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Date: | Sun, 28 Nov 2004 10:05:43 EST |
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In a message dated 11/28/04 12:02:07 AM Eastern Standard Time,
[log in to unmask] writes:
The very
limited research that has been done used a prescription product,
Pancrease MT-4. I wonder if digestive enzymes available at natural
food stores could achieve the same effects? Or is there something
special about the prescription variety?
Dear Margaret,
It has been my understanding that non-enteric coated enzymes (like many
OTC) do not survive the acidity of the stomach. I began by daughter with
cystic fibrosis on these type vegatable enzymes while I awaited a script for
Pancrease and they did not help her pancreatic insufficiency/malabsorption.
There are various brand names: Creon, Pancrease etc. I have had 2
clients get a prescription after the JHL Feb 2002 18 50-52 (?) was published for
highly allergic infants. In one case it seemed to be effective but mom was
also on a stringent elimination diet, so it is hard to say.
The brand-name enzymes are expensive, generics not so much. An adult
could take higher units than the 4,000 (Pancrease M-T 4), over 25,000 units is
discouraged. The major components are lipase, proteases and amylase. Take
prior or midway of meal or half first/half after. The enzyme origin is
porcine or bovine.
Good luck,
Jan Ellen Brown RDH IBCLC, Charlotte, NC, moving home after house fire in
Feb and glad to be back on Lactnet!
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