ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
"TRT/HRT/Nutrition/Cognition/Wellness/LT student of the game"
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="sammmy" data-source="post: 257269" data-attributes="member: 38594"><p>H. Pylori is often resistant to Clarithromycin, which is in the first line eradication regimens:</p><p></p><p>[URL unfurl="true"]https://en.wikipedia.org/wiki/Helicobacter_pylori_eradication_protocols[/URL]</p><p></p><p>Have you tried the second line quadruple therapy with bismuth (called Pylera)?</p><p></p><p>14 day therapy also increases chances of eradication, compared to 7 or 10 day therapy.</p><p></p><p>It is important to suppress the stomach acid continuously for 24 hours, so the bacteria proliferates and the antibiotics kill it (they can't kill it if the acid is high and the bacteria gets into a spore form) - the standard twice daily PPI is often not sufficient. They have a serious problem with resistant H. Pillory in Asia and use PPI 4 times daily, which claims to have better efficacy:</p><p></p><p>[URL unfurl="true"]https://pubmed.ncbi.nlm.nih.gov/24690010/[/URL]</p><p></p><p>Adding bismuth to the therapy also helps. If all regimens fail, you can get a few months of bismuth monotherapy. The best form is the European bismuth subcitrate (De-Nol, Ulkavis), not the bismuth subsalycilate in Pepto-Bismol, which converts to aspirin - harmful to intestines. The bismuth suppresses H. Pillory but usually cannot eradicate it. At least it should help with symptoms. You take it for 2 months and then stop since it can get neurotoxic if it accumulates. You have to cycle it, a few months on, a few months off.</p></blockquote><p></p>
[QUOTE="sammmy, post: 257269, member: 38594"] H. Pylori is often resistant to Clarithromycin, which is in the first line eradication regimens: [URL unfurl="true"]https://en.wikipedia.org/wiki/Helicobacter_pylori_eradication_protocols[/URL] Have you tried the second line quadruple therapy with bismuth (called Pylera)? 14 day therapy also increases chances of eradication, compared to 7 or 10 day therapy. It is important to suppress the stomach acid continuously for 24 hours, so the bacteria proliferates and the antibiotics kill it (they can't kill it if the acid is high and the bacteria gets into a spore form) - the standard twice daily PPI is often not sufficient. They have a serious problem with resistant H. Pillory in Asia and use PPI 4 times daily, which claims to have better efficacy: [URL unfurl="true"]https://pubmed.ncbi.nlm.nih.gov/24690010/[/URL] Adding bismuth to the therapy also helps. If all regimens fail, you can get a few months of bismuth monotherapy. The best form is the European bismuth subcitrate (De-Nol, Ulkavis), not the bismuth subsalycilate in Pepto-Bismol, which converts to aspirin - harmful to intestines. The bismuth suppresses H. Pillory but usually cannot eradicate it. At least it should help with symptoms. You take it for 2 months and then stop since it can get neurotoxic if it accumulates. You have to cycle it, a few months on, a few months off. [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
"TRT/HRT/Nutrition/Cognition/Wellness/LT student of the game"
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top