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Description

The ACG recommends bismuth quadruple therapy (bismuth subsalicylate, metronidazole, tetracycline, and a PPI for 14 days) or concomitant therapy (PPI, amoxicillin, clarithromycin, and metronidazole for 14 days) as first-line regimens in regions with clarithromycin resistance above 15% 6

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Caution is merited regarding soluble fibre

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In 2025, the FDA expanded options with the approval of the Wegovy pilla non-injectable version for those preferring pills

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Giurgiuca A, Nemes B, Schipor S, Caragheorgheopol A, Boscaiu V, Cozman D, et al

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