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.