When someone tells me they feel heavy, bloated, or gassy after meals, digestive enzymes are one of the first practical tools I reach for. Similase is a comprehensive proprietary blend of microbial enzymes that covers all the major food types: amylase for carbohydrates, protease for protein, lipase for fat, cellulase for fiber, plus lactase, sucrase, and phytase. What I like is that the enzymes stay active across a broad pH range, so they work in the stomach and continue down the tract.

For people with documented pancreatic insufficiency, enzyme therapy is well established and prescription-strength versions are standard care. For the average person with occasional bloating after big meals, the research is thinner. The studies behind enzyme supplements are mostly in vitro digestion models, pediatric cystic fibrosis care, or animal work. What I see in practice, and what people report in the supplement communities, is fewer complaints when enzymes are taken with meals that would otherwise cause trouble.

The dosing is simple: two capsules at the beginning of each meal, up to three times daily. Timing matters, since the enzymes need to be present when the food is. I am careful with patients who have SIBO, because some people report enzymes make them feel worse rather than better. Anyone pregnant, nursing, diabetic, or on prescription medication should clear using it with their healthcare professional first.