Hemotest: Lipase (venous blood) - get tested at an affordable price in Moscow and other cities

Amylase and lipase are digestive enzymes. Their quantity in the bloodstream is used to diagnose the condition of the pancreas if pancreatitis is suspected. Tests can be carried out on the direction of a doctor or at the request of the patient himself, but only a specialist can interpret the results and, if necessary, prescribe treatment. To obtain the most accurate results, special preparation is required before donating blood. For 10 hours before the tests, you must stop eating and avoid significant physical activity and stress.

Detailed description of the study

Pancreatic lipase is a water-soluble enzyme that catalyzes the reactions of digestion of neutral fats (triglycerides) in the initial part of the small intestine - the duodenum. The biochemical feature of lipase is that this enzyme can perform its function without coenzymes - derivatives of vitamins, nucleotides, heme, etc.

The process of digestion of triglycerides begins in the lumen of the stomach with the help of lingual lipase, which is produced in the glands of the tongue and enters the stomach along with saliva. However, the main stage of digestion of neutral fats begins in the small intestine. Pancreatic lipase is formed in the pancreas and, as part of pancreatic juice, is secreted through the duct into the lumen of the duodenum together with colipase. This protein indirectly accelerates the action of lipase, so that fats begin to break down faster.

Before digestion, fats sequentially pass through the emulsification stage. Bile produced in the liver directly produces this process - the integrity of the neutral fat molecule is disrupted, as a result of which triglycerides are repeatedly mixed with water in the lumen of the small intestine and crushed into small fat droplets. After this, the process of hydrolysis begins with the participation of pancreatic lipase.

With pancreatitis, the outflow of pancreatic juice into the duodenum is disrupted. The large amount of lipase and other enzymes remaining in the gland, which have pronounced biological activity, leads to inflammation of the “self-digestion” type - the enzymes destroy the anatomical structure of the pancreas and become the main cause of the development of inflammation. In this case, a significant part of the lipase begins to enter the blood. In addition, lipase together with calcium leads to extensive damage to the pancreas (pancreatic necrosis).

Another enzyme, alpha-amylase, is also a marker of pancreatitis. This protein is formed in the cells of the salivary glands and pancreas; it is involved in the hydrolysis of carbohydrates. With pancreatitis, the pancreatic form of amylase in the blood increases, and salivary amylase levels remain within normal values. Accordingly, hyperfermentemia (increased lipase or amylase in the blood) by more than three times is one of the key signs of acute pancreatitis.

In the context of diagnosing acute pancreatitis, lipase is a more specific enzyme than amylase. An increase in the level of lipase in pancreatitis is observed approximately 4-8 hours after the onset of the disease, amylase - 2-12 hours. In this case, the level of lipase in the blood, as a rule, increases to a greater extent and can remain elevated much longer compared to amylase (7-10 days / 3-4 days). It has also been found that in about 20% of patients, the concentration of serum amylase can remain within normal limits. This property is not typical for lipase.

Also, the level of serum pancreatic lipase may be increased in diseases of the hepatobiliary region and systemic diseases leading to secondary damage to the pancreatic gland.

Main signs of pancreatic enzyme deficiency

Identifying enzyme deficiencies is quite simple. The key symptoms are heaviness after eating, a feeling of fullness in the abdomen and abdominal discomfort. Often these symptoms are accompanied by bloating, rumbling, flatulence, and diarrhea. Most often, such symptoms can occur in ordinary situations: when eating heavy, fatty foods or when overeating, when it was simply impossible to resist eating a lot of tasty dishes. In this case, you should not be afraid of problems with the pancreas or other gastrointestinal diseases. The pancreas simply cannot cope with much work and may need help.

Why does diarrhea occur? Fats are the most difficult components of food to digest. If there is a lack of enzymes in the body, it is with the processing of fats that difficulties arise. As a result, undigested fats that are not decomposed by enzymes contribute to a change in the nature of the stool and the rapid movement of contents along the intestines, which provokes diarrhea8.

