Dr. Amy Nett: For digestive enzymes, we commonly use Digestzymes. I think that’s a Designs For Health product. Digestzymes is one that we like, but there’s a lot of flexibility in terms of what you use for digestive enzymes. NOW brand makes one called Super Enzymes, and for someone who’s really cost conscious, that’s probably a reasonable one. If you’re concerned about using HCl in someone, you might want to look for other options. Maybe papaya enzymes would be something, or look for a digestive enzyme that doesn’t contain HCl. Some of them have higher levels of HCl, so you can look at the different ingredients, but I would say just go with a reputable brand that you trust. I think we happen to use the Digestzymes from Designs For Health, but again, anything from Thorne or Pure Encapsulations, those are all going to be fine.
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- In the GERD treatment section, one suggested step is supplementing with digestive enzymes, but no specific product is recommended. Is there a particular product recommendation that you’ve had success with or general guidelines to look for when shopping for a product?
In the GERD treatment section, one suggested step is supplementing with digestive enzymes, but no specific product is recommended. Is there a particular product recommendation that you’ve had success with or general guidelines to look for when shopping for a product?
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- Male patient with gut symptoms from loose bowels to cramping. Doctor’s Data test showed no parasites but did have no-growth Bifida and elevated lactoferrin and calprotectin. Had an appointment with specialist who ran biopsy, and while it showed no IBD, it did show lymphocytic colitis. Patient also had elevated cholesterol from triglycerides and cholesterol/HDL ratio 4.1, high ferritin, low vitamin D. Patient has gone overseas for a month. I have advised to follow a Paleo reset diet with cholesterol modifications and recommended more comprehensive bloods and DUTCH test. Patient’s reluctant to spend more money on testing. Feeling unsure whether to do gut protocol with him seeing as there are no parasites. Can I go into prebiotic straightaway to Bifidobacterium up?
- Steps one to three of GERD treatment summary—are they meant to be done sequentially, or do they overlap? Specifically, would you want to wait until someone is entirely off PPIs prior to introducing HCl, so complete step one prior to moving on to the next step?
- Should HCl be avoided in IBD patients, given that they, by definition, have ulcers all over their GI tracts?
- s HCl with pepsin safe with gastritis, a hiatal hernia, or Barrett’s esophagus? How would you recommend handling long-term use of PPIs in these conditions?
- To clarify, you wait to use HCl until the patient is completely weaned off PPIs or just until they have lowered their dose significantly?