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The American College of Physicians recommends using PPIs at the lowest effective dose for the shortest duration necessary

Signs Hormones Might Be Involved Not sure if hormones are your hurdle

According to Rossi, The World Gastroenterology Organization also has probiotic guidelines which outline which strains and needs have clear scientific evidence, such as protecting your gut with the LGG probiotic strain when on antibiotics. Dietary restrictions: Read the fine print if youre vegan or vegetarian, or have an allergy to common ingredients like soy or gluten

L-glutamine supports the integrity of the gut lining and may be of value in IBS or leaky gut