H. pylori protocols 6-week protocol 11 food prescriptions

H. Pylori 6-Week Eradication-Support Food Protocol

H. pylori is one of the most actionable findings on a stool test because it has a defined eradication protocol and stool testing detects it with high specificity. This protocol is designed to support pharmaceutical eradication, not replace it. Most patients with confirmed H. pylori benefit from physician-prescribed triple or quadruple therapy. The food protocol below addresses the gut dysbiosis that nearly always follows antibiotic eradication, plus uses foods with documented antimicrobial activity against H. pylori (sulforaphane from broccoli sprouts, mastic gum, manuka honey, DGL licorice). Phase 1 supports the antibiotic course (or stands alone if pursuing botanical eradication only) with maximum antimicrobial food intake. Phase 2 begins gut barrier repair as the H. pylori load drops. Phase 3 rebuilds the commensal community that antibiotics depleted, with emphasis on Lactobacillus and Bifidobacterium recovery.

Who this protocol is for

Adults with a confirmed positive H. pylori stool test, especially with one or more virulence factors (CagA, VacA, BabA, DupA), and any patient about to start or just finished pharmaceutical H. pylori eradication therapy.

What to expect, week by week

  1. 1 Week 1 to 2: If on antibiotics, expect some GI side effects from the medications. The food protocol reduces these significantly.
  2. 2 Week 3 to 4: Heartburn and burning stomach pain start to ease. Appetite often returns.
  3. 3 Week 5 to 6: Energy and B12 status improve as gastric function recovers.
  4. 4 Confirmation testing: retest H. pylori at 8 to 12 weeks after antibiotic completion to confirm eradication.

The 6-week food plan

Built from the protocol for Helicobacter pylori, the primary marker behind this condition. Phase 1 is partially visible. The full plan with exact quantities unlocks when you upload your stool test PDF.

Phase 1 Weeks 1 & 2 · Remove and Reduce
  • Broccoli sprouts (fresh) See your personalized dose
  • Mastic gum capsules See your personalized dose
Phase 2 Weeks 3 & 4 · Seed and Feed Locked
Phase 3 Weeks 5 & 6 · Build and Sustain Locked

Unlock the full personalized version

This is the off-the-shelf protocol for H. pylori protocol. Upload your stool test PDF and we will build the version that handles your specific marker pattern (most people have 4 to 7 abnormal markers, not just one), with conflicts resolved and a grocery list ready to send to Instacart or Kroger.

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The markers behind this protocol

The primary driver is Helicobacter pylori. Click through for what the result means in detail. Supporting markers below often co-occur and inform the full protocol.

Primary driver Positive Helicobacter pylori Supporting marker Low Secretory IgA Supporting marker Low Bifidobacterium spp. Supporting marker Low Lactobacillus spp.

Common mistakes practitioners see

  • Stopping the food protocol when symptoms improve but before retesting.
  • Skipping the post-antibiotic dysbiosis recovery (Phase 3). Most relapses come from this gap.
  • Using high-dose probiotics during active antibiotic therapy (some interfere with absorption).
  • Not addressing virulence factors (CagA, VacA) when present. Higher-virulence strains warrant longer monitoring.

When to escalate

  • Vomiting blood or coffee-ground material.
  • Black tarry stool.
  • Persistent severe stomach pain not relieved by the protocol.
  • Iron deficiency that does not respond to supplementation (suggests ongoing GI bleeding).

These signs mean stop the protocol and see a clinician. The protocol is not designed to manage acute or severe disease.

Tests that produce the markers driving this protocol

Diagnostic Solutions Laboratory · Upload supported GI-MAP Doctor's Data Doctor's Data GI360 Genova Diagnostics · Upload supported Genova GI-Effects

Frequently asked questions

Do I need to do the full 6 weeks?
Yes. Symptom changes show up within 2 to 3 weeks for most people, but the underlying microbiome shift takes the full duration. Stopping at week 2 because you feel better is the single most common reason protocols fail.
Can I do this protocol without a stool test?
You can run the off-the-shelf version of this protocol without a test. The trade-off: you lose the personalization that addresses your other markers. Most people on a stool test have 4 to 7 abnormal markers, not just one. The personalized version sequences interventions based on which combinations are present.
What if I have multiple findings on my test?
Almost everyone does. Upload your full PDF instead of running this single-condition protocol. The personalized output handles marker conflicts (for example, fiber that helps one marker can worsen another) and sequences phases in the right order across all of them.
When should I retest?
8 to 12 weeks after starting the protocol is the validated retest window for most stool tests. Earlier than that, the markers have not had time to change. Later than that, you lose the ability to attribute changes to the protocol vs. drift.
Should I work with a practitioner alongside this?
For protocols involving parasites, H. pylori, or significant inflammation (Calprotectin above 120 µg/g), yes. For dysbiosis, low diversity, or low SCFA findings, dietary protocols can be self-directed for most people. The 'when to escalate' section above lists the specific signs that mean stop and see a clinician.

Get the version built for your full report

This protocol assumes a single primary driver. Most stool tests show 4 to 7 abnormal markers. Upload your PDF and get the version that handles all of them, in the right order.

Upload your lab PDF