Not everyone should be taking digestive enzyme supplements; and not
all of them are created equal.
As a practitioner, I find that many people with digestive issues want
to jump straight into using a supplement. And many times I would
rather try other strategies first. Not to mention, that some
supplements can be harmful if used inappropriately.
So, let’s dive into a few of the common digestive enzymes, what
they do, and who should NOT take them.
What are digestive enzymes?
Technically, “enzymes” are compounds that help critical
biochemical reactions to happen in your body. These reactions can be
anything, from making neurotransmitters like serotonin, to burning
food for energy, to breaking down food we eat into smaller pieces
that our guts can absorb.
Oh, and they all end with “ase”.
As I just hinted, “digestive enzymes” are specifically those
enzymes we use for digestion. They’re enzymes that our digestive
system naturally makes and secretes when we eat.
Now, all of the “macronutrients” we eat (carbs, protein & fat) need to be broken down into their individual (smaller) parts so that we can properly absorb and digest them. They’re just too big otherwise, and if we don’t absorb them properly, we can get symptoms of fatigue, malnutrition, digestive distress, tummy pains or a host of other symptoms.
It is these individual (smaller) parts that our body amazingly
rearranges and uses to create other larger molecules that our body
needs.
The most common digestive enzymes you’ll see on product labels are:
-
Amylase – Helps to break down starch into its sugars.
-
alpha-Galactosidase – Helps to break down specific “fermentable
carbohydrates” into its sugars.
-
Lactase – Helps to break down lactose into its sugars.
-
Protease – Helps to break down protein into its amino acids.
-
Bromelain and/or Papain – Help to break down protein into its amino
acids.
-
Lipase – Helps to break down fats into its lipids.
Who should consider taking digestive enzymes?
I would always recommend that you see a qualified health care
practitioner for an expert opinion on whether your issues can be
related to digestion, and which, if any, supplements can help you.
Many people with ME/CFS have low levels of digestive enzymes and struggle to break down their meals. This can lead to malnutrition and further fatigue.
Also people who have had their gall bladder removed do not produce as much bile which emulsifies and absorbs fat. Therefore they are in constant pain after eating meals containing fat. They may need to take a digestive enzyme containing lipase to help to break down fat.
In general, the most common digestive symptoms that enzymes *may* help with are bloating, cramping, and/or diarrhoea. Particularly if it happens after eating certain foods (think lactose-intolerance symptoms after eating dairy).
One reason for these symptoms can be that food particles are not
broken down properly, and the larger pieces travel further down the
digestive tract to the microbiota where those little critters start
breaking them down themselves. And this is definitely troublesome for
certain people.
Don’t get me wrong, a healthy gut microbiota is absolutely
essential for good health. And more and more research is showing just
how it can affect not only our digestion, but also our immune system,
and even our mood.
If you suspect you have poor digestion and low levels of digestive emails, contact Nutritional Therapist Kate to arrange a free 15 minute phone consultation.
What do I need to know? – Medical conditions
Of course, you should read the label of any products you take, and
take them as directed, especially if they’re not specifically
recommended for you by your health care practitioner who knows your
history.
Here are two critical things to be aware of:
1 – Digestive enzymes that break down carbohydrates into sugars are
not recommended for diabetics, or pregnant/breastfeeding women.
This is because taking them breaks down more carbohydrates into sugars than your body normally would; so, anyone at risk of blood sugar issues should take caution.
2 – When it comes to enzymes that break down proteins into amino
acids, there are a few people who should avoid them because of
potential interactions. That is if you have an ulcer, or are taking
blood-thinners or anti-inflammatories, or if you’re having surgery.
The reason is because the digestive enzymes that break down protein
are thought to cause or worsen ulcers, as well as have the ability to
“thin” the blood and prevent normal clotting.
What do I need to know? – Possible side effect
Using digestive enzyme supplements for a prolonged period of time may
well justify an appointment with a knowledgeable practitioner. There
may be strategies other than daily supplementation that can serve you
better.
If you find that your symptoms get worse, or even if they don’t get better, you should probably stop using them.
Allergies are always a possibility, so if you know or suspect you’re allergic, then you should avoid them.
And, as always, keep supplements away from children.
Before considering a digestive enzyme supplement
You shouldn’t just jump to supplementing with digestive enzymes
without a proper diagnosis, or trying a few strategies first.
My first recommendation for digestive distress would be to relax
more, eat slower, and chew more thoroughly. This helps to break down
food and can put less stress on your digestive tract.
The second step would be to try eliminating certain troublesome foods
from your diet (dairy & gluten, for example) and see if that
helps.
Conclusion
In conclusion, while many supplements are safe products, they’re not all for everyone.
I recommend that you:
-
Read your labels carefully (who should take them, how to take them,
when to stop taking them).
-
If you have a medical condition or are taking medications speak with
your doctor or pharmacist.
-
If you want expert advice on whether a specific supplement is for
you, speak with a qualified health care practitioner.
Recipe: Tropical (digestive) smoothie with foods containing bromelain & papain
Serves 1
Pineapple, 1 cup diced
Papaya, 1 cup diced
1 banana, chopped
1 cup coconut milk
Put all ingredients into the blender and blend. Add ice if desired.
Serve & enjoy!
Tip: The levels of enzymes in whole pineapple
and papaya aren’t as concentrated as taking them in a supplement;
so if you’re not allergic to these delicious fruits, you can try
this smoothie.
References:
http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=514&lang=eng
http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=516&lang=eng
http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=196&lang=eng
http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=508&lang=eng
http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=515&lang=eng
Natural Medicines Database, Bromelain, Papain, Retrieved January 21, 2017 from https://naturalmedicines.therapeuticresearch.com
Photo by Angel Sinigersky on Unsplash