Adjuvant <i>Lactiplantibacillus plantarum</i> Lp05 modulates gut microbiota and alleviates symptoms during <i>Helicobacter pylori</i> eradication.

94.1%) did not reach statistical significance, the significant alleviation of key symptoms—particularly abdominal pain and acid reflux—and the modulation of antibiotic-induced dysbiosis establish Lp05 as a valuable supportive strategy ( P < 0.05).

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After the intervention (S2), the gut microbiota composition in the placebo group showed a trend toward recovery but was not fully restored to the baseline (S0) state.

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