“…14 A number of other potential mechanisms by which lactoferrin inhibits the growth of several microorganisms has been suggested, including structural changes in the microbial cell wall, complete loss of membrane potential and integrity, indirect effects on enzyme activation, an increased generation of metabolic by-products of aerobic metabolism, iron deprivation and a combination of these factors. [28][29][30][31][32] By using multiple points of attack against the bacterium, bLf plus clarithromycin and tinidazole may exert an optimal synergic anti-H. pylori activity that could lead to a complete destruction of the bacterium. Several in vivo and in vitro studies regarding a monotherapy of bLF against H. pylori infection showed equivocal results.…”