If a lack of enzymes and digestive problems persist for a long time, then this does not go unnoticed by the body. Symptoms may worsen and become regular rather than episodic. Constant diarrhea gives rise to vitamin deficiency; protein-energy deficiency and dehydration throughout the body can develop. Significant weight loss may occur. In addition, in severe stages, the following symptoms of pancreatic enzyme deficiency may be observed8:

nausea and vomiting;
heartburn;
a sharp decrease in appetite;
general weakness.

Top 15 Enzyme Rich Foods

a pineapple;
papaya;
kiwi;
kefir;
yogurt;
bananas;
mango;
miso;
pace;
homemade sauerkraut;
kimchi;
avocado;
bee pollen;
Apple vinegar;
raw honey

What foods harm the enzyme station?

Alcohol.
Fresh sweet fruit.
Fried, smoked, salted.
Trans fats and fast food.
Processed and refined foods.

Pancreatin: reviews

Diseases of the pancreas occur at any age, especially in those people who do not particularly monitor their diet, exceed the portions required by the body and abuse alcohol. Pancreatin is extremely necessary in the first aid kit, people with gastrointestinal problems note in reviews. The effect after administration occurs literally within 30-40 minutes. As a rule, it is prescribed by doctors, because this drug has proven itself well. Take Pancreatin alone or in combination with other medications. Many people have known pancreatin since the times of the USSR.

People with chronic pancreatitis take a course of the drug for prevention 1-2 weeks before the holiday feast. The drug helps improve the functioning of the gastrointestinal tract and also replenishes the deficiency of digestive enzymes.

The main contraindication is individual intolerance, but it occurs in only 1% of people taking Pancreatin. If you follow all the recommendations and follow a diet, this will allow you to avoid surgical intervention and quickly return to your normal life.

On average, in reviews in general, people note the positive role of Pankratin in alleviating the gastrointestinal tract after:

abundant holiday food;
food poisoning;
consuming stale or not very clean products from hand in markets, stalls, etc.

Cholinesterase (ChE)

An enzyme that is involved in the destruction of acetylcholine, a chemical carrier of impulses in excitable tissues (muscle, nervous).
It binds to the liver and represents the main marker of the functional activity of this organ. That is, if something happens to the liver, then, of course, its ability to synthesize something decreases, and because of this, the content of those substances in the blood that should normally be produced in large quantities decreases. Norm:

5300-12900 units/l.
Increase:
physiological (in the first trimester of pregnancy), pathological (obesity, diabetes mellitus, tetanus, breast cancer, nephrosis, arterial hypertension).
Decreased:
usually in late pregnancy, with the use of certain drugs (anabolic steroids, glucocorticoids), as well as during the period of postoperative rehabilitation.
Important:
a decrease in ChE is a sign of destructive liver diseases, acute insecticide poisoning, and myocardial infarction.

What to do if lipase levels are elevated

If a patient has elevated lipase levels, they should consult a doctor, as this may be a sign of serious health problems that should only be treated under the supervision of a qualified physician.

In some cases, changes in enzyme levels may be associated with other factors, such as taking corticosteroid hormones and certain non-steroidal anti-inflammatory drugs (ibuprofen), captopril, oral contraceptives, loop diuretics, non-narcotic analgesics and heparin. Therefore, when receiving the result, you need to tell the doctor in detail whether the patient is taking any medications in order to exclude an erroneous diagnosis.

Digestive enzymes[edit | edit code]

Yuzhakov Anton Digestive enzymes in sports

Digestive enzymes

(or otherwise “enzymes”) are special compounds involved in the breakdown of three main nutrients: proteins, carbohydrates and fats.

Digestive enzymes have been widely used by strength sports enthusiasts since the 1990s. They are literally in great demand among bodybuilding athletes who train in intensive programs. The secret to this popularity is simple: enzymes help essential nutrients to be absorbed much faster and more efficiently. And for those who have “dietary” difficulties with gaining weight, enzymes are simply a panacea.

