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Heartburn/gastritis/GERD or achlorhydria or H. pylori?

Important Note:

In order to receive protocol information or help, you will need to become a distance patient – Distance Patient Application. I truly do want to help any and all who are interested, but it’s finally gotten to the point where too many people want free advice, treatment plans, personalized protocols…. I’m a firm believer in fair-exchange and I feel I have done that by providing the information in this post.

I will help you and I can create a tailor-made protocol for your individual situation. Please fill out the distance patient application (link above) or if you have questions about the program, please call me at 714-639-4360

Heartburn/gastritis/GERD or achlorhydria or H. pylori?

gastritisDr. Marcus Ettinger B.Sc., D.C. – H. pylori treatment – H. pylori protocol.

Disclaimer: This post is not a substitute for medical advise or treatment, and is for informational purposes only.  Please consult with a physician before starting any nutritional protocol on your own.

Blog post – H. pylori free, in just 34 days, without antibiotics on Dr. Ettinger’s protocol! Lab tests to prove it.

H. pylori – Resources and Links

“Heartburn, chronic active gastritis, GERD, acid reflux, achlorhydria or H. Pylori – that is the question.”  William Shakespeare. Are any of these conditions actually due to too much stomach acid (hyperchlorhydria)?  Not necessarily.   I have to admit here, I experienced a severe bout of gastritis – once, when I started-up my first practice.  And yes, it hurt.   It felt exactly like someone poured a quart of battery acid down my throat, at the same time I was having a heart attack, while licking a brand-new nine volt battery.  I think you get the picture. (The Digestive System)

Well, to make a long story short, my stress wasn’t going to go away in the next five minutes, so I needed to apply my “medical detectiveness” and back-track the pathophysiology of the condition, to figure out the cause.  Knowing the cause and predisposing factors would allow me to apply the precise heartburn treatment, H. pylori treatment, chronic active gastritis treatment, GERD treatment or low stomach HCl treatment.  The cause and predisposing factors were:

My Predisposing Factors:

1. Chronic Dehydration – There are different types of mucous cells in the stomach and they are easy sources to supply the body with water when dehydrated.  The thinning of the gastric mucosa or destruction of that mucous membrane layer, makes the stomach vulnerable to acids – hydrochloric or those produced from fermentation of ingested sugars and purification of ingested proteins.  Decreased stomach acid (HCl) also creates the perfect storm for the introduction and/or colonization of the dreaded H. pylori bacterium.

2. Zinc Deficiency – I  picked-up on this during a hair-mineral analysis.  Zinc deficiency as a single factor would, most likely, not cause anything overtly noticeable.  When combined with a Helicobacter pylori (H. pylori) infection, the compounding effects created a more severe inflammatory reaction within the gastric lining.

3. One Bourbon, One Scotch, One Beer – Ethanol on its own can create painful erosion and inflammation of the gastric lining, but when combined with the zinc deficiency, it can compound the degree of inflammation and drastically delay healing.

4. H. pylori or Lack of HCl? – After testing it was confirmed the H. pylori was present.  Now was my lack of HCl the reason I got the H. pylori or was the H. pylori the cause of the reduced stomach acid?

So, at this point, not only was I up shit-creek without a paddle, I was missing the canoe too.

So What Was the True Cause of My Gastritis?

#1, #2, #3 and #4 all played their individual parts in my condition.  A little more on #4 – Achlorhydria (lack of stomach HCl) or H. pylori bacteria: This is the, what came first, chicken or the egg dilemma.  Did my lack of stomach acid allow the H. pylori a safe haven to take up residence or did the H. pylori infection cause the lack of stomach acid?   Both are possible and both allow the other to exist, and create a painful condition called atrophic gastritis. This is exactly what I had, and, I am sure, a little erosive gastritis as well.


H. pylori bacteria

Diagnostic Testing:

After some diagnostic testing: allopathic (traditional medicine), which included BioHealth Diagnostics Laboratories 401H (GI Pathogen Screen w/ H. pylori Antigen $270.00) and energetic testing (Applied Kinesiology & Contact Reflex Analysis), I now knew what was going on, what caused it and what to do to get it completely under control.  It was confirmed I did have Helicobacter pylori H. pylori for short.

The True Cause – H. pylori:

One of our oldest companions is a microbe called Helicobacter pylori, or just H. pylori. It has been colonizing our stomachs, and co-evolving with us, for the past 50,000 – 100,000 years. Helicobacter pylori (H. pylori) is a spiral-shaped gram-negative bacterium which was identified in 1979[1].  It produces urease in abundance, the activity of which, through the production of  ammonia, together with the bacterium’s motility and ability to adhere to the gastric mucosa, enables its survival in the acid environment of the stomach.  About half of the worlds population house H. pylori, in their stomach, and are unphased by it.  But in about 15 percent of those infected, the microbes cause peptic ulcers and chronic active gastritis, and in an unluckier bunch the H. pylori is a causative agent for gastric cancer and mucosa associated lymphoid tissue lymphoma[2].  It has also been shown to be associated with extragastric diseases, such as iron deficiency anemia and idiopathic thrombocytopenic purpura[3-5].

