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(PubMed) Todd K, Butterworth RF

Probiotic use before and throughout the eradication treatment, especially when lasting more than 2 weeks, showed superior outcomes, with the best results observed when probiotics were combined with bismuth quadruple therapy (Shi et al., 2019)

This keeps the water safe to use and prevents it from going bad

There is no available treatment for a Herx, so providers instead treat the symptoms and may keep patients for observations

doi: 10.3389/fendo.2025.1572997 Received 08 February 2025 Accepted 25 June 2025 Published 10 July 2025 Volume 16 - 2025 Edited by Terry Francis Davies, Icahn School of Medicine at Mount Sinai, United States Reviewed by Morteza Gholami, Golestan University, Iran Lucia Acampora, University of Naples Federico II, Italy Updates Copyright 2025 Cui, Wang, Li, Liu, Wang and Zhao