Application[edit | edit code]

Some nutritionists today offer a special “crash” diet plan for those who have difficulty gaining weight. Its essence is to receive exactly 2000 kilocalories per day above the norm and “help” yourself with digestive enzymes. Theoretically, the more you eat, the more nutrients your body absorbs. And the more he absorbs, the more effectively he gains weight. Moreover, a 2009 Buford TW study showed that digestive enzymes can speed up muscle recovery and growth.

But is this always reasonable? Excess calories are always a risk of fat deposits. And digestive enzymes will not help here: they do not affect how calories are distributed in the body. By getting extra calories, even if accompanied by enzymes, you will gain not only muscle mass, but also fat.

The use of enzymes in bodybuilding will be reasonable in two cases:

1) for indigestion that occurs due to overload of the gastrointestinal tract with food 2) for ectomorphs who gain weight with great difficulty.

Basics of digestion[edit | edit code]

Before deciding on taking enzymes, you need to get a basic understanding of what digestion actually is. Digestion is a process aimed at breaking down food entering the body into chemical components. This allows nutrients to be absorbed into the blood, i.e. absorbed and used for its intended purpose. Digestion and absorption are two components that are necessary to ensure that essential nutrients (proteins, carbohydrates and fats), vitamins and minerals penetrate from the intestines into the blood.

Having assimilated these substances, the body sends them to various tissues for growth, recovery, energy production, or simply for storage.

Digestive enzymes are involved in virtually every chemical reaction that occurs in the body and act as catalysts for these reactions in all of our life support systems. During digestion, enzymes are responsible for reactions that break down long chains of food molecules into simpler components. And these components then penetrate into the blood through the intestinal walls.

Alkaline phosphatase (ALP)

This is an enzyme that is usually localized in the membrane, in contrast to the enzymes described in the first part of the article, which are located in the cytoplasm of cells.
It is mainly contained in the brush border of the mucous membrane of the bile canaliculi (the surface layer of cells forms brush-like outgrowths, hence the name). This is a key enzyme involved in the metabolism of phosphoric acid. Most often, alkaline phosphatase is determined when gallstone disease is suspected and the mechanical origin of jaundice occurs when stones block the lumen of the ducts, bile stagnates, and the pigment bilirubin begins to leak into the blood. The diagnostic value is based on the fact that during obturation the activity of alkaline phosphatase increases 10 times. ALP is often determined by monitoring the healing of bone tissue and the healing of fractures, as well as when tumor processes in the bone are suspected, since the enzyme functions as a marker of osteosynthesis. Norm:

30-90 units/l.
Increase:
with obstructive jaundice, bone tumors and metastases, rickets, to a lesser extent with destructive liver diseases (cirrhosis, cancer), amyloidosis, blood diseases (myeloma, lymphogranulomatosis, mononucleosis), hyperthyroidism.
Decrease:
observed with a lack of certain microelements (zinc, magnesium, vitamins B12 or C), as well as with anemia, placental insufficiency during pregnancy, hyperthyroidism and disorders of growth and bone formation.

Links[edit]

