Digestive Enzyme Pro Blend is a dietary supplement capsule that contains a proprietary blend called Makzyme-Pro™ (fungal protease with three Lactobacillus strains: L. acidophilus, L. casei and L. plantarum), bromelain, papain, fungal lipase, fungal lactase and alpha galactosidase. Proteases, lipase and lactase are enzymes that break down protein, fat and lactose, and alpha galactosidase acts on oligosaccharides (a type of carbohydrate). Pancreatic enzymes are a prescription therapy for people with pancreatic insufficiency; whether over-the-counter enzyme blends relieve bloating, gas or indigestion in people without an enzyme deficiency has not been established. Makzyme-Pro™ is a branded blend, and statements about it come from the manufacturer; no study of it was found. No study of this product is cited on this page, and the amount of each enzyme per capsule is not stated here.*
Evidence Rating★★★★★Limited evidence · Prescription pancreatic enzymes are an established therapy for pancreatic insufficiency; evidence for over-the-counter enzyme blends in people without enzyme deficiency is limited, and no study of this product is cited
✓ Third-party tested · GMP-certified manufacturing facility (NSF International) · See testing standards ›
Ingredients: Makzyme-Pro⢠Enzyme Blend (Fungal Protease, Lactobacillus acidophilus, Lactobacillus casei, Lactobacillus plantarum), Bromelain, Papain, Fungal Lipase, Fungal Lactase, Alpha Galactosidase, Cellulose (Vegetable Capsule), Vegetable Magnesium Stearate, Silicon Dioxide.
Science behind this product
Enzymes in digestive disease: A 2016 non-systematic review describes animal-derived pancreatic enzymes as an established standard of care in some digestive disorders, such as cystic fibrosis, and notes that enzyme supplementation in diseases not related to enzyme deficiency is still being evaluated. Source
Pancreatic enzyme replacement is a prescription therapy: A 2010 review reports that in people with pancreatic exocrine insufficiency (for example from chronic pancreatitis, pancreatectomy or cystic fibrosis), pancrelipase is used as pancreatic enzyme replacement therapy, and that the FDA required pancreatic enzyme products to be approved as drugs. This product is not a pancreatic enzyme replacement product. Source
Limits of the evidence for over-the-counter blends: In 18 healthy volunteers, three pancrelipase capsules taken with a very high-fat meal (72 g of fat) were associated with less bloating than placebo; this tested an animal-derived pancreatic enzyme, not this blend. Source In a pilot crossover trial in 20 people with irritable bowel syndrome, alpha-galactosidase was not superior to placebo for symptoms after meals high in oligosaccharides. Source In a laboratory study, five commercial digestive enzyme supplements left immunogenic gluten fragments largely intact, so enzyme supplements are not a substitute for a gluten-free diet. Source
Manufacturer Country: USA | Amount: 60 caps | Suggested Use: Take one (1) capsule twice daily, 20â30 minutes before a meal or as directed by your healthcare professional.
Warning: Consult physician if pregnant, nursing, under 18, or have a known medical condition. Keep out of reach of children. These statements have not been evaluated by the FDA.
