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  <title>E290: The H. Pylori Case That Stumped Everyone (Until We Fixed the One Thing They All Missed)</title>
  <description>What causes relentless belching that can clear a room - even after four rounds of H. pylori treatment?  A 55-year-old retired dental hygienist had been treated for H. pylori four times. Two rounds of medical intervention and two different functional medicine practitioners tried to help - without success. The infection kept coming back, along with the belching so severe she could clear a room. The problem? Everyone missed the most important thing: the biofilm. In this episode, Ronda walks you through the exact three-phase protocol that finally worked: Prep &amp;amp;amp; Prime (biofilm disruption + gentle antimicrobials), Target &amp;amp;amp; Eliminate (targeted killing agents), and Gut Remodeling (barrier repair). You'll learn why starting aggressively often backfires, how to track progress using frequency/duration/intensity, and the unexpected supplement reaction that triggered severe anxiety. This case is a masterclass in clinical thinking; knowing when to slow down, when to reassess, and why treating the same infection the same way will always give you the same result. What You'll Learn:   Why biofilms protect pathogens from antibiotics and antimicrobials - and how to disrupt them   The 4-supplement Prep &amp;amp;amp; Prime protocol Ronda used for 2 weeks before using antimicrobials   How to balance aggressive treatment with patient tolerance (and when to pull back)   Why one supplement caused dark, ruminating thoughts - and how we figured it out   The difference between managing presenting symptoms and addressing root cause   Resources Mentioned:   Free download: 6 Principles of Clinical Thinking at rondanelson.com/6principles   Learn the &amp;quot;how&amp;quot; of functional medicine inside Clinical Academy at rondanelson.com/clinicalacademy   Connect with Ronda:   Clinical Academy: rondanelson.com/clinicalacademy   Free Resource: rondanelson.com/6principles   &amp;amp;nbsp; </description>
  <author_name>The Clinical Entrepreneur</author_name>
  <author_url>https://www.rondanelson.com/</author_url>
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