“…However, antibiotic resistance is the main challenge in the treatment of H. pylori , as the use of antibiotics leads to the emergence of multidrug-resistant strains, diarrhea, vomiting, other adverse reactions, and changes in the gastrointestinal flora [ 2 , 10 ]. Some natural products have been reported to have therapeutic effects on H. pylori, such as extracts from Myristica fragrans , Hibiscus rosa sinensis flower, Agrimonia eupatoria , and Fragaria vesca , as have some special nanoparticles (fullerenol nanoparticles, special chitosan/poly acrylic acid particles co-loaded with superparamagnetic iron oxide nanoparticles and amoxicillin, chitosan-based nanoparticles) and N -acetylcysteine (NAC) (when in combination with clarithromycin and lansoprazole) [ 5 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Probiotic cell-free supernatant (CFS) can interfere with the growth of H. pylori , destroy H. pylori biofilms, hinder the adhesion of H. pylori in the stomach, and inhibit the immune response induced by H. pylori [ 18 , 19 ].…”