Digestive Enzymes

digestive enzymes

The digestive system has an intricate relationship with all other systems in the body, including the immune, endocrine, and nervous systems. If your digestive system cannot properly digest food, absorb nutrients, and eliminate waste products from the body, then it becomes very difficult to maintain optimal health. Even if you eat an ideal diet, if you experience a great deal of stress, have an underlying medical condition, or are taking medications that affect digestive processes, you can experience digestive difficulties and have problems absorbing nutrients.

Digestive enzymes are proteins that facilitate specific chemical reactions to break down food (e.g., carbohydrates, fats, and proteins) into smaller, absorbable components. Digestive Enzyme Supplements (DES) are a natural remedy for many conditions that have a root cause in the digestive system, including food sensitivity, allergies, behavioral disorders, and other health conditions that may be related to a nutrient deficiency.

Dr. Bossio may suggest taking a plant-based DES with meals. These are usually derived from pineapple (bromelain) or papaya (papain). Another source of DES is derived from microbes and includes varieties of lipase, amylase, protease, and lactase, which all have unique effects in the digestive process.

The medical premise for a DES is to facilitate thorough digestion of food and to prevent foodstuffs from lingering in the gut where they can generate unfavorable bacteria and yeast (at the expense of healthy gut bacteria). Digestive enzyme supplements may also enhance the nutrition received from the foods you eat, which is good for the whole body. Research shows that taking a DES can promote bowel movement regularity, reduce or eliminate other gastric disturbances such as reflux or gas, and ease the symptoms of food intolerance (e.g., lactose).

Digestive enzymes can be used by adults and children alike, but consult Dr. Bossio for proper dosage. Do not take digestive enzymes without the input of Dr. Bossio if you have active stomach or duodenal ulcers, inflammation of the bowels, bleeding disorders, or are scheduled for surgery.

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Bromelain is a mixture of enzymes extracted from pineapple. When taken on an empty stomach, these enzymes can help reduce inflammation, swelling and improve breathing. Although bromelain is commonly thought of as a digestive enzyme for proteins, studies show that it can help treat symptoms of sinusitis -- or sinus inflammation -- which can be brought on by seasonal allergies. It has been suggested that bromelain also helps reduce other symptoms of sinusitis such as cough and nasal mucus. Traditionally, pineapple has been used for centuries in Central and South America to reduce inflammation as well as indigestion. To work as a digestive aid, bromelain is taken before or after meals. In Europe, bromelain is used to treat sinus and nasal swelling following ear, nose and throat surgery or trauma. Bromelain is taken orally and is available as a tablet or capsule, but be sure to check with Dr. Deb Bossio before taking bromelain as it may interact with other supplements, herbs or medications.


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Bromelain (Ananas comosus, Ananas sativus). Natural Standard Professional Monograph. 2013.

Bromelain. University of Maryland Medical Center.

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