1. Pajares JM, Gisbert JP. Helicobacter pylori: its discovery and relevance for medicine. Rev Esp Enferm Dig 2006; 98: 770-785
2. Sari YS, Sander E, Erkan E, Tunali V. Endoscopic diagnoses and CLO test results in 9239 cases, prevalence of Helicobacter pylori in Istanbul, Turkey. J Gastroenterol Hepatol 2007; 22:1706-1711
3. Bohr UR, Annibale B, Franceschi F, Roccarina D, Gasbarrini A. Extragastric manifestations of Helicobacter pylori infection — other Helicobacters. Helicobacter 2007; 12 Suppl 1: 45-53
4. Franceschi F, Roccarina D, Gasbarrini A. Extragastric manifestations of Helicobacter pylori infection. Minerva Med 2006;97: 39-45
5. Franceschi F, Gasbarrini A. Helicobacter pylori and extragastric diseases. Best Pract Res Clin Gastroenterol 2007; 21: 325-334

My H. pylori Treatment Protocol

Pre-treatment – First, I took antacids (over the counter – Zantac OTC) to increase the susceptibility of the H. pylori to treatment/eradication (lesson the need of  H. pylori to defend itself so vigorously) and allow my gastric mucosa a chance to heal.  Note: The H. pylori form protective bacterial colonies called biofilm, which is made up of a protective, extracellular polysaccharide shield.  This protective shield is a defensive barrier against stomach hydrochloric acid and other substances, like antibiotics.  Being a complex matrix of proteins and carbohydrates, which are probably interdependent, the H. pylori biofilm could possibly offer a protective haven for the survival of this gastric bacterial pathogen in the extragastric environments (Proteomannans in Biofilm of Helicobacter pylori ATCC 43504). As well as Candida albicans and other bacteria.

Treatment – Second, my personal H. pylori bomb consisted of: Monolaurin (lauric acid) or Lauricidin – also see coconut oil, which is 50% lauric acid by weight) and H-PLR (K-32) (Supports bacterial elimination) from Apex Energetics. I also juiced 1/4 cabbage every day (cabbage contains S-Methylmethionine also known as Vitamin U, a great healer of ulcers and gastritis).  After 4 weeks on my protocol I was feeling like a new man!   I rechecked myself, after 8 weeks (stool test), and was free of the foreign invaders, breath test confirmed the same.

Note: As of September 2009, I’m also adding Klaire Labs – InterFase Plus, to my H. pylori treatment protocol.  InterFase Plus is now an important and mandatory part of the protocol.  InterFase Plus aids in the eradication of biofilm, especially H. pylori biofilm colonies.  This is a major advancement in my protocol. Understanding what BIOFILM is is extremely important for a variety of reasons.  Please follow any biofilm link to read more about it. Also read about my biofilm protocol.  Additional products taken during the treatment phase: VSL#3 or Probiotic-10 (multi-strain pro-biotic and pre-biotic formula), NAC by Now Foods, S. boulardii and Psyllium Husk Fiber.  My Biofilm Protocol is integrated into the H. pylori elimination Protocol.

Certain dietary restrictions and additions will need to be taken.  These are determined on a case by case basis. The two that are required for everyone is: avoid all cow’s milk and gluten containing products.

Prevention and Healing – Third, was to keep the H. pylori bacteria from coming back and keep the healing process moving forward.   I took pancreatic enzymes w/HCl* and plant-based with each meal, zinc**  and L-carnosine** Ulcetrol from Now Foods has both of these.  Mastic gum***, TheraAloe****(No longer available), chlorella and/or spirulina, a daily broad-spectrum probiotic (VSL#3 or Probiotic-10 from Now Foods), NAC, psyllium husk fiber and tons of distilled water, for 6 weeks.  I was now better than before my first symptom.

All-in-all, it was a learning experience, and one that has made me a better doctor and a more diligent medical detective.

FYI: Gastritis is not a single condition, but several different conditions that all share inflammation of the stomach lining as a common symptom.  Gastritis, most often, is caused by prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin, chronic dehydration, drinking too much alcohol or infection such as Helicobacter pylori bacteria (H. pylori).  It may also occur after a major surgery, severe infections, trauma-injury-burns, or severe infections. Some diseases, such as pernicious (B12 deficiency) anemia, autoimmune diseases, and chronic bile reflux, can cause gastritis as well.

*Microscopy studies of the motility of H. pylori in gastric mucin at acidic and neutral pH in the absence of urea show that the bacteria swim freely at high (alkaline – achlorhydria) pH, and are strongly constrained at low (acidic) pH.  Also, H. Pylori, through enzyme reactions promote increased ammonia production, which raises the pH of its environment – allowing it to move more freely.

(**)A combination of zinc and L-carnosine has been shown to prevent gross visible damage to gastric mucosa caused by ethanol ingestion.  This combination also acts as a potent antioxidant, specifically benefiting the gastric mucosa.

