Pylopass is a trademark of Novozymes OneHealth
H. pylori Fight and PyloGuard are the only two brands I know of that are currently licensed to sell Pylopass (Limosilactobacillus reuteri DSM17648). This is the newest addition to my H.pylori protocol, which I first wrote about back in 2009. Pylopass will also be an addition to my biofilm protocol, which is a must for proper support during H. pylori eradication. Pylopass is a proprietary probiotic strain that specifically binds to H. pylori. Pylopass lowers H. pylori load as well as supports the removal of this carcinogenic stomach bacteria while keeping one’s own innate gut bacterial balance intact.
Research has revealed that resistance against the most commonly used antibiotics for H. pylori treatment has increased from 10-15% in 2000 up to 40-50% in 2014, significantly lowering the success rate of antibiotic treatments for H. pylori. Several clinical studies demonstrated that Pylopass reduces the colonization of H. pylori in the stomach and may prevent gastritis and peptic ulcers.
H. pylori is a difficult bacteria to eliminate due to its ability to form biofilm – bio (life) film (a collective mass of bacteria). This collective grouping of bacteria can render the body’s own immune system useless or turn it on our own tissues, causing an autoimmune reaction. Biofilm can degrade antibiotics and manipulate their environment. It’s a son of a bitch to treat, and those who have failed one, two, and even three rounds of antibiotics can attest to that fact. I’m constantly evolving both my H. pylori and biofilm protocols. Pylopass, along with natural antimicrobials and a comprehensive biofilm protocol, is the 1-2-3 punch that H. pylori can’t defend itself from.
PYLOPASS: A Unique Mode Of Action
1. The Pylopass strain of L. reuteri was identified after a detailed, multi-year screening process. It was selected as a highly specific binding antagonist to H. pylori among more than 700 wild-type strains of Limosilactobacillus species of the Novozymes OneHealth culture collection of food-grade strains. Through a specific mechanism, Pylopass forms co-aggregates with H. pylori to decrease the overall load in the stomach, thereby supporting the elimination of H. pylori through pharmaceutical or natural methods, as well as decreasing the risk of developing gastritis and peptic ulcer disease. Pylopass™ is comprised of stable, spray-dried L. reuteri cells. Co-aggregation is a process by which genetically distinct bacteria become attached to one another via specific molecules.
2. The surface structures on Pylopass™ contain adhesion molecules that recognize and adhere to surface structures on H. pylori.
3. After coaggregation in the stomach, the entire coaggregate is excreted from the body through the digestive tract. Pylopass specifically binds to H. pylori and does not alter the gut microflora.
The Advantages of Utilizing PYLOPASS:
1. Advantages Over Probiotics
Product stability: Unlike probiotics, Pylopass™ consists of inactivated cells that can withstand environmental fluctuations. For shipment and storage, Pylopass does not require temperature controls.
2. Specificity For H. pylori
While probiotics assist in general gut health, Pylopass specifically binds H. pylori in the stomach. Furthermore, Pylopass does not bind or disturb the normal gut microbial balance.
3. Stability In The Stomach
In contrast to probiotics, Pylopass employs a mechanism that is not dependent on survival in the gastric environment. Probiotics can be beneficial because they may replace harmful bacteria in the gastrointestinal tract. However, it is uncertain whether such living probiotic strains can withstand the acidic environment in the stomach. This concern is not a challenge for Pylopass as the coaggregation depends only on the binding of surface structures between Pylopass™ and H. pylori.
4. Advantages Over Antibiotics
Good tolerability: Triple (Prevpac) and even quadruple (Pylera) antibiotic therapies are non-specific and have numerous side effects such as diarrhea and taste disturbances. On the contrary, there are no side effects related to Pylopass™ ingestion or administration. “New studies show that Pylopass can not only reduce the colonization of Helicobacter pylori in the stomach but also improve the symptoms associated with gastritis and increase the efficacy of the pharmaceutical treatment.”
“Pylopass has a unique effect against this carcinogenic stomach bacterium,” explains Christine Lang, Ph.D., microbiologist and managing director for Organobalance, in the original launch announcement. “Unlike conventional therapies involving antibiotics which can harm the human microbiome, consumers who are taking Pylopass can lower their Helicobacter pylori load without losing their natural bacterial balance in their gut.”
