Patm comes from h pylori for sure. I was disgnosed with h pylori after getting an endoscopy done. I’ve been taking meds for it’s. It’s a lot of medication. It’s clarithromycin 500, amoxicillin 500 mg, Lansaprozal 30 mg twice a day for about 10 days. I noticed a huge difference. People are not reacting to me as much. It hasn’t gone away completely but it’s been reduced to about 50% and I just started taking it 2 days ago. I don’t think it will ever go away because I’ve heard stories of people taking meds for h pylori and stuff having it. But it has def reduced for sure.