Enzymes for digestion -
Doctors prescribe special enzyme pills to substitute for the lack of natural enzyme production for people who can't make enough digestive enzymes because of a health condition, like chronic pancreatitis or cystic fibrosis.
People with known deficiencies get benefit from these drugs. On the other hand, over-the-counter digestive enzyme supplements — available in health food stores and drugstores or through the Internet — are not medications.
The FDA does not regulate them. Therefore, you can't be sure how the pills are made or the amount of enzymes they may contain. A lactase supplement such as Lactaid or Lactrase can help people manage lactose intolerance.
An alpha-galactosidase supplement like Beano or Bean Relief may reduce gas and bloating if you have difficulty digesting the sugars in beans.
Both enzymes above are found in the pancreas. Select foods, including the following, also contain digestive enzymes:. Both enzymes above digest proteins. Digestive enzymes help break down your food so your body can get the most nutrients. When this process is disrupted, you may experience discomfort ex.
Over time, this can cause issues like osteoporosis. Over-the-counter OTC supplements may be used in cases such as the following:.
People with more severe conditions ex. Be sure to discuss your symptoms and use of digestive enzymes with your healthcare provider.
OTC digestive enzyme supplements are not meant to treat life-threatening medical conditions. Most digestive enzyme supplements are safe at doses recommended by the manufacturer.
Side effects are generally mild. However, the risk of severe side effects does exist. The risk of an allergic reaction is present with all digestive enzyme supplements.
Do keep this in mind, especially if you have a known allergy to them or the products from which they are derived for example, an allergy to papaya or pineapple. Common side effects of digestive enzyme oral supplementation are primarily gastrointestinal upset, such as the following:.
Side effects, when applied to the skin, include the following:. Severe side effects of digestive enzymes are rare and depend on the supplement used. Examples of severe effects and enzymes they are associated with include, but are not limited to:.
Some digestive enzyme products are derived from animals ex. Avoid using a product if you are allergic to its ingredients or derivatives e. If you're unsure about whether a digestive enzyme supplement is safe for you after reading the complete list of ingredients, speak with your pharmacist.
Bromelain may increase your risk of bleeding if you take blood thinners or have low platelets. In either case, please talk to your healthcare provider before taking it, and be sure to be aware of side effects if you do. Anyone who is pregnant or breastfeeding should also consult a healthcare provider before taking digestive enzymes or other supplements.
Dosing for digestive enzyme supplements differs for each enzyme and different conditions. The following has been suggested:. Digestive enzymes are usually taken before meals.
As a general rule, never take more than the recommended dose. Follow instructions on product labels and include your healthcare provider and pharmacist in your decisions. Dietary supplements are not regulated like drugs in the United States.
This means the Food and Drug Administration FDA does not approve them for safety and effectiveness before products are marketed. When possible, choose a supplement tested by a trusted third party, such as the United States Pharmacopeia USP , ConsumerLab.
com, or NSF. However, even if supplements are third-party tested, that doesn't mean they are necessarily safe for all or effective in general. Talk to your healthcare provider about any supplements you plan to take. Checking in about potential interactions with other supplements or medications is important.
While probiotics and prebiotics are used for digestion, they are not the same as digestive enzymes and work differently in the body. Digestive enzyme supplements may interact with blood-thinning medicines such as the following:.
Digestive enzymes, specifically bromelain, may interact with other supplements with blood-thinning effects. These include the following:. Bromelain may impact absorption and the body's use of medications such as the following:. Papain may impact how the body absorbs amiodarone, levothyroxine, diabetes medications , and warfarin.
Digestive enzymes have been studied for several health conditions, like IBS, IBD, digestive symptoms of autism, and more. Digestive enzymes are readily available over-the-counter for issues like lactose intolerance and for help with digesting other carbohydrates. Some digestive enzymes may have mild side effects.
Since digestive symptoms can also be connected with more severe conditions, discuss your symptoms and concerns with your healthcare provider. People with conditions like cystic fibrosis, pancreatitis, and pancreatic cancer are prescribed prescription enzyme replacement therapy, usually in the form of pancreatic enzyme replacement therapy PERT.
Prescription PERT products include Creon, Pancreaze, Ultresa, Viokace, and Zenpep. Prescription PERT is different from over-the-counter products. Ask a healthcare provider or registered dietitian nutritionist if you have any questions. Lactaid is an over-the-counter product that contains the digestive enzyme lactase.
Lactase breaks down lactose a sugar in dairy products. It helps people with lactose intolerance. National Institute of Diabetes and Digestive and Kidney Diseases. Puertolas MV, Fifi AC. The Role of Disaccharidase Deficiencies in Functional Abdominal Pain Disorders-A Narrative Review. Published Nov Pandol SJ.
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