5. No Risk Of Antibiotic Resistance
Research shows that the number of antibiotic-resistant strains of H. pylori is increasing globally. In Asia, an estimated 37% of cases are resistant to metronidazole and 65% of cases are resistant to amoxicillin in Africa (1). Ramakrishna has argued against the case of eradication, as treatment with antibiotics may prove ineffective, due to high frequencies of antibiotic-resistant strains (2). Pylopass offers an alternative management modality that does not contribute to the problem of antibiotic resistance.
1. De Francesco V et al. (2010) Worldwide H. pylori antibiotic resistance: a systematic review. J Gastrointestin Liver Dis 19: 409– 414
2. Ramakrishna BS (2006) Helicobacter pylori infection in India: the case against eradication. Indian J Gastroenterology 25: 25–28
The Effect of Lactobacillus reuteri Supplementation in Helicobacter pylori Infection: a Placebo-Controlled, Single-Blind Study
Martin Buckley, Sean Lacey, Andrea Doolan, Emily Goodbody, and Kelly Seamans
BMC Nutrition 20184:48
https://doi.org/10.1186/s40795-018-0257-4 © The Author(s). 2018
Received: 28 August 2018 Accepted: 14 November 2018 Published: 7 December 2018
Background
Helicobacter pylori is the major cause of chronic gastritis and is considered a risk factor for peptic ulcer and gastric cancer. The H. pylori standard antibiotic therapy fails in about 25–30% of cases, particularly because of the increasing occurrence of resistance to antibiotics. The aim of the current study was to investigate whether the strain Lactobacillus reuteri DSM17648 which has been previously shown to reduce Helicobacter pylori load additionally improves gastrointestinal symptoms in H. pylori-positive subjects when used in a 28-day supplementation.
Methods
In a single-blinded, placebo-controlled study 24 H. pylori-positive adults (13 females, 11 males; median age: 43.5) with mild dyspepsia (mean GSRS score: 11.82) received a placebo for 28 days followed by Pylopass™ containing the L. reuteri DSM 17648 (2 × 1010 cells per day) for the following 28 days. After 28 days of Pylopass™ supplementation the change in H. pylori load was measured by a 13C urea breath test (13C-UBT) and the change in symptoms was determined by the Gastrointestinal Symptom Rating Scale (GSRS). In addition, blood assessments were conducted to measure the physiological changes relevant in terms of safety.
Results
After a 28-day supplementation phase with Pylopass™, there was a trend for reduction of H. pylori load in 62.5% of the subjects and for the overall GSRS scores in 66.7% of subjects. The overall GSRS scores from baseline to day 56 following all 24 subjects undergoing the placebo phase followed by the Pylopass™ phase were significantly decreased (p = 0.005). The mean 13C-UBT δ value decreased by 22.5% during the Pylopass™ supplementation phase (− 3.14), while the mean 13C-UBT δ increased by 37.3% (+ 3.79) in the placebo phase. No side effects were reported in either study phase.
Conclusion
The results demonstrated that L. reuteri DSM17648 has the potential to suppress H. pylori infection and may lead to an improvement of H. pylori-associated gastrointestinal symptoms. Further studies with adequate power should be performed.
Trial registration
Clinicaltrials.gov: NCT02051348 (January 30, 2014).
Hello, can Pylopass be combined with Saccharomyces boulardii?
Pauline,
I don’t see any reason that it could not be taken together, short of being allergic to S. boulardii.
Respectfully,
Dr. Ettinger
Hi, do you have the full ingredients list for the Happy Gut’s Pylopass ?
Jason,
I’m out of stock right now so, please do a Google search for that list. I’m sure it’s somewhere.
Dr. Ettinger
Hi. Do you no longer use Monolaurin for H pylori treatment?
I do, but I use Lauricidin.
I have H. pylori my doctor would like me to take Pylera capsules (3) three times a day for 10 days she would like me to also take a good probiotic everyday while i am on this antibiotic and eat yogurt would Pylopass be the best probiotic to take with this medication?
Marybeth,
I would ask for a 14 day protocol, not 10. Research supports 14 far more than 10. Pylopass would be the very best for this as well as adding in S. boulardii.
Respectfully,
Dr. Ettinger
Thank you i appreciate your in put but now i am very skeptical about taking this antibiotic Pylera so so many bad side effects that it scares me. please tell me is it a fact that Pylopass alone could help me to get rid of the H. Pylori bacteria without an antibiotic? I’m pretty healthy for the most part but i’ll be 60 I worry about what i put in my body especially something that could cause vision problems seizures or even cancer. Also could you tell me what what is S. boulardii ?
