• Fact Checked
  • February 19, 2026
  • 12 min read

Unlocking the Benefits: What Do Digestive Enzymes Do For You?

Table of Contents
  1. 1. What Are Digestive Enzymes?
  2. 2. Where Do Digestive Enzymes Come From?
  3. 3. The 5 Types of Digestive Enzymes (And What They Do)
  4. 4. Signs You Might Have a Digestive Enzyme Deficiency
  5. 5. The Benefits of Digestive Enzyme Supplements
  6. 6. Digestive Enzymes vs. Probiotics vs. Other Digestive Aids: What's the Difference?
  7. 7. Can Digestive Enzymes Help Specific Gut Conditions?
  8. 8. How to Choose a Digestive Enzyme Supplement
  9. 9. Potential Side Effects and Precautions
  10. 10. Final Thoughts

Key Takeaways

  • Digestive enzymes help your body break down carbs, proteins, fats (and even lactose and plant fiber) so you can absorb more nutrients and feel less bloated.
  • If you’re dealing with gas, fullness, food intolerances, or digestive discomfort—especially as you age—digestive enzyme supplements can offer real, targeted support.
  • Digestive enzymes and probiotics work best as a duo. Enzymes help you digest the food, and probiotics help keep your gut microbiome balanced long-term.

Ever feel like things in the digestion department are just… lacking? Maybe you are experiencing digestive issues, like bloating and gas. Or maybe you have reason to believe you aren't getting all the nutrients from your meals. If so, a quick Google search has likely suggested adding digestive enzyme supplements to your diet. But what are digestive enzymes, exactly? And will supplements help, or will you just end up wasting your time and money?

That's what we're here to talk about today, and we'll cut right to the chase and say that digestive enzyme supplements do live up to the hype… if you understand all the available types of digestive enzymes and how to incorporate them into your daily routine properly.

This post is for informational purposes only and does not constitute medical advice. See full disclaimer below.

What Are Digestive Enzymes?

Digestive enzymes are proteins your body produces naturally to break down food into smaller, absorbable molecules1. Think of them as your digestive system's friendly wrecking ball, dismantling complex food structures so your body can access the nutrients inside.

As you might imagine, they’re pretty important. Without enough digestive enzymes, food moves through your digestive system without being fully broken down2. That can mean uncomfortable symptoms like bloating and gas, plus you miss out on the vitamins, minerals, and other nutrients your body needs to maintain optimal health.

Where Do Digestive Enzymes Come From?

Digestive enzymes come from two sources: your body (which is called endogenous) and external sources (which is called exogenous)3.

Endogenous Enzymes

Your digestive system produces these naturally, with multiple organs all playing a role:

  • Salivary glands produce amylase (digestion starts in your mouth)
  • Stomach produces proteases and lipases along with stomach acid
  • Pancreas produces multiple pancreatic enzymes that work in your small intestine
  • Small intestine produces lactase and sucrase
Confused as to what exactly amylase or sucrase are? Don’t worry, we dive into what those mean next!

Exogenous Enzymes

You can get enzymes from the food you eat as well as through supplements4.

Foods that contain enzymes include:

  • Pineapple (contains bromelain, a protein-digesting enzyme)
  • Papaya (contains papain, another protein-digesting enzyme)
  • Mango (contains amylases that help break down carbohydrates)
  • Bananas (contain natural amylases and glucosidases that support carb digestion)
  • Honey (contains small amounts of enzymes like diastase/amylase)
  • Fermented foods like sauerkraut, kimchi, miso, and kefir (often contain enzyme activity from fermentation)

While adding these to your diet is a smart move if you’re struggling with digestion issues, many people looking to beat digestive discomfort turn to digestive enzyme supplements to ensure they are getting the amount of enzymes they need daily5.

The 5 Types of Digestive Enzymes (And What They Do)

A healthy diet involves a wide variety of foods, some high in fibers, others high in fats or carbs6. It takes a variety of enzymes to break these foods down. Understanding the main players can ultimately help you identify what your body needs if you feel like you may be enzyme-deficient.

Amylase

Produced in your pancreas and salivary glands, amylase breaks down complex carbohydrates from bread, pasta, rice, and potatoes into simple sugars like glucose and fructose7. If you're athletic or particularly active, amylase is especially important. Research shows that improved carbohydrate absorption can enhance endurance performance.

