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Berberine hydrochloride + probiotics is a combination therapy being investigated for the treatment of irritable bowel syndrome (IBS) and small intestinal bacterial overgrowth (SIBO). Berberine hydrochloride is a plant-derived isoquinoline alkaloid with significant antimicrobial properties, particularly against pathogenic gut bacteria, and anti-inflammatory effects. The probiotic component, specifically Bifidobacterium tetravaccine (Live) Tablets in clinical studies by the Affiliated Hospital of Xuzhou Medical University, consists of *Bifidobacterium infantis*, *Lactobacillus acidophilus*, *Enterococcus faecalis*, and *Bacillus cereus*. This combination aims to eradicate bacterial overgrowth in the small intestine while simultaneously restoring a healthy balance of commensal microbiota and strengthening the intestinal mucosal barrier.
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