Thank you!
Marybeth, Research has shown that it can, by itself, eradicate H. pylori. The percentage is nowhere near that of triple or quadruple therapy. Would I take it alone? no.
I’m so happy to find your website. I wonder what your thoughts are on high quality colostrum with Pylopass for h.pylori with advanced gastritis. Thank you! Karen
Karen,
Thank you. I’m not sure if it will improve the effectiveness of the Pylopass, but it for sure won’t hurt to try it and see what happens.
Respectfully,
Dr. Ettinger
Thank you for your quick response!
Do you ever work with patients with intestinal metaplasia and hpylori?
I am in early 50s, live in Korea, and my doctor here says that hpylori doesn’t necessarily advance the metaplasia further, but I still want to eradicate the hpylori the natural way b/c i have bad reactions to antibiotics. Although I have a pretty healthy diet/lifestyle, I do suspect leaky gut (perhaps due to gluten which i stopped a couple years ago), thus my earlier question about colostrum. That saying, I’ve been pretty much asymptomatic.
The information on your site is amazing…just trying to process it all. Thank you for your time!
Karen
Karen,
I have, once. The key is not treating the condition, but the underlying “why” that caused it. This is what I have been doing for the past 30 years with my patients. Here is a link to my distance client services – https://advancedhealing.com/wp-content/uploads/Distance-Client-Program-revised-01-January-19.pdf
If you have any questions about the program, you can email at – info @ advancedhealing .com
Respectfully,
Dr. Ettinger
I was tested positive with H.pylori 4 months back and I was given Amoxicillin and Clarithromycin but I din not complete the course and I am having severe diarrhea since 5 months with severe food allergy to almost every food/juice and this increases by heart palpitations after having meals especially.
Now endoscopy was done and it shows marked presence of H.pylori. I am on level-2 treatment for H.pylori which includes quad-4 medicines.
Do you think pylopass can help me with my situation ?
Abd,
I can’t make any promises, no one can, but it surely won’t hurt!
Dr. Ettinger
I’ve just started to take Pylopass after almost 4 month of natural treatment including Biofilm Defense by Kirkman, oil of Oregano, Mastic gum, Black seed oil with Manuka honey, Slippery Elm, DGL Licorice….and yes, I was self treated and probably made a lot of errors through trials…..still positive. I am seriously considering to be your distant patient, but before I still want to try Pylopass, if not eradicate the bacteria, but at least take overgrowth under control. I have a question for you…..What is the best way to take Pylopass, on an empty stomach, or with food or it is really does not matter? I could not find this information anywhere! Thank you.
Mila,
It really doesn’t matter. You can take it with or w/o food.
Best of luck.
Dr. Ettinger
I HAVE BEEN RECENTLY DIAGNOSED WITH HELICOBACTER. IS THIS CAN REALLY CURE HELICOBACTER WITHOUT ANY ANTIBIOTIC?
Based on research it is possible. That said, I personally wouldn’t use it as my only weapon to treat it.
Hello Mr.Ettinger,
Since I took Pylopass for 2 months and it didn’t work can I combine it with Zinc Carnosine, Berberine sulfate, Bismuth sulfate, and Mastic gum? Maybe it will help to eradicate H pylori?
Thank you,
Ruzanna, H. pylori is very resilient and a master at defense. You can try that and see what happens. I would take the Pylopass with your list of products. Dr. Ettinger
Hello, Mr.Ettinger,
I was diagnosed with H pylori, and for 2 months I am taking Pylopass (L-Reuteri-200 mg) Mastic Gum, DGL, Propolis, Ginger, garlic, Thyme tea, Aloe juice, Manuka honey, Zinc Pep zin Gi, Slippery Elm and still have H pylori. I do stool tests every 2 months. After 2 bottles I am still positive. What can I do else since I am allergic to Amoxicillin?
Thank you,
Ruzanna
Ruzanna,
H. pylori is a difficult bacteria to eliminate due to its ability to form biofilm – bio (life) film (a collective mass of bacteria). This collective grouping of bacteria can render the body’s own immune system useless or turn it on our own tissues, an autoimmune reaction. Biofilm can degrade antibiotics and manipulate its environment. It’s a son of a bitch to treat and those who have failed one, two and even three rounds of antibiotics can attest to that fact. I’m constantly evolving both my H. pylori and biofilm protocols. Pylopass along with natural antimicrobials and a comprehensive biofilm protocol is the 1-2-3 punch that H. pylori can’t defend itself from.
