermented foods as “foods or beverages produced through controlled [bacterial] growth and the conversion of food components through [protein] reactions”. In simple terms—using bacteria to change how acidic a food or beverage is for preservation. Examples of common fermented foods include kombucha, yogurt, sourdough bread, kimchi, sauerkraut, pickles, and apple cider vinegar.
Not All Fermented Foods Are Created Equal
Purchasing fermented foods for gut health can be more confusing than it seems. Take pickles, for example—some are fermented with beneficial bacteria, while others are simply preserved with vinegar. Pickles found in the grocery aisle are typically vinegar-based, which creates an environment too acidic for live bacteria to survive. In contrast, pickles stored in the refrigerated produce or meat section are usually brined and naturally fermented, allowing beneficial bacteria to thrive. Given how vinegar affects fermentation, some sourdough breads get their tangy flavor from added vinegar rather than natural bacterial fermentation. Always review the ingredients list of your sourdough bread to see if it was fermented by vinegar, or with a combination of yeast and lactobacilli. When it comes to yogurt, only products labeled “contains live and active cultures” are truly fermented and provide beneficial bacteria. These examples highlight how ingredients influence fermentation and whether a product contains probiotics.