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This investigational combination therapy is being evaluated by **Ain Shams University** as an adjunctive treatment for **gastroesophageal reflux disease (GERD)**. The regimen consists of a **proton pump inhibitor (PPI)**, specifically **omeprazole**, combined with **probiotic** supplementation (typically involving *Lactobacillus* and *Bifidobacterium* species) and **zinc L-carnosine**. The combination is designed to address multiple aspects of GERD pathophysiology: omeprazole reduces gastric acid secretion, zinc L-carnosine provides mucosal cytoprotection and antioxidant effects, and probiotics modulate the gut-esophageal microbiota and immune response. The therapy aims to improve clinical symptoms and reduce systemic inflammatory markers such as interleukin-6 (IL-6), interleukin-12 (IL-12), and C-reactive protein (CRP).
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