Are Digestive Enzymes Good for SIBO? A Comprehensive Guide
June 30, 2023Are Digestive Enzymes Good for SIBO? A Comprehensive Guide
For those grappling with Small Intestine Bacterial Overgrowth (SIBO), the world of treatment can seem like a labyrinth of prescription antibiotics, herbal remedies, dietary restrictions, and more. However, one potentially crucial element of managing SIBO often gets overshadowed - digestive enzymes. This article dives deep into the question: are digestive enzymes good for SIBO?
Understanding the Role of Digestive Enzymes
Digestive enzymes work like a well-oiled machine to break down the food we consume into molecules that our bodies can absorb and utilize. To visualize this process, picture your digestive system as a dishwasher and the food you eat as dirty dishes being loaded. Digestive enzymes act as the detergent that ensures the dishes (food molecules) come out squeaky clean.
Our bodies produce these enzymes in the saliva, pancreas, liver, and gallbladder, as well as in the intestinal lining. Additionally, many foods also naturally contain these enzymes. The three primary types are:
- Protease: Breaks down protein
- Lipase: Breaks down fat
- Amylase: Breaks down starches
However, numerous other types, such as lactase (breaks down lactose) and sucrase (breaks down sucrose), also play significant roles in digestion.
When Digestive Enzymes Fall Short
While our bodies should ideally produce enough digestive enzymes to efficiently process the food we consume, various factors can lead to enzyme deficiency. Some common reasons for inadequate digestive enzyme production include:
- Stress
- Genetic factors (common in lactose intolerance)
- Chronic diseases like Crohn's
- Exocrine pancreatic insufficiency (EPI)
- Cystic fibrosis
- Leaky gut syndrome
- And, of course, SIBO
Enzyme deficiency can manifest in several symptoms such as bloating, gas, dyspepsia, dull hair, skin, and nails, fatigue, undigested food in stools, constipation or diarrhea, and food intolerances.
The Significance of Digestive Enzymes for SIBO
Digestive enzymes can be beneficial for people in general, but their importance is magnified for individuals with SIBO. Here's why:
- Symptom reduction: Digestive enzymes can alleviate some of the most uncomfortable SIBO symptoms like bloating, gas, constipation, and diarrhea.
- Dietary expansion: Many SIBO patients have found that using digestive enzymes allows them to tolerate a wider range of foods, even those high in FODMAPs.
- Improved nutrient absorption: For those struggling with weight fluctuations due to SIBO, digestive enzymes can enhance nutrient absorption, thereby helping to balance weight naturally.
The How and When of Digestive Enzymes
According to Dr. Allison Siebecker, ND, digestive enzymes can be used in two ways:
- With food: Start your meal with enzymes so they can begin processing the food right as you start eating. If needed, you can take more mid-meal or at the end.
- Without food: When taken without food, digestive enzymes serve as anti-inflammatories. They can also have an anti-biofilm effect when consumed away from food.
Both methods can be beneficial for individuals with SIBO, and it may be worth exploring both approaches.
Choosing the Right Digestive Enzyme
Understanding why and how to use digestive enzymes is relatively straightforward. The real challenge lies in selecting the right product. Here are some factors to consider:
- Contains brush border enzymes, in addition to lipase, amylase, and protease.
- High enough dosage, as many supplements have doses too low to be effective.
- Vegan and allergen-free, as many supplements are derived from animal products.
- Contains activated enzymes, which is crucial. Enzymes need activation by a cofactor to work. If you lack what the enzyme needs for activation, it won't be beneficial. Thus, choosing an activated enzyme is key to good results.
The Role of Casa de Sante Low FODMAP Certified Digestive Enzymes
Another notable product is Casa de Sante Low FODMAP Certified Digestive Enzymes. Designed for short-term use, these enzymes support the digestive health of individuals with IBS, Crohn's disease, and other digestive disorders triggered by high FODMAP foods. They can provide relief from occasional cramping, bloating, gas, abdominal pain, diarrhea, and constipation that may result from consuming high FODMAP foods.
FODMAP (Fermentable Oligo-, Di-, Mono-saccharides, and Polyols) sugars can cause symptoms in people who cannot digest them. Multi-carbohydrase enzyme supplements that contain enzymes like amylase, glucoamylase, cellulase, lactase, and invertase break down FODMAPs for absorption into the small intestine. This process prevents FODMAPs from being used as food by colon gas-producing bacteria. Depending on your FODMAP intolerance severity, supplementation with FODMAP digestive enzymes may be helpful.
Conclusion
While managing SIBO can be complex, the use of digestive enzymes may provide significant relief from symptoms and improve your overall wellbeing. However, it's always advisable to consult with a healthcare professional before starting any new supplement regimen.
Remember, everyone's body is different, and what works for one person may not work for another. Therefore, it's important to listen to your body and adjust your approach as needed. And, of course, continue to stay hopeful in your journey towards better health.