Guest guest Posted March 22, 2003 Report Share Posted March 22, 2003 NopEven on the bottle it mentions with acidic drink I,.e. orange juice/puree. I just went and checked it out. Then I got out my cf bible and it also says it in there (I just hadn;t read it before). What it actually says is ' - the hard outer coating of each of the granules is acid resistant, and therefore remains intat in acid solutions. This protects the enzymes from destruction by acid in the stomache. It is therefore necessary to MIX THE GRANULES WITH AN ACIDIC FOOD to retain that protection - such as PUREED OR MASHED FRUIT< OR FRUIT JUICE. The granules should NOT be mixed with water, milk, formula or other milky foods in which the coating would dissolve, exposing the enzymes to the acid enviroment of the stomach (and beginning to digest the food/formula before it is eaten). This is from a Medical Journal from the Department of Nutritional Health in special needs SAW DIETITICIAN GREAT TIPS I don't understand this. Enzymes work better in a non-acidic environment. The duodenum normally secretes bicarbonate that would normally buffer the effects of stomach acid. In CF, there is a deficiency of bicarbonate secreted from the duodenum. For this reason, many doctors prescribe Zantac, or other antacids to essentially allow for better digestion, besides the other uses of the drug for such conditions as GERD. Please, the next time you speak with your dietician-ask him/her by which mechanism this is supposed to be beneficial. Because, I think it might be wrong. al Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2003 Report Share Posted March 22, 2003 This is true when the capsules are being opened and the small enteric-coated beads mixed for thoses who are unable to swallow the capsules whole. If the food is not acidic, the enzymes can begin to break down the food and be less effective once they reach the digestive system. It is NOT necessary to swallow whole capsules with something acidic as natuaral acidity in the stomach helps to protect the enteric-coated beads until they reach the intestines. Hope this clarifies. M Baxter wrote: >. . . > >- the hard outer coating of each of the granules is acid resistant, and >therefore remains intat in acid solutions. This protects the enzymes >from destruction by acid in the stomache. > >It is therefore necessary to MIX THE GRANULES WITH AN ACIDIC FOOD to >retain that protection - such as PUREED OR MASHED FRUIT< OR FRUIT JUICE. > >The granules should NOT be mixed with water, milk, formula or other >milky foods in which the coating would dissolve, exposing the enzymes to >the acid enviroment of the stomach (and beginning to digest the >food/formula before it is eaten). > >This is from a Medical Journal from the Department of Nutritional Health >in special needs > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2003 Report Share Posted March 23, 2003 , Eilish does have her capsules opened up and she swallows the beads. She starts on Creon 10,000 lipase tomorrow so she only has to take half the amount than she is on )Pancrease. Also they are half the size so she may be able to swallow them. I wont push her though, I didn't swallow a capsule till I was 28, shhhhh don't tell her that LoL. She has been so good at showing me everything she want's to eat (as she used to sneak of with bags of chips etc). and then I look it up and see how many enzymes needed. She understands now how important it is to take them with EVERYTHING. (Australia) Re: AL rockapoo This is true when the capsules are being opened and the small enteric-coated beads mixed for thoses who are unable to swallow the capsules whole. If the food is not acidic, the enzymes can begin to break down the food and be less effective once they reach the digestive system. It is NOT necessary to swallow whole capsules with something acidic as natuaral acidity in the stomach helps to protect the enteric-coated beads until they reach the intestines. Hope this clarifies. M Baxter wrote: >. . . > >- the hard outer coating of each of the granules is acid resistant, and >therefore remains intat in acid solutions. This protects the enzymes >from destruction by acid in the stomache. > >It is therefore necessary to MIX THE GRANULES WITH AN ACIDIC FOOD to >retain that protection - such as PUREED OR MASHED FRUIT< OR FRUIT JUICE. > >The granules should NOT be mixed with water, milk, formula or other >milky foods in which the coating would dissolve, exposing the enzymes to >the acid enviroment of the stomach (and beginning to digest the >food/formula before it is eaten). > >This is from a Medical Journal from the Department of Nutritional Health >in special needs > Quote Link to comment Share on other sites More sharing options...
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