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Lactobacillus fermentum GM090 + Lactobacillus paracasei GMNL-133 is a probiotic combination developed by **GenMont Biotech Incorporation** for the adjuvant treatment of atopic diseases, including atopic dermatitis (eczema) and asthma. Marketed under brand names such as **Innovall ATOP** and **Allerbio**, this biologic combination consists of two specific bacterial strains typically formulated at a concentration of 4 billion viable cells per dose. The mechanism of action involves modulating the gut-immune axis to suppress Th2-mediated allergic responses, evidenced by significant reductions in serum IgE and IL-4 levels, while simultaneously promoting regulatory T cell (Treg) activity and increasing levels of anti-inflammatory cytokines like TGF-beta and IFN-gamma. Clinical evidence from randomized, double-blind, placebo-controlled trials (e.g., NCT01635738) demonstrates that a 12-week administration significantly reduces SCORAD scores, improves quality of life, and decreases sensitivity to common allergens like mites, milk, and eggs in pediatric patients.
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