^ a b
PDB: 1hlg;
Roussel A., Canaan S., Egloff M. P., Rivière M., Dupuis L., Verger R., Cambilot S. (June 1999). "Crystal structure of human gastric lipase and model of lysosomal acid lipase, two lipolytic enzymes of medical interest". Journal of Biological Chemistry
.
274
(24):16995–7002. DOI: 10.1074/jbc.274.24.16995. PMID 10358049.
Bodmer MW, Angal S, Yarranton GT, Harris TJ, Lyons A, King DJ, et al (August 1987). "Molecular cloning of human gastric lipase and expression of the enzyme in yeast". Biochimica et Biophysica Acta (BBA) - Gene structure and expression
.
909
(3):237–44. DOI: 10.1016/0167-4781 (87) 90083-2. PMID 3304425.
"Entrez Gene: Gastric Lipase".
Pafumi Y, D Lairon de la Porte PL, Juhel C, Storch J, Hamosh M, Armand M (August 2002). "Mechanisms of inhibition of triacylglycerol hydrolysis by human gastric lipase". Journal of Biological Chemistry
.
277
(31):28070–9. DOI: 10.1074/jbc.M202839200. PMID 11940604.
Bourlieu S, Mahdoueni W, Paboeuf G, Giskel E, Menard O, Pezennec S, et al. (February 2021). "Physicochemical behavior of human and cow's milk membrane extracts and their effect on gastric lipase adsorption." Biochemistry
.
169
: 95–105. DOI: 10.1016/j.biochi.2019.12.003. PMID 31866313.
Aloulou A, Carriere F (March 2008). "Gastric lipase: an extremophilic interfacial enzyme with medical applications". Cellular and Molecular Life Sciences
.
65
(6):851–4. DOI: 10.1007/s00018-008-7546-z. PMID 18213443. S2CID 45128975.
Kong Y, Zheng Y, Jia Y, Li P, Wang Y (October 2021). "Reduced LIPF expression correlates with DGKA and predicts poor outcome in gastric cancer". Oncology Reports
.
36
(4): 1852–60. DOI: 10.3892/or.2016.4989. PMC 5022960. PMID 27498782.

Pancreatin: at the pharmacy

In any pharmacy in Moscow and St. Petersburg you can find a variety of drugs containing lipase . Manufacturers promise an almost instant effect. Or vice versa, you need a lot of pills and take them for a very long time. And many people have long noticed that conventional drugs do not always give the expected effect. There are good drugs in pharmacies, but many people prefer to order dietary supplements on iHerb.com, because... All products are shipped from warehouses in the USA. And here many people from Russia and 150 countries around the world regularly place orders for various herbal supplements and vitamins. When purchasing dietary supplements and sports nutrition from iHerb, you can be confident in its quality and originality. iHerb works only with trusted manufacturers.

All products are purchased, stored and delivered in accordance with all GMP and manufacturer safety requirements. Humidity and temperature conditions are regularly monitored. Absolutely all additives have documents confirming the quality of the products.

Maintaining digestion and treating enzyme deficiencies

If you have problems with digestion, enzyme preparations (more often called drugs to improve digestion) can help, the main task of which is to compensate for the lack of the body’s own enzymes. It’s not for nothing that this therapy is called “enzyme replacement”. It is critical that the enzyme preparation “mimics” the physiological process as closely as possible.

Today, there are various drugs to improve digestion. How to navigate the variety of means and make the right choice?

An effective enzyme preparation must meet the following criteria5,6:

have an optimal particle size
do not break down in the stomach
quickly activate in the intestines

The drug Creon® meets all these requirements.

To learn more

1) Today, pancreatin minimicrospheres, which are contained only in the drug Creon®5,7, are recognized as the optimal particles. The invention of minimicrospheres was the result of many years of work to improve the effectiveness of enzyme preparations, which left far behind drugs in the form of tablets and capsules with other types of particles inside: pellets, mini-tablets, etc. In addition, Creon® minimicrospheres are produced using patented technology, which prevents other manufacturers from reproducing the same release form.

2) Creon® minimicrospheres are enclosed in a capsule that protects them from the destructive effects of the stomach. But that is not all. Each particle is covered with an acid-resistant coating in order to “reach” the intestines, where its work is necessary, completely intact. At the same time, some other encapsulated drugs can lose up to 30% of their activity6.

3) Creon® begins to work within 15 minutes after entering the intestines, improving digestion and thereby eliminating heaviness and discomfort after eating6.

Creon® has several dosages, including 10,000 IU of lipase - the minimum required dose of lipase to improve digestion in case of dietary errors, eating heavy foods and overeating. To obtain the effect, Creon®10000, like any enzyme preparation, must be taken with every meal - during breakfast, lunch and dinner.