***There is conflicting data on whether mastic gum kills H. pylori effectively in vivo (live human trials). Killing it in a test tube or mice is one thing, but I am interested in living human beings.  There is evidence that it aids in the healing of the gastric mucosa, possessing anti-inflammatory properties.  I used it for healing rather than as an agent to kill the H. pylori bacteria.  Note: there are studies that have shown that mastic gum kills H. pylori.  The problem is that it is in less than 30% of the trial groups.  So it works in about 1 out of every 3 that try it as a primary treatment (at dosages of 500mg’s 3x/day).

****TherAloe is a high molecular weight polysaccharides containing aloe vera juice product.  Its healing capabilities, as far as I am concerned, are quite profound on the gastric mucosa.

H. Pylori Articles:


IMPORTANT; PLEASE READ: Updated, Update – 19 August 2014 (Original: 08 Aug 2013): I have been helping patients with H. pylori, a biofilm producing bacteria, for almost 7 years now. In the beginning, eradicating this bug was very easy, in my opinion. As time progressed I noticed that the same protocol I had been using was becoming less and less effective – on first-timers, not re-treatments. There are now H. pylori strains that are now ‘multiple drug-resistant’. Medically there is no real explanation for this. Energetically there is a very good explanation, for me anyway, based on the research done by Rupert Sheldrake, PhD on Morphic Fields and Morphic Resonance. Please read about his theory for further clarification.

Because of this new shift in loss of effectiveness, in some patients, I have had to use more than one round of products or add more products to the protocol. The end result has always been eradication but it’s now taking more to achieve this result. Also, there are many people contacting me and letting me know that they have undergone triple and quadruple therapies to no avail. This proves in my mind that biofilm and the bacteria that create them are learning to defend themselves more effectively. They are adapting and mutating, genetically, to survive. Good for them and bad for us.

My theory is that with the introduction of hundreds of blogs, chat-rooms and websites devoted to H. pylori and biofilm, more and more people are self-treating. This self-treating is not killing the H. pylori or eliminating the biofilm but to the contrary, making them both stronger by building-up the biofilm defense. Every time a bacteria that produces a biofilm is unsuccessfully treated it becomes more resistant to the next protocol. When this is combined with the theory of Morphic Fields, it’s no wonder that H. pylori and biofilm eradication is becoming harder and harder to achieve. The point of all of this is that there is still effective treatment options available, it may just take a little more time and/or more products, allopathic (Prevpac or Pylera) and/or natural to get to the desired end result – H. pylori and biofilm eradication.

Lastly, I am not against self treating per se. The issue is that the information, out on the web, on biofilm and H.pylori is not comprehensive or clear enough for the layperson to be their own doctor or to successfully self-treat. I have always advocated and promoted that if you want to get better with or at something, you need a coach who is an expert in that field or subject. There are times and places where self-help is good , but biofilm and H. pylori treatment is not one of them. This is just my opinion.

September 13, 2009 Update – I am now taking, Source Naturals – Broccoli Sprouts Extract, which provides 2,000mcg’s sulforaphane daily. This is equivalent to eating more than a pound of fresh broccoli. Dietary Sulforaphane-Rich Broccoli Sprouts Reduce Colonization and Attenuate Gastritis in Helicobacter pylori–Infected Mice and Humans

October 03, 2009 Update H. pylori most likely will live in biofilm colonies which make them even harder to kill or be identified by our host defenses. Read more about biofilms here and my protocol to remove them. BIOFILM

November 03, 2009 Update – In my never ending quest for knowledge, I just came across this interesting piece of data. The H. pylori bacteria is thought to have been with us for around 58,000 years and migrated with modern man out of east Africa. Here is the link to this article. – An African origin for the intimate association between humans and Helicobacter pylori

November 18, 2009 Update – Here are two PubMed articles validating the effectiveness of Monolaurin for the prevention and/or eradication of H. pylori.

Int J Antimicrob Agents. 2002 Oct;20(4):258-62
Bactericidal effects of fatty acids and monoglycerides (Monolaurin) on Helicobacter pylori
Bergsson G, Steingrímsson O, Thormar H. Institute of Biology, University of Iceland, Grensasvegur 12, 108, Reykjavik, Iceland.

The susceptibility of Salmonella spp., Escherichia coli and Helicobacter pylori to fatty acids and monoglycerides was studied. None of the lipids showed significant antibacterial activity against Salmonella spp. and E. coli but eight of 12 lipids tested showed high activity against H. pylori; monocaprin and monolaurin being the most active. The high activity of monoglycerides against H. pylori suggests that they may be useful as active ingredients in pharmaceutical formulations.

Mol Cell Biochem. 2005 Apr;272(1-2):29-34
Minimum inhibitory concentrations of herbal essential oils and monolaurin for gram-positive and gram-negative bacteria
Preuss HG, Echard B, Enig M, Brook I, Elliott TB. Department of Physiology and Biophysics, Georgetown University Medical Center, Washington, DC 20057, USA.

