Do I Need to Take Digestive Enzymes?

If you could pop a pill for better digestion, reduced bloating, and increased nutrient absorption, you would be tempted, right?

These are the promises made by companies selling digestive enzymes, a growing category of supplements which may help the body break down compounds in food.

But the promises often go beyond helping digestive issues, with claims extending to weight loss, clearer thinking, a flatter stomach, and even the ability to eat foods you are allergic to.


What are digestive enzymes?

“Digestive enzymes are proteins your body produces and uses to break down food into energy and nutrients,” says US registered dietitian and nutrition writer, Christy Brissette.

Once you start eating, your body releases many digestive enzymes. Some are made in the mouth, others in the stomach and small intestine, but most come from your pancreas.

Some enzymes you may have heard of include amylase, which breaks down starches, protease, which breaks down protein, and lipase which helps break down fat. Lactase is another, which breaks down lactose, the sugar in milk and diary foods.

Once broken down into small molecules, these nutrients are absorbed through the wall of the small intestine and into your bloodstream.

 

When you do not have enough enzymes

Sometimes the body does not make enough digestive enzymes, meaning it cannot break down certain foods and absorb nutrients. People with conditions affecting the pancreas, such as pancreatitis and cystic fibrosis, often need to take prescription digestive enzymes which help the body digest food and absorb nutrients better.

Some people with diabetes, inflammatory bowel disease, uncontrolled coeliac disease, or following weight loss surgery may also need digestive enzymes.

“When your body does not produce enough of certain digestive enzymes, undigested compounds can make their way into your large intestine and cause unpleasant symptoms,” says Brissette.

These include gas, belly pain or cramps, bloating, oily stools and unexplained weight loss. If you have any of these symptoms, do not assume it is due to a lack of enzymes. Talk to your doctor as they could be signs of gut irritation or a more serious condition.

 

Should I take them “just in case’?

“Unless you have a digestive enzyme production issue, you do not need to take digestive enzyme supplements,” says Canadian registered dietitian Abby Langer.

“Taking more digestive enzymes via supplementation does not help you break down or absorb your food better if your enzyme levels from your own body are not low.

“That being said, there are two more common digestive enzyme supplements that are more routinely used,” says Langer.

“Lactase for lactase deficiency which results in lactose intolerance, and alpha-galactosidase, which nobody’s body makes, but is the main ingredient in the product ‘Beano’. This enzyme can potentially help break down fermentable carbohydrates in foods like beans and vegetables,” she says.

“Both of these supplements may help with Irritable Bowel Syndrome in certain cases.”

Digestive enzymes may be natural, but they are not risk free. Some reported side effects include allergic reactions, interactions with medications, and abdominal pain. It is best to avoid digestive enzymes unless they have been recommended by a health professional.

Help Your Sleep With Morning Light

Getting a good night’s sleep starts the moment you wake up. Just as we need a dark environment to help us drift off, we need bright daylight first thing to set our natural body clock that makes us naturally tired at night, says podcaster and author Dr Rangan Chatterjee in his Friday Five email.


Here are a few ways Dr Chatterjee suggests getting your morning light fix:

  • Have your morning tea or coffee in your garden, balcony, or next to a window.
  • If you work from home, take a walk around the block or do a short workout outside before you start work.
  • If you need to drive in the morning, leave your car a 10-minute walk from your destination. The same can apply if you get the bus or train.
  • Walk your dog first thing in the morning (or offer to walk someone else’s).
  • Talk a morning break and spend it outside.

Pelvic Floor Health is Not Just For Women

Racing for the toilet, ‘leaking’ when you laugh or sneeze? You might need to think more about your pelvic floor.

Strong pelvic floor muscles are necessary for bladder and bowel control and good sexual function. Studies have found that around 300 million people worldwide experience incontinence, with around a third of women and 16 per cent of men experiencing pelvic floor problems.

Colorectal Surgeon Dr Sanjay Kariappa talks about pelvic floor issues and why we ALL need to care.

“Around 70 per cent of people experiencing incontinence will not seek help. Often, they are embarrassed, or they think it is a normal part of getting older. It is not. People feel self-conscious and may change the way they live. They might reduce their fluid intake, alter the way they eat, only go to familiar places where they know where the bathrooms are, or worst-case scenario do not go out at all.”

