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Probiotics + pyridoxine is a combination therapy consisting of a multi-strain probiotic mixture (typically including *Bifidobacterium longum*, *Lactobacillus acidophilus*, and *Enterococcus faecalis*) and pyridoxine (Vitamin B6). Developed by researchers at The Third Xiangya Hospital of Central South University, this combination is primarily investigated for the prevention and mitigation of postoperative neurocognitive impairment (POCI) in elderly patients. The therapeutic rationale is based on the modulation of the gut-microbiota-brain axis. Probiotics work to restore intestinal microbial balance, strengthen the gut barrier, and reduce systemic and neuroinflammation. Pyridoxine serves as an essential cofactor for enzymes involved in the synthesis of key neurotransmitters, such as GABA, dopamine, and serotonin, and plays a critical role in homocysteine metabolism, which is linked to cognitive health and neuroprotection.
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