I do offer a distance patient consultations if interested. https://advancedhealing.com/wp-content/uploads/Distance-Client-Program-revised-08-27-18.pdf – There is also a drug protocol called Pylera that does not contain Amoxicillin.
This is from my post on H. pylori:
PLEASE, PLEASE, DO NOT SELF-TREAT! —— READ MY UPDATED, UPDATE BELOW FOR MY EXPLANATION.
IMPORTANT, PLEASE READ: Updated, Update – September 26, 2016, rev. August 19, 2014, original August 08, 2013
Since 2007, I have been helping patients with ulcers, gastritis, SIBO and general GI distress, caused by H. pylori, and other biofilm producing bacteria. In the beginning, getting rid of H. pylori was fairly easy, in my opinion. As time progressed, I noticed that the H. pylori-biofilm protocol, that up till now was very effective, was now becoming less and less effective, even with those receiving the H. pylori-biofilm protocol for the first time. There are now H. pylori strains that are ‘multiple drug-resistant’ even in those who have never been treated – Why? The linked article states that these mutations happen by chance. Meaning, medically, there is no real explanation for it, so they call it, “by chance.” Energetically there is a very good explanation for it, at least for me anyway, based on the research done by Rupert Sheldrake, Ph.D., “Morphic Fields and Morphic Resonance.” Please read about his theory for further clarification.
Because of this new shift, in loss of effectiveness, in some patients, I have had to incorporate more than one round of products or add more products to the protocol. The end result has always been eradication but it’s now taking more (products and/or time) to achieve this result. Also, there are many people contacting me and letting me know that they have undergone triple and quadruple therapies to no avail. This proves, in my mind, the biofilm itself and the bacteria that form it are learning to defend themselves more effectively. They are adapting and mutating, genetically and energetically, to survive. Good for them and bad for us.
My theory is that with the introduction of hundreds of blogs, chat-rooms and websites devoted to H. pylori, H. pylori treatment, and biofilm, more and more people are self-treating or getting poor treatment outcomes. This self-treating is not killing the H. pylori or breaking-up / busting through the biofilm but to the contrary, making them both stronger by building up biofilm defense. Every time a bacterial biofilm is unsuccessfully treated it becomes more resistant to the next protocol. When this is combined with the theory of Morphic Fields, it’s no wonder why H. pylori and biofilm eradication is becoming harder and harder to achieve. The point of all of this is that there is still effective treatment options available, it may just take a little more time and more products, allopathic (Prevpac or Pylera) and/or natural, may be required to get to the desired end result – H. pylori and biofilm eradication.
Personal note: don’t waste your money on Matula Herbal Formula. Many of the people that have contacted me, spent good money on the product with the hopes of it working. The Matula tea didn’t work, and they were unable to get the refund that was promised. Update: the company used to offer a 100% money back guarantee if you were retested after using Matula tea and you still had H. pylori. They do not offer that guarantee anymore. I wonder why.
Lastly, I am not against the concept of self-treating per se. The issue is that the information, out on the web, on biofilm and H. pylori eradication, is not comprehensive or clear enough for the layperson to be their own doctor or to successfully self-treat. I have always advocated and promoted that if you want to get better with or at something, you need a coach who is an expert in that field or subject. There is a time and a place where self-help is the best option, but biofilm and H. pylori treatment are not one of them. This is just my opinion.
Thank you for your reply
I am on ARV’s and was diagnosed with H. Pylori. Can pylopass effectively help treat my H. Pylori infection?
Alex, studies support that it can but it’s not 100% effective in 100% of the users. If you choose to use that as a sole treating agent, I’d do 2/day for at least 30 days. I hope this helps. Dr. Ettinger
Through the UBT, I tested positive for H. pylori two weeks ago. Underwent two weeks of antibiotic treatment and a UBT re-test shows I’m still positive. The antibiotics (metronidazole and tetracycline) wreaked havoc with my system, making me feel like I had the flu. The prilosec helps with the pain and keeps the acid down, but obviously isn’t treating the H. pylori. Before beginning another difficult and potentially unsuccessful antibiotic treatment, I’m exploring probiotics, particularly S.boulardii (Jarrow) and L. reuteri (Pylopass). Just not sure if I should try them alone or in conjunction with yet another antibiotic treatment.