Pelvic floor muscles are like a hammock that stretches from your tailbone to your pubic bone. They support your abdomen, your bladder and bowel and, in women, the uterus. These muscles can get stretched or damaged by factors including surgery, chronic cough, heavy weightlifting, or long-term constipation.


How to strengthen your pelvic floor

Pelvic floor exercises are not just for women. Men can also benefit from learning to contract and relax their pelvic floor muscles.

  • Imagine you are trying to avoid passing wind or stop the flow of urine. Tighten those muscles at the same time for one second then release.
  • Repeat that 10 times, aiming for three sets altogether. If you are finding it difficult to locate your pelvic floor muscles, a pelvic floor physiotherapist is a great next step.

“My advice is that if you notice a change in your continence that is impacting your quality of life, please seek help sooner rather than later,” says Dr Kariappa.

3 “Healthy” Foods to Watch Out For

Do not be fooled by these three foods that appear healthy but may not always be beneficial for us.

 

Breakfast cereals

Australian consumer organisation Choice found that some of the best-loved cereals may not be as healthy as you will expect.

Depending on where you are, there may be guides on the pack giving you a quick way to see how nutritious a product is. These will usually take into account ‘good’ things like protein and fibre. But it will not tell you how natural or unrefined the ingredients are, whether the product contains artificial preservatives, colours and flavours, or how processed the product is.


“Highly processed breakfast cereals often have fibre and protein added to increase their health rating,” says accredited practising dietitian and Choice food expert Shadia Djakovic.

“Rolled oats have a high rating due to their naturally-occurring fibre content. But they have only one ingredient – oats – which means they have a higher rating without the need for any added nutrients to make them healthier.

“Look at the shape and colour, does it look like a natural product?” says Djakovic. “If it is far from natural-looking, chances are it is highly processed and needs things like salt and sugar to make it taste good.”


Salads

Watch out for salads, warns accredited practising dietitian Melissa Meier in body&soul. We think of them as a healthy option but they are not always the best thing on the menu, she says.

Salads contain vegetables, but may come loaded with refined carbohydrates and processed meats, says Meier. And store-bought dressings often contain way too much sodium (which may increase blood pressure), with some also high in added sugar and saturated fat.

The best bet is to make your own dressing, says Meier, with good quality oil such as extra virgin olive oil, a splash of vinegar or citrus juice, and some flavour in the form of mustard, pepper and dried herbs and spices.


Protein bars

Protein bars are promoted as a healthy snack to fill the protein gap in our diets and help build muscle.

But most people do not need extra protein as they get enough through their diet, says Dietitians Australia. For those who do need more, foods naturally high in protein like eggs, fish, yoghurt, nuts, tofu and beans are good choices as they also add nutrients.

Protein bars vary significantly in quality, so it pays to read labels. Many are full of sugar, salt, artificial sweeteners and colours, and oils and thickeners that add kilojoules without making you healthier.

Eat Smarter

Octopus

Are you looking for dinner ideas that tick the healthy but delicious box? It might be time to consider octopus.

Octopus is rich in vitamins and minerals, is low in fat and is a good source of protein. Here is a closer look at what it has to offer.


Heart health

Octopus is a good, affordable source of omega-3 fatty acids, commonly known as ‘good fats’. These fats can reduce blood pressure and lessen the buildup of cholesterol plaques in blood vessels. This in turn can lower your risk of stroke and heart attack.

Octopus also contains an amino acid called taurine which reduces blood pressure and cholesterol.

 

Anti-oxidants

Taurine is also an antioxidant. It protects cells from damage often associated with inflammation and cancer. Octopus contains other antioxidants such as selenium, vitamin B12 and folate.

 

Brain health

Octopus contains magnesium which can help support healthy brain function. The omega-3 fatty acids found in octopus may lower the risk of developing depression.

Note: While for many people octopus is a healthy choice, some people need to avoid or approach with caution.

  • If you have a shellfish allergy, you need to avoid octopus as well.
  • Octopus has a higher salt content than some other lean protein sources. Factor this in if you are watching your sodium intake.

Is It Bad to Drink Coffee on an Empty Stomach?

For most of us, the answer is no. But your symptoms may worsen if you have a sensitive stomach, are predisposed to certain gastrointestinal conditions such as reflux, or already have damage to your stomach lining, says Kim Barrett, professor of physiology and membrane biology at the University of California at Davis’ School of Medicine, in The Washington Post.