Protease

These enzymes (also called proteolytic enzymes) break down proteins from meat, fish, eggs, dairy products, legumes, and nuts into peptides and amino acids your body can use8. Your stomach, pancreas, and small intestine all produce protease to help digest food throughout your digestive tract. Interestingly, pineapples contain a proteolytic enzyme called bromelain, and papaya contains papain.

Lipase

Lipase tackles fats and oils from foods like butter, nuts, avocados, and fatty meats, breaking them down into fatty acids and glycerol9. This pancreatic enzyme is critical because it unlocks the energy stored in dietary fats. If you’ve got a sluggishness you can’t shake, lipase may be worth looking into.

Lactase

This enzyme breaks down lactose, the natural sugar in milk and dairy products. Low lactase levels lead to lactose intolerance (aka that uncomfortable feeling after eating ice cream or drinking milk)10.

Cellulase

Cellulase breaks down cellulose in plant cell walls, helping you digest plant-based foods like fruits, vegetables, grains, and legumes more efficiently11. Better cellulose breakdown means more energy from plant-based foods and less bloating.

Signs You Might Have a Digestive Enzyme Deficiency

Every person’s body produces fewer enzymes as they age, but not everyone struggles with digestion issues due to digestive enzyme deficiency12. So how do you know if you're actually experiencing an enzyme deficiency? Here are the key signs:

Trouble Digesting Certain Foods

Sudden lactose intolerance is one of the most common early signs, but you might notice digestive issues with other foods depending on which enzyme you're lacking13. Some people also struggle with complex carbohydrates or fatty foods, feeling serious discomfort after eating them.

Bloating and Gas

When food isn't properly digested, it undergoes fermentation in your gut14. That fermentation creates gas and bloating, and if left untreated, can lead to more serious gastrointestinal complications.

Abdominal Pain and Cramps

Enzyme deficiencies can cause inflammation and irritation in your digestive tract, leading to sharp or persistent abdominal pain and abdominal cramps15.

Irregular Bowel Movements

Enzyme deficiencies can cause either diarrhea (from undigested sugars reaching your colon) or constipation (from the inability to break down fats properly)16.

Nutrient Deficiencies and Malnutrition

When your body can't break down food, it can't absorb nutrients17. This can lead to deficiencies that increase your risk for other health conditions and, in severe cases, malnutrition.

Persistent Fatigue

Proper digestion creates energy18. If you're constantly tired even after adequate sleep, an enzyme deficiency might be the culprit.

The Benefits of Digestive Enzyme Supplements

People who start digestive enzymes often do so with one wellness goal in mind: feel less uncomfortable. And in that respect, digestive enzymes are highly effective. One study found that people who took digestive enzyme supplements before meals experienced significant improvements in bloating, gas, and fullness compared to the placebo group19.

But the health benefits go beyond symptom relief and include:

Improved Digestion

Digestive enzyme supplements help break down food into smaller molecules that move more easily through your digestive system, reducing bloating, gas, and constipation20.

Better Nutrient Absorption

You're probably eating those leafy greens for their health benefits (not for their taste), and enzyme supplements help ensure you actually get those benefits by maximizing nutrient absorption and preventing malnutrition21.

Reduced Inflammation

Undigested food in your gut triggers immune responses and inflammation22. Digestive enzyme supplements help eliminate that undigested food and the resulting inflammation.

Stronger Immune Function

Your gut health and immunity are deeply connected23. Supporting your digestion with enzyme supplements supports your immune system, too.

Enhanced Athletic Performance and Weight Loss Support

Digestive enzyme supplements can improve athletic performance by increasing nutrient absorption, reducing inflammation, and speeding recovery time after exercise24. Better nutrient absorption may also support healthy weight loss efforts by ensuring your body efficiently processes the nutrients it needs.

Digestive Enzymes vs. Probiotics vs. Other Digestive Aids: What's the Difference?

Digestion woes are pretty common, which is why there is no shortage of digestive aids on the market25. Between digestive enzymes, probiotics, antacids, and fiber supplements, it can get confusing. Here’s how different supplements compare, at a glance, and what issues they are best at combatting:

Digestive Enzymes

What they do: Break down proteins, carbohydrates, and fats into absorbable nutrients

Best for: Bloating, gas, food intolerances, nutrient absorption issues

How they work: Supplement your body's natural enzyme production to improve food breakdown

Take when: Right before or with meals

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Probiotics

What they do: Introduce beneficial bacteria to support gut microbiome balance

Best for: Overall gut health, immune support, regularity, vaginal health

How they work: Populate your gut with good bacteria that support digestion and overall health

