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In Diagnostic Solutions results, which concentration of ​H. pylori​ do you consider to be high requiring treatment?

Tracey O’Shea: “In Diagnostic Solutions results, which concentration of ​H. pylori​ do you consider to be high requiring treatment?”

So it does have a lab value on there, and I apologize, I can’t remember the exact value, but I think it’s 13​ ​, like 1.043​ ​or something like that, but it does have a low value that is considered “around normal.” So here’s kind of how we have approached that. If the patient does not have any virulence factors and the concentration of the ​H. pylori​ is below their range, so it’s not marked high, it’s just present and the patient is not “symptomatic” from, like, a gut perspective, then [we] probably don’t address it. I will be honest, most of the time, there [are] also other gut issues, whether it be SIBO or an infection, so I would say 90 percent of the time that ​H. pylori still does kind of get treated by default because we are putting them on an antimicrobial protocol for a variety of other infections or imbalances, but if there [are] no virulence factors and it’s not marked high, then I usually will leave that alone if a patient is not symptomatic and there’s no other reason to do a gut treatment. This is just what we’re doing clinically. I don’t think that there’s been a lot of validated information just yet on this, and I’m hoping that as these tests become a little bit more available and they’re around for a little bit longer, we’ll have an opportunity to do a little bit more validation, but that’s currently what Chris and I are doing in practice as far as the testing goes. If there is a virulence factor at all present, we treat for sure, regardless of the quantity, just to kind of clarify.

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