New, safe antimicrobial agents are needed to prevent and overcome severe bacterial, viral, and fungal infections. Based on our previous experience and that of others, we postulated that herbal essential oils, such as those of origanum, and monolaurin offer such possibilities. We examined in vitro the cidal (def. killing, as in bactericidal) and/or static effects of oil of origanum, several other essential oils, and monolaurin on Staphylococcus aureus, Bacillus anthracis Sterne, Escherichia coli, Klebsiella pneumoniae, Helicobacter pylori, and Mycobacterium terrae. Origanum proved cidal to all tested organisms with the exception of B. anthracis Sterne in which it was static. Monolaurin was cidal to S. aureus and M. terrae but not to E. coli and K. pneumoniae. Unlike the other two gram-negative organisms, H. pylori were extremely sensitive to monolaurin. Similar to origanum, monolaurin was static to B. anthracis Sterne. Because of their longstanding safety record, origanum and/or monolaurin, alone or combined with antibiotics, might prove useful in the prevention and treatment of severe bacterial infections, especially those that are difficult to treat and/or are antibiotic resistant (also see biofilm, as a source of antibiotic resistance).

Note: Monolaurin has been shown to inactive many forms of bacteria and virus’ that are protected by an outer lipid membrane, known as an envelope (H. pylori cell envelope). The mechanism is due to monolaurin’s ability aid in the disintegration of this lipid membrane.

May 02, 2010 Update A recent review, just published, of available literature on the use of probiotics in the treatment or prevention of H. pylori infection, validated that, Both in vitro and in vivo studies provide evidence that probiotics may represent a novel approach to the management of H. pylori infection.”

Helicobacter. 2010 Apr;15(2):79-87.
Role of probiotics in pediatric patients with Helicobacter pylori infection: a comprehensive review of the literature.
Lionetti E, Indrio F, Pavone L, Borrelli G, Cavallo L, Francavilla R. Department of Paediatrics, University of Catania, Catania, Italy.

March 28, 1011 Update – Helicobacter pylori infection has been associated with diverse extra-digestive morbidity, including insulin resistance (IR) syndrome (1), atherosclerosis and cardiovascular diseases (2). Insulin resistance is the pathophysiologic background of the clinical features of atherosclerosis and cardiovascular diseases.

Morbidity – The rate of incidence of a disease. (Medicine / Pathology) Also called morbidity rate the relative incidence of a particular disease in a specific locality.

1. Gunji T. Helicobacter pylori infection significantly increases insulin resistance in the asymptomatic Japanese population. Helicobacter. 2009 Oct;14(5):144-50.
2. Polyzos SA. The Association Between Helicobacter pylori Infection and Insulin Resistance: A Systematic Review. Helicobacter. 2011 Apr;16(2):79-88. doi: 10.1111/j.1523-5378.2011.00822.x.

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86 Responses to “Heartburn/gastritis/GERD or achlorhydria or H. pylori?”

  1. Gloria,

    It is very important that you read all my posts on biofilm (Biofilm Protocol). This is the reason why infections (sinus, gut…) go chronic and why antibiotics are not effective in getting rid of them. A gluten free diet will help make everything you do healing-wise, easier. I like moderate exercise for stress relief. Anxiety is a result of when you feel that things are out of your control. Get educated on biofilm, surround yourself with supportive people, eat a natural diet and get in regular sleep and exercise. I hope this is of some help to you. Please update me on how thing go.


    Dr. E

  2. David says:

    After 4 months with 2 antibiotics for 7 days I have done now a stomach biopsy and a breath test.

    Breath Test: Positive for Helicobacter
    Stomach Biopsy: Negative for Helicobacter, not found.

    Now I continue to have light stomach pain only after lunch and another 3 weeks before new consult with my new physician. Very confused and dissapointed with my situation after months :(

    I suppose biopsy is more reliable than breath test.

  3. Maria says:

    Hello Dr. Ettinger,

    I too have H. pylori (diagnosed last November). I’ve been on two antibiotic treatments, one Prevpak which I didn’t finish and recently Pylera for 10 days. I also have gastritis. I was feeling fine after I finished but the gastritis came back which leads me to believe that I still have the H. pylori. I also lost 28 lbs. I’m down to 100 lbs which I can’t afford to lose. In between the antibiotics I was working with an herbalist here locally. He put me on chlorophyll and a powder of slippery elm, DGL and cuttlefish twice/day. In addition I took mastic gum, Pine nut oil and regular supplements (probiotic, D3, B12, multi etc.). This did not eradicate my H. pylori. He said I had low stomach acid and taking this stuff would heal my stomach lining and the H. pylori would die. In addition to the above I am drinking a lot of cabbage juice and have added oil of oregano to my routine.

    I will give another stool test next week and should have the results in two weeks when I see my GI doc first week in Dec. Question – is it possible to have a negative result if I still have gastritis? I’ve been reading all your posts and willing to follow your regiment especially because you went through it. What do you recommend that I haven’t mention above? Do you do private consultation (by phone or email)?

    Many thanks.