Take when: Daily, consistency matters more than timing

Prebiotics

What they do: Feed the beneficial bacteria already in your gut

Best for: Supporting existing healthy bacteria, maintaining gut microbiome

How they work: Provide fiber and compounds that nourish beneficial bacteria

Take when: Daily, often found in fiber-rich foods

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Antacids (Over-the-Counter)

What they do: Neutralize stomach acid

Best for: Immediate relief from heartburn and acid reflux

How they work: Create a chemical reaction that reduces stomach acid

Take when: As needed for symptoms (not for daily prevention)

Fiber Supplements

What they do: Add bulk to stool and support regular bowel movements

Best for: Constipation, supporting regularity

How they work: Absorb water and add bulk to digestive contents

Take when: Daily, with plenty of water

You’ll notice that many of these aids are complimentary, particularly digestive enzymes and probiotics. Enzyme supplements help break down food, while probiotics support the healthy bacteria that keep your entire digestive system functioning optimally26. This is why people who struggle with chronic digestive health issues often find benefit from taking both together as part of a daily wellness routine.

Can Digestive Enzymes Help Specific Gut Conditions?

Yes. Research shows that certain health conditions are associated with lower levels of specific digestive enzymes. This means that restoring enzyme levels through supplements can be helpful. However, that’s something that’s best discussed with your healthcare provider or gastroenterologist before incorporating into your routine, since they are familiar with your health history and current treatment plan27.

Here’s where the science says enzymes can be helpful:

Celiac Disease & Gluten Intolerance

People with celiac disease often have lower levels of lactase, sucrase, and maltase28. While digestive enzyme supplements won’t suddenly allow people with celiacs to eat gluten, they may help with overall digestive function.

Pancreatic Insufficiency

Conditions like chronic pancreatitis and cystic fibrosis can prevent your pancreas from producing enough lipase, amylase, and trypsin, leading to exocrine pancreatic insufficiency (EPI)29. Enzyme replacement therapy (PERT) with pancreatic enzyme supplements is often essential for managing this condition. People with pancreatic cancer may also develop EPI and require enzyme replacement therapy.

Irritable Bowel Syndrome (IBS)

Many people with IBS have reduced levels of lactase, sucrase, and maltase. Digestive enzyme supplements can provide significant relief from IBS symptoms like bloating and abdominal cramps.

Inflammatory Bowel Disease (IBD)

Conditions like Crohn's disease and ulcerative colitis can cause malabsorption issues and nutrient deficiencies30. Digestive enzyme supplements may help improve nutrient absorption and prevent malnutrition.

Acid Reflux and Heartburn

Reduced pepsin levels are common with acid reflux. While over-the-counter (OTC) medications treat symptom flare-ups, digestive enzyme supplements may help prevent reflux and heartburn by improving overall digestion.

How to Choose a Digestive Enzyme Supplement

Not all digestive enzyme supplements are created equal, and choosing the right one can make the difference between “wow, I feel better” and “why did I spend money on this?”

Here’s are some tips to choose the right formula and get the most benefit out of it:

  1. Look for a broad-spectrum formula if you eat a mixed diet. If you’re eating a combination of carbs, fats, proteins, and fiber (aka… normal life), a supplement that includes amylase, protease, lipase, lactase, and cellulase tends to offer the most consistent, all-around support.
  2. Check the label for transparency (and avoid “proprietary blends”). A quality digestive enzyme supplement should clearly list the enzymes included and their amounts. Be cautious with vague “proprietary blends,” since you may not know whether you’re getting clinically meaningful doses or just trace amounts.
  3. Time them right.  Digestive enzymes are most effective when taken right before or with meals, because that’s when your body actually needs them to break down food. Taking them hours later usually won’t do much.
  4. Be mindful of allergies and sensitivities. Some enzymes (like bromelain from pineapple or papain from papaya) can trigger reactions in sensitive individuals. If you’ve had food allergies in the past, start with a low dose and talk to your healthcare provider before adding enzymes to your routine.
  5. When in doubt, start low and give it time. More isn’t always better. Start with the recommended serving, take it consistently for a few weeks, and track changes in bloating, fullness, gas, and regularity before increasing your dose.

