Perspective: Why you should be wary of some digestive enzyme supplements
By Christy Brissette February 19 Does your digestion leave something to be desired? If you often experience discomfort after eating, you’re not alone. According to the National Institutes of Health, 60 million to 70 million Americans are affected by digestive diseases. Many are trying a fairly new but growing category of supplements called digestive enzymes, which may help the body break down compounds in food.
When your body doesn’t produce enough of certain digestive enzymes, undigested compounds can make their way into your large intestine and cause unpleasant symptoms — such as the gas some experience after eating beans — or rob your body of essential energy and nutrients. Alpha-galactosidase is a digestive enzyme that breaks down the carbohydrates in beans into simpler sugars to make them easier to digest. The most commonly known alpha-galactosidase supplement is known by the trade name Beano. It’s been around since the early 1990s, long before digestive enzymes started trending.
New digestive enzyme supplements Lately, consumers have been purchasing over-the-counter digestive enzyme supplements that contain combinations of many different enzymes. These formulations haven’t been regulated or scientifically evaluated for effectiveness, and people are taking them without a doctor’s recommendation. There are several problems with this approach.
“These over-the-counter supplements aren’t regulated by the FDA and we don’t know whether they’re safe or effective,” says Akash Goel, a gastroenterologist at Weill Cornell Medicine and New York-Presbyterian. “We don’t have good data on dosing and there’s always a chance that there are impurities.” The Low FODMAP Diet is one possible solution to address irritable bowel syndrome symptoms. FODMAPs are short-chain carbohydrates that can cause digestive ailments. Just like in our lactose example , when these carbohydrates aren’t broken down properly, they can travel into the large intestine, where they can lead to symptoms such as bloating, pain, and diarrhea and/or constipation.
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