Lori, If you choose to self-treat then that is up to you. If you’ve read my posts on biofilm and H. pylori I recommend against self-treatment. H. pylori are one of the hardest bacteria to kill. Now, knowing that why would you, only informed by the internet, want to take on such a tough challenge. Even with all I know, treating over 200 cases, there are still no absolute guarantees that it will be eradicated. That said, both of the products you mentioned are worth trying. Respectfully, Dr. Ettinger
My dog has been diagnosed with H. pylori. She has been on omaprazole, metronidazole and amoxicillin for a month but is still having problems with eating (or NOT eating as is the case). Is Pylopas safe for dogs? And, if so, how would I determine the dosage for her? She is 55 pounds.
Jan, I do not treat animals so I would rather not comment on this post. I would hate to give you advice without a confident opinion. Respectfully, Dr. Ettinger
Hi, im arnold paras from philippines im worried about my health because im positive of h-pylori😢,i dont know where to find or buy pylopass in the philippines,pls help me. Thanks
For those of you outside of the United States, please go to ULCERSNOMORE and order from Happy Gut.
I’ve been treated for H Pylori once with antibiotics and it failed. How long do I have to take it to eliminate the bacteria completely? Can I combine it with mastic gum?
Liza, Pylopass by itself may eliminate H. pylori but there is no guarantee. I use it as part of a comprehensive protocol. Like I said, it has worked with some, based on the research I’ve read, but the majority just get a reduced bacterial load, not complete eradication. If you did want to give it a go, I’d do 2 caps 2x/day (2 bottles, approx. $100)
I’ve already got my first bottle and I’m on my second week, taking it 2x a day, 1 pill per dose. Is 2 safe to take? What’s the protocol I can combine it with?
Pylopass is more effective at 2/day. I do not give out protocols without more data, and for that, it would require you to become a distance client. Here is a link for the process. Respectfully, Dr. Ettinger https://advancedhealing.com/wp-content/uploads/Distance-Client-Program-revised-08-22-17.pdf
Dr. Ettinger – I will be contacting the number on your website to purchase Pylopass. In Liza’s comment thread, you wrote the dosage as “2 caps 2x/day” and then 2/day. Could you please clarify if it’s 2 caps 2 times a day or 1 cap 2 times a day.
If one only wanted to manage the H. Pylori load (as one study I read suggested), when there are no major symptoms and endoscopy was clear for ulcers and inflammation, is Pylopass safe to be taken continuously? Or a few times a year? Thank you for all the resources you offer!!
Irena
Irena,
As far as I’m aware, Pylopass would be safe to take long-term. If I were doing it to keep H. pylori under control I’d take 1 cap 2x/day with food. You never know, it may even get rid of it.
Respectfully,
Dr. Ettinger
Is Pylopass beneficial for gastritis or other digestive disorders?
Cathy, Pylopass is designed for supporting the erradication of the bacteria H. pylori. If the gastritis or other digestive symptoms are caused by H. pylori then Pylopass may help.
I have been treated five times in three years for phylori also got c diff then had fmt nothing helped I was diagnosed negative phylori last year endoscope and breath test now have gurgling gas constipation diarrhea swallowing painful chest pain doc says anxiety I’m wondering if phylori is back or sibo or something else feels like asthma also chest tightness can’t eat much on benzo trying to get off doc put me on two years ago they took gb did not help not well at all cant breath well either can phylori do this also get tight stomach 24/7 and pain in sternum burning gut and chest am going Monday for breath test if positive would your probiotic resolve this
Teresa,
Pylopass was designed specifically to support those with H. pylori. If that is the case then it would be a good addition to any natural or pharmaceutical protocol.
Respectfully,
Dr. Ettinger
Dear Dr.Ettinger, I am a stay at home Mom who has recently been diagnosed with H-Pylori. I asked my ND to check me for it and Candida as well. The reason was I have been feeling rather not myself for about a year now. My stools were not normal or well formed. In the past, I have had pretty good bowel health, so I notice these things. Anyways, along with that there was brain fog, bloating, depression and a lot of crying. Please don’t ask me to explain, I had a lot going on..but I don’t cry at the drop of a hat either. I am devastated by this, and really do not want to take antibiotics as I feel that most of my digestive and emotional issues started after I had to take a couple course of strong antibiotics a few years ago. Are there any other alternatives to antibiotics? I would be willing to take whatever you suggest as I am very disciplined when I need to be. Please help!!