Potential Side Effects and Precautions

As with any supplement, digestive enzymes can cause side effects for some people. Here’s what to keep in mind:

  • Watch for allergies. Some enzymes (especially plant-based ones like bromelain from pineapple or papain from papaya) can trigger allergic reactions in sensitive individuals.
  • Don’t overdo it. Taking more than the recommended amount can cause cramping, diarrhea, bloating, constipation, indigestion, or heartburn (aka the exact symptoms you’re trying to avoid).
  • More isn’t always better long-term. Regularly taking higher-than-needed doses may cause stomach discomfort and could irritate your digestive system over time.
  • Talk to your provider if you have a GI condition. Enzymes can be helpful for certain digestive conditions, but it’s smart to check with a healthcare provider first if you have IBS, IBD, celiac disease, chronic pancreatitis, or another diagnosed issue.
  • Know the FDA difference. Digestive enzymes sold as supplements aren’t regulated the same way as prescription enzyme therapy (like PERT for pancreatic insufficiency), so always stick to the label and choose reputable brands.

Final Thoughts

If you're struggling with bloating, gas, nutrient absorption issues, or general digestive discomfort, digestive enzyme supplements might be exactly what you need. They help your body break down proteins, carbohydrates, and fats efficiently so you can actually absorb the nutrients from your healthy diet and keep your digestive system running smoothly.

Keep in mind that consistency matters. You won't see overnight results, but after about a month of daily use, most people notice significant improvements in their digestive health.

 

Keep the Conversation Going

 

Disclaimer: This blog is for informational and educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Statements about supplements have not been evaluated by the Food and Drug Administration. For more information about vaginal infections, visit the CDC or speak to a licensed healthcare provider.

FAQ

What are digestive enzymes, and what do they do?

Digestive enzymes are nutrients that play a crucial role in the process of digestion. They are produced primarily in the pancreas and small intestine but also in the salivary glands and stomach. These enzymes break down food into nutrients, which your body can then absorb and utilize for various functions. Taking digestive enzyme supplements has been shown to help an upset stomach, bloating discomfort, and promote healthy digestion.

What makes this the best digestive enzyme?

Happy V Debloat + Digest is an ultimate digestive enzyme formula that breaks down food into smaller substances so you can both absorb the nutrients and stop indigestion, which leads to bloating. This product uses clinically studied enzymes at effective dosages. 

Is Happy V® Debloat + Digest FDA approved?

Like all dietary supplements, Happy V® Debloat + Digest is not FDA approved. However, its ingredients are Generally Recognized as Safe (GRAS) and manufactured in compliance with FDA regulations, including Good Manufacturing Practices (GMP).

[1] Heda R, Toro F, Tombazzi CR. Physiology, Pepsin. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[2] Patricia JJ, Dhamoon AS. Physiology, Digestion. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[3] Jiang Z, Mei L, Li Y, et al. Enzymatic Regulation of the Gut Microbiota: Mechanisms and Implications for Host Health. Biomolecules. 2024;14(12):1638. Published 2024 Dec 20. doi:10.3390/biom14121638

[4] Cleveland Clinic. Enzymes: What Are Enzymes, Pancreas, Digestion & Liver Function. Last updated May 12, 2021. Accessed March 2026.

[5] Ianiro G, Pecere S, Giorgio V, Gasbarrini A, Cammarota G. Digestive Enzyme Supplementation in Gastrointestinal Diseases. Curr Drug Metab. 2016;17(2):187-193. doi:10.2174/138920021702160114150137

[6] National Institute on Aging. Healthy Eating As You Age: Know Your Food Groups. National Institutes of Health. Published February 25, 2022. Accessed March 2026.

[7] Holesh JE, Aslam S, Martin A. Physiology, Carbohydrates. [Updated 2023 May 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[8] Lee SY, Kang JH, Lee DY, et al. Methods for improving meat protein digestibility in older adults. J Anim Sci Technol. 2023;65(1):32-56. doi:10.5187/jast.2023.e6

[9] Edwards M, Mohiuddin SS. Biochemistry, Lipolysis. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[10] Goosenberg E, Afzal M. Lactose Intolerance. [Updated 2025 Aug 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[11] Liu T, Zhen X, Lei H, et al. Investigating the physicochemical characteristics and importance of insoluble dietary fiber extracted from legumes: An in-depth study on its biological functions. Food Chem X. 2024;22:101424. Published 2024 Apr 28. doi:10.1016/j.fochx.2024.101424

[12] Rémond D, Shahar DR, Gille D, et al. Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition. Oncotarget. 2015;6(16):13858-13898. doi:10.18632/oncotarget.4030

[13] Cleveland Clinic. Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment. Last reviewed March 3, 2023. Accessed March 2026.