  4. Maria,

    Yes, it is possible to still have gastritis and a negative test. My recommendation is to have a new stool test and then we can rule-in or out H.pylori as the cause. At that point it will be a lot easier to nail-down the cause and handle it. I will forward you a distance patient form. Please get in touch with me when you get your test results.

    Dr. E

  5. Maria says:

    Dr. E

    Can I continue taking the supplements I mentioned earlier right up to when I give my stool test or do I have to quit? With antibiotics I have to wait 2 months before testing. Maria

  6. Maria,

    Supplements are fine, as long as they are not anti-parasitic. If you are taking any anti-fungal, bacterial or parasitic medications, you will have to wait.

    Dr. E

  7. Marcella says:

    Dr. Ettinger,

    Your website, along with Amy King’s, has been so helpful in giving me a natural alternative to getting rid of H. pylori. I’ve been very sick, mostly all undiagnosed by multiple doctors, for over 4 years! I’m hoping being free from H. pylori will help many of my symptoms. I am on a protocol twice a day of 4 different biofilm busters, 4 different anti-bacterials, and a few different “clean-up” methods. Plus, other helpful supplements, probiotics, etc for gut healing.

    Two questions:

    1) I have Mitral Valve Prolapse and the frightening heart palpitations, light-headedness, difficulty breathing, and low level anxiety that goes along with it. Since starting the protocol it’s getting a lot worse. I fear not taking Magnesium (due to the biofilm) is really taking a toll on my heart. Would it be too detrimental to add it back? Any other recommendation for the MVP while doing the protocol?

    2) I’m currently using activated charcoal, apple pectin, psyllium husks, and spirulina for the “clean-up”. I’m concerned (not sure of the long term effects) about taking charcoal daily for 6-8 weeks. Should I be?

    Thank you for your time and any advice you may have!

  8. Marcella,

    Take the magnesium at least 3-4 hours, before or after, the biofilm “busting” supplements.

    I am not a big fan of activated charcoal as a dietary supplement. I would take a heaping tablespoon of the spirulina instead. NAC is a good product too.

    Dr. Marcus Ettinger

  9. David says:

    One year after removing Helicobacter, gastritis symptoms return. I suppose I will have to do another Helicobacter test and/or and endoscopy. Gastritis sucks…stomach and chest pain. I have returned to supplements I used last year, I have noted that I have real relief after taking natural butter (ghee maybe is a better option). In zen medicine I have found some basis to this relief on stomach problem with butter

  10. Jeanne says:

    I just found your website and I am hoping you can help me. We travel the world as a lifestyle so that complicates things, but we are in California for a few months now.

    I have had severe digestive problems since last May ( a year and half ago) and a very distended upper stomach since last February when it kicked up into even higher gear. I have gotten relief with acupuncture, TCM herbs and tried many of the products you mention ( but not in your order or all of them).It comes and goes in severity but some swelling and discomfort has been constant, some days or middle of the nights …emergency room level distress.

    Can you tell me what your rate of long term success has been with your protocal? I do not want to take the antibiotics ( I have had candida in the past and respond much better to alternative methods) but have wasted a ton of time and money on finding a cure for me, that I am too desperate now to waste any more time. I need success now and am willing to do what that takes.

    I spend all day, every day on trying to feel better and still remain up and down, usually more down than up. I need to get out of survival mode. I spend 2 to 3 hours or more every day doing saunas and hot tubs with jets on back ( back of distressed stomach area) between cold pool swims as that usually gives me some relief from the severe toxic feeling. ( Doing this daily since Feb).

    I hope you can help me as everyone says the only cure for hpylori is antibiotics, but I am pretty sure the allopath way will make me sicker.

  11. My success with my H. pylori protocol is 100%. That said, it doesn’t mean that if we eliminate the H.pylori your symptoms will disappear. Only if H. pylori is the only factor will you have complete relief when it’s gone. If you are anywhere south of Santa Barbara and North of Baja California, it would be best to come in and see me. You may also call me at 714-639-4360 for distance help. I look forward to hearing from you.

  12. Marie Gregory says:

    Hi Dr. Ettinger,

    You mentioned that you went on a pre-treatment with antacids to heal your GERD/Gastritis symptoms before going on the H. Pylori protocol with Interfase Plus, and other supplements. How long would you advise going on antacids before attempting your protocol? I’m afraid to go on prilosec considering it may make my H. Pylori worse; yet, I need to heal from gerd/gastritis symptoms. I believe I may have low stomach acid as well. Any suggestions?

  13. Marie,

    I can’t make a recommendation on how long you should take an antacid. The Prilosec will not make the H. pylori worse and is taken during the eradication phase. Most people over the age of 40 have diminished capacity to produce adequate HCl in the stomach. I take a digestive enzyme containing HCl with all of my meals.

    I hope this helps.