Sincerely and Respectfully,
Stressed out Mom :0
Beth, there is always something that can be done. They key is knowing all that we’re dealing with. It’s for sure more than just H. pylori. possibly it’s not even the H. pylori. 50% of the world has it. Maybe you are just one of the 49% with it and it’s not activated. All of this needs to be worked up. If you are interested, I’m including a link to my distance program. I’m here if you need me. https://advancedhealing.com/wp-content/uploads/Distance-Client-Program-revised-08-22-17.pdf
Respectfully,
Dr. Ettinger
Is it okay to take Pylopass while on antibiotics prescribed for h pylori?
Joe,
Just make sure to take the Pylopass as far away as you can from your last antibiotics of the day. Basically, before bed.
Respectfully,
Dr. Ettinger
If I understand correctly, H phylori hides in the stomach wall below the stomach’s protective mucous layer. Does Pylopass manage to get into the wall of the stomach to bind with the h pylori?
Thanks very much,
Joe
Joe,
From my post on Pylopass – “Specificity For H. pylori – While probiotics assist in general gut health, Pylopass specifically binds H. pylori in the stomach. Furthermore, Pylopass does not bind or disturb the normal gut microbial balance.”
You can read the whole post by following this link – https://advancedhealing.com/pylopass-eliminate-h-pylori-ulcer-gastritis/
Respectfully,
Dr. Ettinger
Im having silent reflux every now and then. Could it be because of H. pylori? What test is best for determining if you have h.pylori? What can i do about the silent reflux? Thanks.
Khonie,
The (1 choice) H. pylori breath test or (2 choice) stool antigen test. Without knowing the cause I would just be guessing at a treatment – sorry.
Respectfully,
Dr. Ettinger
Does this require dietary changes?
Doris,
Taking Pylopass does not require any changes to your day-to-day lifestyle.
Respectfully,
Dr. Ettinger
Thanks for your quick response. Is there an additional complimentary protocol recommended when taking Pylopass?
Doris,
Everybody is unique and warrants a unique protocol. I wish there was a generic protocol but there isn’t. Take 1 Pylopass every 12 hours and that is the best I can offer. I can help further but I would need labs, forms, and a phone consult.
I do truly wish you the best.
Respectfully,
Dr. Ettinger
Doris,
Taking Pylopass does not require any changes to your day-to-day lifestyle.
Respectfully,
Dr. Ettinger
Hello, I have taken 3 antibiotics for 14 days. After 14 days the symptoms of H pylori returned. What can I do now? If I take Pylopass can I cure myself of this disease?
Mulugeta,
Most people with H. pylori have symptoms caused by other issues, such as small intestinal bacterial overgrowth (SIBO), lack of stomach acid (HCl), acid reflux, histamine from foods and produced within the esophagus…
Pylopass is no guarantee. Some may get 100% expected results, while others may not. I don’t recommend it as a stand-alone treatment for H. pylori.
I hope this helps,
Respectfully,
Dr. Ettinger
Is this good (Pylopass) to take as an everyday probiotic? Or do you have others that you recommend for daily use?
Jennifer,
Pylopass is specifically for those treating H. pylori bacteria. I do not recommend a daily probiotic unless someone is on antibiotics or going into the hospital. It’s best to build your own flora through your diet.
Respectfully,
Dr. Ettinger
Hi doctor Ettinger,
I would like to know if Pylopass is safe for breastfeeding mother and baby? My general practitioner could only advice antagel of Teva and take the antibiotics later when I stop breastfeeding.
Would the daily intake 2 caps a day be safe?
And how big is the chance that my baby gets infected by H. Pylori?
Zoe,
As far as you baby goes, there is a chance going both ways. That’s the best answer I can give. If my wife were pregnant, I would feel very safe giving it to her. I hope this helps.
Respectfully,
Dr. Marcus Ettinger
Dear Marcus
Can pylopass be taken to treat hpylori if you have SIBO?
Many thanks and kindest regards
Laura
It should be okay, but you will not know with 100% confidence until you start.
Thank you for getting back to me Marcus. Much appreciated. I know you do long distance patients. Does that include the united kingdom or do you just cover the USA?
Warm wishes,
Laura
I cover the World either by Skype or phone.