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Which of the following is NOT associated with developing a peptic ulcer?

  1. Excessive alcohol consumption

  2. Helicobacter pylori infection

  3. High fiber diet

  4. Nonsteroidal anti-inflammatory drugs (NSAIDs)

The correct answer is: High fiber diet

A high fiber diet is considered protective against developing a peptic ulcer. High fiber foods can help maintain a healthy digestive system and may promote the healing of existing ulcers. Fiber also contributes to gastrointestinal health by balancing stomach acid levels and supporting beneficial gut bacteria. Therefore, a high fiber diet does not contribute to ulcer development, making it the correct answer to the question. Excessive alcohol consumption, Helicobacter pylori infection, and nonsteroidal anti-inflammatory drugs (NSAIDs) are all factors linked to the onset of peptic ulcers. Alcohol can irritate the stomach lining, promoting ulcer formation. Helicobacter pylori is a bacteria known to be a major cause of peptic ulcers due to its ability to compromise the protective mucus layer of the stomach. Similarly, NSAIDs can disrupt the stomach's ability to protect itself from acid, leading to increased risk of ulcer development.