[14] National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Gas in the Digestive Tract. National Institutes of Health. Last reviewed June 2021. Accessed March 2026.

[15] Cleveland Clinic. Abdominal Pain: Causes, Types & Treatment. Last updated November 20, 2025. Accessed March 2026.

[16] Zuvarox T, Goosenberg E, Belletieri C. Malabsorption Syndromes. [Updated 2025 Jul 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[17] Kiani AK, Dhuli K, Donato K, et al. Main nutritional deficiencies. J Prev Med Hyg. 2022;63(2 Suppl 3):E93-E101. Published 2022 Oct 17. doi:10.15167/2421-4248/jpmh2022.63.2S3.2752

[18] Azzolino D, Arosio B, Marzetti E, Calvani R, Cesari M. Nutritional Status as a Mediator of Fatigue and Its Underlying Mechanisms in Older People. Nutrients. 2020;12(2):444. Published 2020 Feb 10. doi:10.3390/nu12020444

[19] Majeed M, Majeed S, Nagabhushanam K, et al. Evaluation of the Safety and Efficacy of a Multienzyme Complex in Patients with Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study. J Med Food. 2018;21(11):1120-1128. doi:10.1089/jmf.2017.4172

[20] Cleveland Clinic. Digestive Enzymes 101: Why They’re Important. Cleveland Clinic Health Essentials. Published September 5, 2025. Accessed March 2026.

[21] Nurzyńska-Wierdak R. Green Leafy Vegetables (GLVs) as Nutritional and Preventive Agents Supporting Metabolism. Metabolites. 2025;15(8):502. Published 2025 Jul 28. doi:10.3390/metabo15080502

[22] Riccio P, Rossano R. Undigested Food and Gut Microbiota May Cooperate in the Pathogenesis of Neuroinflammatory Diseases: A Matter of Barriers and a Proposal on the Origin of Organ Specificity. Nutrients. 2019;11(11):2714. Published 2019 Nov 9. doi:10.3390/nu11112714

[23] Wiertsema SP, van Bergenhenegouwen J, Garssen J, Knippels LMJ. The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies. Nutrients. 2021;13(3):886. Published 2021 Mar 9. doi:10.3390/nu13030886

[24] Office of Dietary Supplements, National Institutes of Health. Dietary Supplements for Exercise and Athletic Performance – Health Professional Fact Sheet. Updated March 24, 2023.

[25] Markowiak P, Śliżewska K. Effects of Probiotics, Prebiotics, and Synbiotics on Human Health. Nutrients. 2017;9(9):1021. Published 2017 Sep 15. doi:10.3390/nu9091021

[26] Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharm J. 2015;23(2):107-114. doi:10.1016/j.jsps.2013.07.001

[27] Nieuwlaat R, Wilczynski N, Navarro T, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014;2014(11):CD000011. Published 2014 Nov 20. doi:10.1002/14651858.CD000011.pub4

[28] Šuligoj T, Ciclitira PJ, Božič B. Diagnostic and Research Aspects of Small Intestinal Disaccharidases in Coeliac Disease. J Immunol Res. 2017;2017:1042606. doi:10.1155/2017/1042606

[29] Tian C, Ghodeif AO, Arshad S, et al. Exocrine Pancreatic Insufficiency. [Updated 2025 Sep 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[30] Cleveland Clinic. Malabsorption: Causes, Symptoms & Treatment. Last reviewed April 27, 2023. Accessed March 2026.

[1] Heda R, Toro F, Tombazzi CR. Physiology, Pepsin. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[2] Patricia JJ, Dhamoon AS. Physiology, Digestion. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[3] Jiang Z, Mei L, Li Y, et al. Enzymatic Regulation of the Gut Microbiota: Mechanisms and Implications for Host Health. Biomolecules. 2024;14(12):1638. Published 2024 Dec 20. doi:10.3390/biom14121638

[4] Cleveland Clinic. Enzymes: What Are Enzymes, Pancreas, Digestion & Liver Function. Last updated May 12, 2021. Accessed March 2026.

[5] Ianiro G, Pecere S, Giorgio V, Gasbarrini A, Cammarota G. Digestive Enzyme Supplementation in Gastrointestinal Diseases. Curr Drug Metab. 2016;17(2):187-193. doi:10.2174/138920021702160114150137

[6] National Institute on Aging. Healthy Eating As You Age: Know Your Food Groups. National Institutes of Health. Published February 25, 2022. Accessed March 2026.

