What are pancreatic enzymes, and how do they help me digest food? (Dena McDowell, RD)
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- Опубліковано 7 вер 2024
- Dena McDowell, RD, cancer dietitian, explains pancreatic enzymes and how they help in food digestion. She notes the need for pancreatic enzyme therapy following pancreatic cancer surgery. McDowell is part of the pancreatic cancer treatment team at Froedtert & The Medical College of Wisconsin. www.froedtert.c...
Thank you for highlighting this area! There are few doctors that really understand the impact of EPI. Dr. Freedman also has an in depth article on Exocrine Pancreatic Insufficiency written with Dr. Struyvenberg that anyone with EPI should read. Another really helpful resource was the book Primal Pancreas.
I am impressed. The Dietician I saw at the VC did not have a clue what EPI was.
My pancreas is messed up big time. Hope i xan recover. I have a ton of zenpep prescribed. Like 350 pills right now
I'm on 25k creon and take about 500 a month. No matter how many i take still have awful movements. Sometimes I take 10 and still very greasy. Creon is only brand available here.
@@richiep3520 have you ever tried ox bile. I’m new to Cone, and it seems to be constipating me. The only thing that helps us to take ox bile with it.
I have severe EPI and im experiencing really bad symptoms such as heaviness in the head, balance issues and loose stools for 2 months, could EPI cause these symptoms ? And will CREON help?
Bro the stool test is the gold standard.
Let them test your elastase value in your stool.
I also did it and they found only 15(idk the value) but normal is atleast 200.
In my case something between 300-400 would be normal
I take creons as I had a whipple procedure for ampullary tumour.
I have severe epi and taking 25k creon in Ireland. Stool went from mush to soft formed. Intake 4-6 and only a slight improvement. Not once in 6 months have i had any 'nornal' looking movement and still greasy looking and soft. It's so frustrating.
I know a lot of people have diarrhea so I am lucky in that sense. Its just odd that on low fat diet trial it was the same result.
My GI thinks my having campylobacter then h pylori caused damage to cells in pancreas. I have no pains or signs of scarring or atrophy, any signs of pancreatitis. It sucks but the condition could be much worse.
I know how you feel. Have you tried a bile binder?
@@vickiroman189 that I have not heard of. What does taking it suppose to do?
@@vickiroman189 I've had mild scarring being seen on an EUS and just has an mrcp now and will get results the week coming. Just the tail shows very mild scarring which wouldn't cause severe low enzymes :/
@@richiep3520 I have had a lot of your symptoms for 20+ years. A bile binder addresses malabsorption of bile and/or inability to digest and utilize food and its nutrients. A bile binder is chiefly for excess cholesterol (which I do not have), but It did help me to move from liquid to mildly formed (so far). It takes a while to work. You may want to ask your doctor about it. I hope you recover!
@@vickiroman189 thanks. I'll ask about it. Just cannot get rid of greasiness if that product can even improve it but worth a try. Thank you and same to you!
You can also buy these OTC. without prescription.
Nope. Have to have a doctor
I take two 16k 4 times a day since my resection (tail) in 2020. It took several months to learn how to dose. I will take Creon for the rest of my life.
Bro is it cancer or something less worrying?
Yeah they also now found me with a value of 15 elastase
How u feel ?
Criatil pancreatin bile constituents and enzyme tablet
i order
i try if it help me after gallbladder surgery
Wow this is so informative. I wonder if I eat a large celery stalk with peanut butter on it and an Apple and Mixed Nuts, would I still follow your advice for 3 creons? would I follow the same logic? Take 1 at the beginning first few bites, 1 mid-way and 1 at the end of the meal
According to Creon web site you have an hour after taking the med for it to be effective. I take Creon before I eat and do not have a problem. I suspect after one eats it will be too late.
@@craigpeterman27 thank you Craig.
I thought Creon was time release
Does it gain weight when u stop using creon. I just ran out and been off it for about 6 months.. Im gaining kgs of weight
how’s that going for you being off Creon? my son was on it i stopped him and he’s doing fine. his bowels move a little slower but they come.
@@grandrizewhoez3392 so does mine its slow .. i dont poop as much daily maybe 1 every 2 days sometimes
Not many talk about timing..which might be important. Before, during or after the meal??
Hi Gabriel, thanks for reaching out with this question. The gold standard is to split the enzymes throughout the meal. For example, if you are instructed to take 3 enzymes per meal, it is best to take 1 at the beginning (first few bites, 1 mid-way and 1 at the end of the meal). If your dose is 2 or 4 per meal, it’s recommended to take the first (1 or 2 capsules) at the beginning (first few bites) and the remaining dose (1-2 capsules) towards the end of the email. One final note- enzymes are meant to mimic your body’s normal secretion of digestion. Taking enzymes prior to the start of the meal or after the meal is completed is not as helpful as spreading the capsules throughout the meal time. Thanks, Carla
@@Froedtert Thx much..I appreciate your reply :)!
Can we use PE in case if a person is allergic to milk and egg in order to eliminate or decrease related symptoms (runny nose, migraine, headache) . Kindly guide.
Hi Bob - Pancreatic enzymes are prescribed to aid in the digestion of fat, protein and carbohydrates that are part of a regular diet. The active ingredients, primarily lipase, protease and amylase, work to break down food normally consumed allowing for better absorption. If a person has a food allergy, pancreatic enzymes will not correct the allergy or the related symptoms. If it is a true food allergy, it is best to avoid the food altogether. If the food causes intolerances in the GI tract (diarrhea, bloating, etc.), digestive aids such as Lactaid would be recommended over prescribed pancreatic enzymes.
@@Froedtert An allergy is caused by a protein molecule, whole or in peptide form, making its way into blood stream. If Protease in PE cant break those molecules then that either means that Protease is selective to certain food proteins and not to all or their is some other factor(s) which is alone or in combination with Protease breaks protein molecule in milk and egg for some people and they don't develop symptoms but others do. Confusing but interesting. May be it has to do with gut micro flora as well..just guessing.
What happen If you have this for a long time
Thank you for your question. Long term use of pancreatic enzymes is warranted for certain medical conditions. It is important to follow the prescribed amount and follow-up with a health care provider if there are changes to your medical plan of care.
@@Froedtert I had this for 6 years No treatment
@@dontneednomanstoptelllingm8481 similar. I had digestive issues for 6 years and diagnosed yesterday with epi. I had previous campylobacter infection which started my issues but after all the test, it is Epi. It's going to to be a long 'expensive' journey with meds 😢
@@Froedtertwhy do you talk like a robot?
Por favor en español no se inglés
What if I want to decide myself which kind of pancreatic enzyme I wanna take? I do not need a doctor, you should provide complete information
Hello - Thanks for reaching out. Pancreatic enzymes are available by prescription only. Before taking any medications or supplements, please consult with your primary care provider or care team. Thanks, Taylor
@@Froedtert i don't like doctors. They are scammers, I hate them
I was taking digestive enzymes from GNC and later switched to the ones that my Dr. recommended after a bout of Pancreatitous