    Dr. Ettinger

  14. Parag says:

    Dear Dr. Ettinger,

    Your blog about H pylori has been of great help. I have had mild to moderate gastritis (as evidenced by recent endoscopy) for the last one month or so. My biopsy revealed a small number of H pylori organisms but no ulcer or erosion. I was on Zantac (150mg) for about a month and a half before I went for endoscopy. Now my GI doc has recommended triple therapy. My gastritis symptoms have disappeared about 50-60% than earlier. I want to try treating H pylori naturally since I am worried about the side effects of the antibiotic. I have started eating Virgin Coconut oil 2-3 tsp a day for the past 2-3 days and I’m going to order some manuka honey online. Do you recommend any particular brand? Also, are there any side effects of Manuka honey? Is mastic gum safe since I have read some forums where people experienced gastroparesis as a result of taking mastic. Please advise. I am willing to call for consultation since I live on the east coast.
    Thanks in advance!

  15. Parag,

    EVCO is okay at 2tsp/day as is the Manuka honey and mastic gum. This issue with the three is that they are weak as far as treatments go. I do not carry those products in my practice or make recommendations on them because of their lack of efficacy. The protocol I have put together is very effective and I have pre and post tests to that fact. If someone wants to take the above three in addition, all the better.

    I do offer distance patient consultations. The majority of H. pylori patients I help are helped this way. Please follow this link for the data. I can also be reached if you have questions on the distance patient consulting at 714-639-4360


    Dr. Ettinger

  16. Melanie Heath says:

    Dr. Ettinger:
    I have an allergy to coconut in which I have severe stomach cramps. Would I still be able to take monolaurin?
    I keep monolaurin on hand for my cats, because it cures cytauxzoanosis (bobcat tick fever), which is often fatal. I give one 300-milligram capsule once an hour for eight doses, emptied out and mixed with water and given with an eyedropper. It kills the protozoan that causes the illness and brings the fever down. I’m so thankful for monolaurin.
    But I think I may have been exposed to h. pylori, because I’m having many of the symptoms of it, and I wondered if you know if monolaurin would cause the same stomach cramps that eating coconut does for me. It’s mainly fresh or fresh frozen coconut that caused the symptoms in the past. I haven’t eaten it in many years.
    Thank you very much.

  17. Bonnie says:

    Hi Dr. Ettinger,

    I have been diagnosed with h. pylori through a stool test by Metametrix. I am currently on mastic gum, propolis, zinc l-carnosine, aloe vera juice and have been on these for almost 2 months with modest improvement. I experience gastritis and have an ulcer, which wakes me up at night when I eat the wrong food. I stray from my diet when my stomach feels better and then I suffer the consequences.

    I attempted to add Monolaurin to my regimen but it made me feel worse after a week (at 1200 mg a day). Is it possible to experience die-off from the Monolaurin? Should I add anything else to my regimen to address the biofilms, or should I just try Monolaurin again? I also developed a chronic sinus infection. And do you have any advice for healing ulcers?

    Is it possible for you to ship your products to Canada? Thanks.


  18. Bonnie says:

    Hi Dr. Ettinger,

    Just to clarify, the Monolaurin seemed to exacerbate my existing symptoms such as anxiety, fogginess, headache but it did help with my eczema and seemed to help my stomach. So I am sure that it was doing something. Perhaps I should start at a smaller dose and work up?


  19. Melanie,

    I have no idea where this was, I look at my comments all the time and this one just popped-up, and it’s from January.

    I do not think monolaurin is made from coconut. I think it’s just a bunch of ingredients mixed-up in a lab. I will find out and post what I come-up with.

  20. cam says:

    Dr. Ettinger,
    Will you please help me. I am h pylori positive and very, very sick. I just began taking monolaurin, this is my 3rd full day. I’ve been taking 4x300mg, twice daily (1200mg in the morning, 1200mg at night). I am feeling 100x worse since starting. I’m scared this is too high of a dose…what should I back it down to, that will still be effective against h pylori?
    Please help. I’ve been rushed to the ER several times already this year while trying to find out what was wrong with me (heart racing/palpitations, weakness, near-fainting). We have racked up thousands in medical bills and for prescription drugs that have not cured me. I’m very sick tonight and very scared. Any advice you can give me on what to do with the dosage would be so appreciated.

  21. Bonnie,

    It’s possible to experience die-off on Monolaurin. I don’t see it very often but it is possible.

    If you have a sinus infection it’s most likely a virus and not a biofilm related issue. Monolaurin does work on virus as well. I use it all the time for various bugs the affect us.

    My advice would be to set-up a consult with me so we can lay out a specific plan of action. My protocols are concentrated and only take 4-6 weeks. If you go to my “Forms” section on the top bar of my website, the last form is the Distance Patient Application. It will give you all the data you need to become a distance patient. I do ship to Canada

    I look forward to hearing from you.

    Dr. Ettinger

  22. Bonnie,

    That would be a good idea. Start at 300mg’s 2x/day and work your way up from there. If you have the 600mg’s, just take one per day and work-up from there.

    Dr. Ettinger

  23. Cam,

    You can take 300mg’s two times per day and work your way-up from there. Important: Monolaurin by itself is not going to do much in the way of eradicating H. pylori. I know you have spent a lot of cash with no results and I would be pissed too, but to help you we need to do it the right way. If you become a distance patient, filling out all the appropriate paper work, we can schedule a consult and lay-out an exact plan to help you get rid of this. Distance Patient Application

    If you would like my help, I’m hear to help you.