The caffeine in that first shot of coffee may also increase the effect of cortisol, which is usually highest in the morning. Cortisol is the stress hormone that produces the fight-or-flight response and can also raise blood sugar levels. If you have diabetes and love your morning coffee, you might want to make sure you are combining healthy carbs with protein to balance out your blood sugar levels.

Even though coffee can be acidic and stimulate the production of stomach acid, this is not likely to be a problem for most people, and the stomach is “extremely well equipped to protect itself,” said Barrett.

Power Up Your Brain!

For a long time, exercise was seen as a way to keep our physical selves healthy. Now we know that it is good for our brains as well.

Large studies have shown that physical exercise can lead to better memory, improved thinking skills and can protect against conditions like Alzheimer’s Disease.


How can exercise change your brain?

Neuroplasticity is a term that describes your brain’s ability to change itself in response to various experiences or exposures. A review article published in Neural Plasticity in 2021 draws on many smaller studies to describe how exercise releases various chemicals that change the number and function of nerve cells (neurons) and their neighbouring support cells (astrocytes). It found exercise also improves blood flow to nerve cells in the brain and increases the connections between nerve cells.

Other studies using brain scans in people have shown that those who exercise have an increased size of the parts of their brain that control thinking and memory.

These findings support the growing understanding that exercise leads to structural and functional changes in the brain.

Scientific Reports published a study in 2023 that included data from more than 350,000 people. It showed that physical exercise leads to better memory, better thinking skills and lowers the risk of developing dementia.

What counts as exercise and how much do you need to do?

The research describes physical exercise as being different to just ‘activity’. To get the benefits of exercise for your brain, you need to aim for 30 minutes, five days a week of moderate exercise (for example a brisk walk, light jog) or 15 minutes fives days a week of more intense exercise. It takes six months before you start to see the benefits, so it is important to develop a habit and stick with it.

How does exercise help my brain overall?

As well as the changes the scientists saw in the structure and function of the brain, physical exercise is also known to help reduce stress and anxiety, improve your mood and often helps you get a better night’s sleep. This all contributes to better brain function.


Getting started

As tempting as it may be to strap on your running shoes and race out for brain health, if you are a novice exerciser, it is a good idea to start slow and build up. Aim for 10 minutes a day and build up to half an hour. Find something you enjoy whether that be a walking group, solo runs or a dance class. You want to start something you can stick to.


Finding your fit

1. Aerobic exercise. Studies show it is never too late to start. Get your blood pumping to boost blood flow to your brain.

2. Weight training. Research shows the benefit of weight training for both memory and other thinking skills. When you practice unfamiliar movements, you activate the nerve pathways in your brain.

3. Yoga. A 2016 University of California study showed that yoga can help your visual-spatial skills and some aspects of memory.

4. Tai Chi. Tai Chi combines both mental focus and movement. It often has a community aspect to it which is also helpful for making your brain feel good.

5. Dancing. A landmark 2003 study published in the New England Journal of Medicine showed regular dancing reduced the risk of dementia by 76 per cent.

Geriatrician Dr Tabitha Hartwell reminds us ‘Exercise, preferably a mixture of aerobic, strength and stability, is the single most important factor in maintaining physical, mental and emotional health across your lifetime’.

Become A Joy Detective

Do you find yourself dreaming of a circuit breaker? A tropical holiday, a silent retreat, a hike through pristine wilderness? Anything to chase that elusive feeling of happiness and joy?

Dreams are lovely but often feel out of reach, or come around too rarely to sustain your joy levels. How then can you help yourself out of the ‘rut of doom’ you find yourself in? Experts suggest the answer might be in becoming conscious of the small moments of joy that exist in everyday life.

Joy is a tricky thing to define. It is often fleeting and is different for every person. Some consider joy to lie somewhere between happiness and ecstasy. Others say joy is a sense of wellbeing, of hope.

Joy is closely linked to the things that are important to us. For some, joy can be found in the feeling of the sun on their back on a winter’s day. It might be comfortable socks, the first bite of a peach, the opening notes of our favourite song. Joy might be walking in nature, patting a dog, the soft curl of a child’s hand reacting into your own.


