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Limosilactobacillus reuteri ATCC PTA 6475 (formerly classified as Lactobacillus reuteri ATCC PTA 6475) is a human-derived, patented probiotic strain originally isolated from breast milk. Developed by the Swedish probiotic company BioGaia, this strain has been extensively studied for its therapeutic potential in bone health, gastrointestinal disorders, and metabolic regulation. It is marketed under the brand name BioGaia Osfortis (often co-formulated with Vitamin D3) for the prevention of bone loss in postmenopausal women. Mechanistically, L. reuteri ATCC PTA 6475 is believed to modulate the gut-bone axis by suppressing pro-inflammatory and pro-osteoclastogenic cytokines (such as TNF-alpha and IL-6) in the intestine and bone marrow, thereby reducing osteoclastogenesis and promoting bone formation. It also produces histamine, which acts on histamine H2 receptors to suppress inflammatory responses, and has been shown to stimulate oxytocin secretion, which may influence social behavior and wound healing. Clinical trials have evaluated its efficacy in reducing bone mineral density loss in older women, mitigating glucocorticoid-induced bone impairment, and improving symptoms of irritable bowel syndrome (IBS) when used alone or in combination with other strains.
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