    Dr. Ettinger

  24. Name Withheld says:

    Dr. Ettinger,

    I’ve read through your H Pylori, Biofilm section, questions and answers, forum posts (elswere), etc. several times in the past few months. I respect your experience with treating H Pylori for yourself and your patients.

    Unlike you and the others I’ve seen describe their experiences online, my H Pylori is complicated with SEVERE gastritis. I cannot tolerate acids, even essential fatty acids, coconut oil, its derivatives, alcohol-based tinctures, vitamin drops, apple cider vinegar, kombucha, betaine, animal-based enzymes, etc. all set my intestinal tissue on fire, raise my existing high blood pressure significantly, and land me in need of medical treatment. I think I’m reacting to my own digestive acids because every meal and every hour that passes on the clock during the day makes me sicker. My bowel is so toxic that my BP goes up with every BM and any degree of intestinal “peace” I have is shattered. Every leaky gut formula out on the market has ingredients that make me worse: ginger, MSM, marshmallow root, slippery elm bark. Glutamine and mastic gum are ineffective and DGL makes me feel like I’m going to regurgitate. Probiotics and most other treatments seem to work in reverse on me–exacerbating my symptoms not relieving them. Other online practitioners have led me down the garden path and then dropped me once they finally believed my symptoms are this bad and I couldn’t tolerate their “go-to” solutions.

    I’m on this route because I cannot tolerate 95% of standard antibiotics and have had proton pump inhibitors ravage my system (unbeknownst to me for five years) supposedly treating this gastritis but obviously not. Now I have malabsorption, nonexistent Vitamin D, B12, and countless other deficiencies including magnesium. However, treating any of those causes my existing chest wall pain and palpitations to become unbearable. I’m riddled with intestinal gas–cruciferous vegetables (juiced or raw) send me running to urgent medical care due to the burning and pain–now I’ve finally developed significant intestinal bloating and constipation that has doubled my abdominal area and left me more worried and obviously sicker than before.

    I say all of this to ask you with all sincerity, have you “coached”, counseled, dealt with people whose conditions are as severe as mine? If not, any suggestion of where to turn will be greatly appreciated even if it is to stay on the ferris wheel of MDs, GI specialists, and ER doctors who have failed me thus far for 2 years. I got my Dx of H Pylori from the lab you like so much last November–months after getting off the PPIs that kept showing me a false negative for H Pylori with my former doctors. Thank you for even reading this.

  25. First-off, I’m sorry to hear how bad-off you are. Second, how do you treat someone who can’t be treated? The only way I could possibly help you is to know, “WHAT CAN YOU INGEST W/O CAUSING SYMPTOMS (foods, liquids, supplements…)?” W/O that I wouldn’t even know where to start.

  26. Name Withheld says:

    Thank you for your sympathy, Dr. Ettinger. I didn’t mean to make it seem like I didn’t realize the conundrum my situation causes anyone I seek out for help. I’ve been to so many expensive consultations, appointments with that information in hand that went nowhere to fully appreciate the predicament for both parties. I just want to get somewhere further than double-talk. May I contact your office next week with the typed document I compiled with the information you asked about so you can, at your convenience, render an opinion? Or would you prefer I put a synopsis in this online format? I don’t want to encumber your time in any way but I’m one of the few who really have almost nowhere to turn. Thank you for your time especially on a weekend.

  27. lauren says:

    Hello, after being diagnosed with active chronic gastritis and h. pylori I started the antibiotic treatment with biaxin the first 24 hrs giving me watery diahhrea for 4/5 hours and had to stop. The metronizadole I tried later gave me thrush, severe heartburn and esophagitis so bad I started gagging after talking (feeling my throat would close) and now have a permanent lump feeling in my throat. I am trying $$ matula tea, mastic gum and gluten free, dairy free diet with low sugar. Anything else? -they need to get my inflamed throat better since Dr.s want to try the antibioitcs again..

  28. Linda says:

    Dr.Ettinger, Thank you for the comprehensive information you have provided for so many of us who are struggling to regain our health and not having any success using antibiotic treatments. I have subsequently developed gluten and salicylate intolerance since the Gastritis began 3 years ago so my diet is very restricted now and I am probably deficient in zinc amongst other vitamins and minerals. I realize now I was chronically dehydrated for most of my adult life and find that drinking lots of filtered water eases the gastritis considerably.
    I wonder how many others ( such as ‘name withheld’) end up with food intolerances due to leaky gut as a result of the damage caused by the infection, making their gastritis worse as they continue to eat foods they have now become sensitive to. I will definately be using your protocol and look forward to feeling better soon. Thanks for caring.

  29. Andrea says:

    Hi Dr. Ettinger,
    I found your site through Amy’s site and am very grateful for her referencing you.