[7] Holesh JE, Aslam S, Martin A. Physiology, Carbohydrates. [Updated 2023 May 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[8] Lee SY, Kang JH, Lee DY, et al. Methods for improving meat protein digestibility in older adults. J Anim Sci Technol. 2023;65(1):32-56. doi:10.5187/jast.2023.e6

[9] Edwards M, Mohiuddin SS. Biochemistry, Lipolysis. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[10] Goosenberg E, Afzal M. Lactose Intolerance. [Updated 2025 Aug 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[11] Liu T, Zhen X, Lei H, et al. Investigating the physicochemical characteristics and importance of insoluble dietary fiber extracted from legumes: An in-depth study on its biological functions. Food Chem X. 2024;22:101424. Published 2024 Apr 28. doi:10.1016/j.fochx.2024.101424

[12] Rémond D, Shahar DR, Gille D, et al. Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition. Oncotarget. 2015;6(16):13858-13898. doi:10.18632/oncotarget.4030

[13] Cleveland Clinic. Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment. Last reviewed March 3, 2023. Accessed March 2026.

[14] National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Gas in the Digestive Tract. National Institutes of Health. Last reviewed June 2021. Accessed March 2026.

[15] Cleveland Clinic. Abdominal Pain: Causes, Types & Treatment. Last updated November 20, 2025. Accessed March 2026.

[16] Zuvarox T, Goosenberg E, Belletieri C. Malabsorption Syndromes. [Updated 2025 Jul 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[17] Kiani AK, Dhuli K, Donato K, et al. Main nutritional deficiencies. J Prev Med Hyg. 2022;63(2 Suppl 3):E93-E101. Published 2022 Oct 17. doi:10.15167/2421-4248/jpmh2022.63.2S3.2752

[18] Azzolino D, Arosio B, Marzetti E, Calvani R, Cesari M. Nutritional Status as a Mediator of Fatigue and Its Underlying Mechanisms in Older People. Nutrients. 2020;12(2):444. Published 2020 Feb 10. doi:10.3390/nu12020444

[19] Majeed M, Majeed S, Nagabhushanam K, et al. Evaluation of the Safety and Efficacy of a Multienzyme Complex in Patients with Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study. J Med Food. 2018;21(11):1120-1128. doi:10.1089/jmf.2017.4172

[20] Cleveland Clinic. Digestive Enzymes 101: Why They’re Important. Cleveland Clinic Health Essentials. Published September 5, 2025. Accessed March 2026.

[21] Nurzyńska-Wierdak R. Green Leafy Vegetables (GLVs) as Nutritional and Preventive Agents Supporting Metabolism. Metabolites. 2025;15(8):502. Published 2025 Jul 28. doi:10.3390/metabo15080502

[22] Riccio P, Rossano R. Undigested Food and Gut Microbiota May Cooperate in the Pathogenesis of Neuroinflammatory Diseases: A Matter of Barriers and a Proposal on the Origin of Organ Specificity. Nutrients. 2019;11(11):2714. Published 2019 Nov 9. doi:10.3390/nu11112714

[23] Wiertsema SP, van Bergenhenegouwen J, Garssen J, Knippels LMJ. The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies. Nutrients. 2021;13(3):886. Published 2021 Mar 9. doi:10.3390/nu13030886

[24] Office of Dietary Supplements, National Institutes of Health. Dietary Supplements for Exercise and Athletic Performance – Health Professional Fact Sheet. Updated March 24, 2023.

[25] Markowiak P, Śliżewska K. Effects of Probiotics, Prebiotics, and Synbiotics on Human Health. Nutrients. 2017;9(9):1021. Published 2017 Sep 15. doi:10.3390/nu9091021

[26] Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharm J. 2015;23(2):107-114. doi:10.1016/j.jsps.2013.07.001

[27] Nieuwlaat R, Wilczynski N, Navarro T, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014;2014(11):CD000011. Published 2014 Nov 20. doi:10.1002/14651858.CD000011.pub4

[28] Šuligoj T, Ciclitira PJ, Božič B. Diagnostic and Research Aspects of Small Intestinal Disaccharidases in Coeliac Disease. J Immunol Res. 2017;2017:1042606. doi:10.1155/2017/1042606

[29] Tian C, Ghodeif AO, Arshad S, et al. Exocrine Pancreatic Insufficiency. [Updated 2025 Sep 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

[30] Cleveland Clinic. Malabsorption: Causes, Symptoms & Treatment. Last reviewed April 27, 2023. Accessed March 2026.