What all these different experiences have in common is that they are often the quiet moments in your day that get missed when you are worried or rushing.

Author and mental health expert, Robyn Haney Dafoe, writes in Psychology Today, ‘Cultivating joy is a (re)learning how to foster a feeling of ease and a sense of hope, even when things might still be uncertain.’

This reminds us that bringing joy into our life is not about creating big moments, it is about finding joy where it already is. Becoming joy detectives.

Focusing on joy does not mean you deny things that are hard in your world. But it opens you up to see that both can exist at the same time, that there is room for joy in your life. Over time, your brain will more naturally tune into joyous moments, allowing you to experience happiness and hope more often across more of your day.

Another reason joy feels so good is that it brings energy and connection. Oxford University philosopher and leading joy researcher Matthew Johnson wrote in the Journal of Positive Psychology, ‘joy… is energising, joy is motivating’. He also describes joy as ‘a gathering emotion’. Harnessing that shared positive energy can help you keep going, even when things feel hard.

So perhaps rather than waiting for a grand expensive holiday, start now. Start small, start simple, look for the moments that bring an exhale, a drop of your shoulders, the ‘eye sparkle’ smile, the warm lift to your heart. Find the joy that is already there, waiting for you!


Finding joy

Try these tips to add more joy to your daily routine.

1. Get curious and creative.

It may be a while since you have thought about what makes you feel joyous. Instead of feeling daunted, get curious and creative! Try listening to different types of music, going for a walk, do a taste test of different foods to see what brings that smile to your face. Focus on the fun in the small things.

2. Do more of what feels good

Once you know what brings you joy, do more of it and give yourself time to savour the experience.

3. Think gratitude

Yale-Professor Laurie Santos teaches that joy is connected to appreciating particular things. Remembering to ‘count your blessings’ helps focus on the good things in your life that brings joy.

4. Be mindful

Slow down, connect to the moment, and adjust your expectations around what joy is. If you are only looking for grand moments, you will miss all those beautiful tiny daily bits of joy life gives you.

Eat Smarter

Apples


There is a certain pleasure in biting into a crisp apple, juice spraying. It is a childhood memory for many of us.

We now know the skin and those juices contain antioxidants and fibre that fight many diseases of the modern world.

Apples contain antioxidants called polyphenols, along with pectin which is a fibre and a prebiotic.


What do these things do?

Heart health

The polyphenols in apples are thought to reduce both total and LDL (or ‘bad’) cholesterol. They improve blood vessel health, which may reduce high blood pressure and lower the risk of stroke and heart disease.

Appetite

It was previously thought that the high water and fibre content helped us feel satiated after eating an apple. It is now thought that polyphenols also play a role in appetite suppression.

Gut microbiome

Recent research has shown the importance of the gut microbiome in overall health. Pectin is a prebiotic; it fosters growth of ‘good’ gut bacteria. A healthy microbiome is associated with a lower cancer risk, reduced risk of some inflammatory diseases and improved mental wellbeing.

Get those benefits!

Leave the skin on! Half the fibre and nearly all the polyphenols are contained in the skin. Eat the skin to get the most out of your snack.

1 Thing You Can Do Today

Make a meal plan


Combine decision fatigue with the cost of living crisis and it is easy to see how your stress levels peak around mealtimes. Making a meal plan might help.

Meal planning involves creating your weekly food menu ahead of time. Whilst there are plenty of people offering templates and ‘hacks’ at a cost, getting started can be as simple as using a pencil and the back of an envelope.

What are the benefits of meal planning?

Meal planning reduces the mental load of keeping yourself and your family fed, it lessens food waste and overall saves you time and money (no more after-work trips to the supermarket!).

Meal planning has also been shown to increase the diversity and quality of food people eat.

Easy ways to get started

1. Tackle dinners first. These are the meals that often end up as take-away if you leave the decision to the last minute.

2. If planning for a family, choose several meals you know are well received, then ask the kids or your partner to suggest something for the other nights.

3. Make your shopping list as you go. Online orders will save you even more time and reduce impulse buys.

4. Try doubling recipes. Leftovers can make great lunches or can be labelled and put in the freezer for another night. ‘Future you’ will thank you!

5. Do not expect perfection, you are human! If you skip a day, do not worry. Just pick up where you left off and keep on going.