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Gabriel uses integrative approach combining natural antimicrobials with conventional triple therapy when needed.
Gabriel uses integrative approach combining natural antimicrobials with conventional triple therapy when needed. For mild cases or antibiotic resistance: mastic gum, bismuth, probiotics, zinc carnosine (many patients eradicate with natural protocol). For moderate-severe cases or failed natural treatment: conventional triple or quadruple therapy (antibiotics + PPI) combined with natural support (improves eradication rates, reduces side effects). Goal: eradicate infection, heal gastric damage, prevent recurrence. H. pylori causes 80-90% of gastric and duodenal ulcers—eradication heals ulcers, prevents gastric cancer.
Standard Treatment
Triple therapy (PPI + amoxicillin + clarithromycin for 14 days), Quadruple therapy (PPI + bismuth + tetracycline + metronidazole if penicillin allergy or resistance), Alternative regimens if above fail, Confirm eradication with urea breath test or stool antigen 4+ weeks post-treatment.
The Problem
Triple therapy: declining efficacy (70-85% eradication—was 90%+ but clarithromycin resistance increasing, some areas >15% resistance—fail first-line treatment), side effects (diarrhea, nausea, metallic taste, yeast overgrowth common—patients stop early, reducing effectiveness), antibiotic resistance increasing (clarithromycin, metronidazole, levofloxacin—major problem, need culture and sensitivity testing if multiple failures), Quadruple therapy: more effective if resistance but complex regimen (four medications, multiple times/day—compliance challenging), more side effects, bismuth often unavailable or hard to find, PPIs: long-term use (often continued indefinitely after eradication—unnecessary and harmful: nutrient malabsorption—B12, magnesium, calcium, iron, increased infection risk—C. diff, pneumonia, bone fractures—osteoporosis from calcium malabsorption, dementia risk—potential link, rebound acid hypersecretion when stopped—patients think they 'need' it), mask gastric cancer symptoms (gastric cancer risk with chronic H. pylori—PPIs reduce symptoms but delay diagnosis), Doesn't address: biofilm formation (H. pylori forms biofilm—protects from antibiotics, NAC and other biofilm disruptors improve eradication but rarely used), gut microbiome damage (antibiotics + PPIs devastate microbiome—causes dysbiosis, SIBO, C. diff, no probiotic support typically), gastric healing (eradication removes cause but damaged mucosa needs healing—zinc carnosine, L-glutamine, DGL help), natural antimicrobials (mastic gum, berberine, manuka honey have evidence but dismissed by conventional—useful if antibiotic resistance or patient refuses antibiotics), prevention of reinfection (household transmission common—test and treat symptomatic family members, hygiene education), No follow-up testing in many cases (some doctors don't retest after treatment—assume success, but 15-30% fail first-line treatment, need different regimen), Overuse of PPIs: many patients stay on PPIs indefinitely after eradication (unnecessary—only need during treatment unless ulcer/erosions healing), long-term PPIs have serious risks, Many treatment failures due to: antibiotic resistance (increasing problem—need culture and sensitivity if multiple failures), poor compliance (complex regimen, side effects—patients stop early), inadequate duration (7-10 days less effective than 14 days), biofilm not addressed.
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
During treatment: avoid alcohol (irritates stomach, interferes with healing), avoid NSAIDs and aspirin (worsen gastric damage), avoid spicy foods, citrus, tomatoes, coffee (if symptoms worsen), avoid processed foods, sugar (feed bacteria, inflammation), Focus on: gastric-healing foods (bone broth, cabbage juice—historical remedy, contains glutamine, vitamin U), manuka honey (antimicrobial, gastric healing—1-2 tbsp twice daily between meals), fermented foods (probiotics after initial eradication—kimchi, sauerkraut, yogurt), cruciferous vegetables (broccoli sprouts—sulforaphane antimicrobial against H. pylori, eat daily), garlic (antimicrobial—raw or aged garlic extract), ginger (anti-inflammatory, antimicrobial), turmeric, green tea (EGCG antimicrobial), bland, easily digestible foods during acute symptoms (white rice, bananas, cooked vegetables), adequate protein (healing), omega-3 foods (anti-inflammatory), After eradication: continue gut-healing diet, probiotics (restore microbiome damaged by antibiotics), Prevent reinfection: good hygiene (wash hands, clean food preparation), avoid contaminated water, don't share utensils/cups.
Eradication treatment: Triple therapy (PPI + amoxicillin + clarithromycin for 14 days—first-line, 70-85% eradication but resistance increasing), Quadruple therapy (PPI + bismuth + tetracycline + metronidazole for 14 days—if penicillin allergy or clarithromycin resistance), Sequential therapy (PPI + amoxicillin 5 days, then PPI + clarithromycin + metronidazole 5 days), Levofloxacin-based (if above fail—but resistance increasing), High-dose dual therapy (PPI + amoxicillin very high dose—if resistance), Duration: 14 days better than 7-10 days (higher eradication rates), Confirm eradication: wait 4+ weeks after treatment (need to be off PPIs 2 weeks before testing—urea breath test or stool antigen), Natural protocol (if refusing antibiotics, mild symptoms, or failed multiple antibiotic courses): Mastic gum 1000mg 3x/day + Bismuth 524mg 4x/day + Zinc carnosine 75mg 2x/day + Probiotics + Manuka honey + Broccoli sprouts daily for 8-12 weeks—some success but lower eradication than antibiotics, retest after treatment, Combination approach (best eradication rates, lowest side effects): Antibiotics + natural antimicrobials + probiotics (improves eradication 10-15%, reduces antibiotic side effects—diarrhea, yeast overgrowth), Improve antibiotic effectiveness: take on empty stomach or with small amount food (depends on antibiotic), complete full course (don't stop early), take probiotics 2-3 hours after antibiotics (not same time), NAC (breaks biofilm—enhances antibiotic penetration), Reduce PPI side effects: take only during treatment (long-term PPIs have significant risks—nutrient malabsorption, infections, bone loss, dementia), switch to H2 blocker or natural alternatives after eradication (DGL, zinc carnosine, aloe), After eradication: heal gastric damage (zinc carnosine, L-glutamine, DGL, bone broth), restore gut microbiome (probiotics, fermented foods, prebiotics for 1-3 months), retest to confirm eradication (4+ weeks post-treatment—important because symptoms may improve even if not eradicated), If eradication fails: retest antibiotic sensitivities (culture and sensitivity from endoscopy biopsy), try different antibiotic regimen, consider natural protocol, address biofilm (NAC, serrapeptase), Prevent recurrence: good hygiene, avoid contaminated food/water, don't share utensils, treat household members if symptomatic (prevent reinfection), Consider treating: some debate whether asymptomatic H. pylori should be treated—Gabriel recommends eradication (prevents ulcers, gastric cancer, especially if family history gastric cancer, atrophic gastritis, persistent dyspepsia), Stress management: stress worsens gastric symptoms, healing (meditation, yoga, therapy), Avoid smoking (worsens gastric damage, impairs healing, increases ulcer and cancer risk).
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Meditation and mindfulness to reduce stress-induced gastric acid secretion.
Visualization of gastric mucosa healing and pathogen clearance.
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