    I am helping a friend – PB – who is not able to connect directly with you because of his extreme weakness. I would appreciate your comments regarding alternative therapies such as Lauracidin (which I personally use and think is wonderful), Mastic Gum, Manaku Tea, Manuka Honey etc. while using the HP-Pac (lansoprazole – clarithromcyin – amoxicillin) which he started 3 days ago.

    Paul was diagnosed with H Pylori a year ago. He chose not to take treatment at the time as his symptoms seemed to go away on their own and he had no reoccurring stomach symptoms other than bouts of leg pain and his ongoing meniere’s disease

    8 Weeks ago he had a sever “stomach flu” which has caused him to experience increasing stomach difficulties and to become weaker and weaker and weaker. I have been helping him by making organic bone broth, vegetable soups etc and ensuing he is eating gluten, dairy and sugar free and taking probiotics and digestive enzymes.

    PD was diagnosed yesterday with H Pylori and has begun HP-Pac – he is having a lot of gas and stomach pains since starting but is drinking a lot of water. He is desperate to get better given his 8 weeks without being able to work.

    Can you please comment which alternative treatments you would specifically recommend adding to his current allopathic treatment?

    Also, I am very familiar with biofilm from lyme disease and wonder what the tell tail symptoms of H Pylori biofilm are?

    Thank you so much for your response.


  30. Andrea,

    There is a lot going on there and you seem to need a medical assessment on him, which I can’t do in this forum. I can help but the liability of just blindly making recommendations with his advanced condition would be unethical. I do offer a distance patient program which would be perfect for this situation. Please go to the “Forms” section of my website and view my “Distance Patient Application.” If PB is interested, he just needs to follow the instruction.

    I wish you both the best.


    Dr. Marcus Ettinger

  31. Elle says:

    I suspect the failure rate for h pylori drug therapy is significantly higher than reported. I did not do well on quad therapy with flagyl and doxycycline;after four days I was ready to kill myself and hyperventilating. My gastric symptoms worsened to the point that I was constantly crying and anxious. My entire system is now inflamed. And my doctor’s office has yet to help me, because I doubt they believe me or know what to do now.

    You touched on several factors that contribute to therapy failures. Mine stems from the combination of being given a drug (doxycycline which I react to) and the fact that I am a rapid metabolizer of first generation PPIs. I am chronically dehydrated despite drinking lots of water, it seems to run right through me.

    Because I was so sick I sought emergency room care, despite being terrified of contracting C diff, but unfortunately in this visit there was an incidental finding of an 8mm brain aneurysm. ( too complicated to tell how I ended up with CT scan) I have a follow up appt. to see a neurosurgeon, but I am so sick from h pylori I am not sure how I can manage to go it and be told I must have surgery immediately.

    In addition, I have peroneal tendonitis in both feet (swelling, too) and I am on crutches. I just can not seem to heal from this and I believe the h pylori is the root cause, but the medicos I talk to dismiss it as a fancy of mine, yet there is good scientific evidence to support my belief. The orthopedic surgeon wants to give me cortisone shots, but I have delayed hoping to heal on my own, but h pylori may be making this impossible. I am in so much pain I can not think clearly.

  32. Amir says:

    you mentioned the interface plus for the biofilm. my question is it neccesary to take the plus version with the EDTA that chelate minerals? or the non plus version (without EDTA) will be good as well? cause i read some users reported of minerals deficiency when using the plus version. and i don’t want that

  33. Amir, I can’t promise you that the EDTA won’t pull excess minerals out. The EDTA in interfase plus is quite small. If others have complained about mineral deficiencies, it’s most likely they were taking it long term, in very high doses or had underlying mineral deficiencies to start. A short course of it (less than 60 days) should not create a problem.

  34. Steve Murphy says:

    Hi Dr Ettinger,

    I am on day 12 of natural protocol to get rid of H. Pylori. Felt great within a few days, had herx reaction on day 2, then felt much better, like a miracle! As of last night, I started having reflux like symptoms, burning in back of throat and it has continued into this morning. I have been diagnosed with mild reflux for years, but rarely does it ever cause pain. My question is, have you ever heard of the protocol causing reflux symptoms? Or is it that it’s getting worse before getting better?

    Protocol: mastic gum, 2 pills 2x day on empty stomach, monolaurin 2x per day w/food, digestive enzymes after meals, l-glutamine w/breakfast and interfase plus 2 pills, 2x per day away from meals and other supplements, and a good probiotic. Could any of these cause reflux? My 2 doctors I have seen for h pylori think this natural stuff is a waste of time, but I feel better than I have in 7 months, apart from this new symptom of burning in the mouth / reflux pain. Any thoughts?

    Is there a certain supplement I need to take less of, that may be contributing to reflux symptoms? Greatly appreciate your reply. I have had so many tests, been to several doctors, etc and been treated once with conventional triple therapy for h pylori, which returned. I just don’t want to stop the protocol to have stomach issues return, because of reflux. Desperate to find out if I need to adjust protocol somehow? Thanks in advance, Steve.

  35. The only product that may cause some issue is the Interfase Plus, because of the EDTA.

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