
- Nutritional Outlook Vol. 28, No. 3
- Volume 28
- Issue 3
A gastroenterologist’s perspective on nutritional support for digestive health.
Key Takeaways
- Conventional medicine often fails to address the root causes of common digestive issues, leading patients to seek alternative solutions.
- Probiotics, prebiotics, digestive enzymes, and herbal compounds show potential in supporting gut health and alleviating symptoms.
Dr. David Kahana, MD provides his perspective on the use of supplements to aid digestive health, and they ways he employs a range of supplement ingredients to provide benefits.
As a physician specializing in Pediatrics, Gastroenterology, and Medical Nutrition, my journey into the world of holistic digestive health solutions was not a conventional one. Like most Westerntrained doctors, my medical education focused primarily on diagnosing gastrointestinal diseases and prescribing pharmaceutical treatments. Nutrition was an afterthought—if it was discussed at all.
Yet, over time, my experience with patients made it clear: common digestive issues are often linked to diet, lifestyle, and the gut microbiome. More importantly, conventional medicine’s approach—while effective at managing symptoms—rarely addressed the underlying reasons causing issues like typical bloating, gas, constipation, and indigestion.
This realization led me down a new path—one that incorporated nutrition and targeted supplementation into my methods. Today, I work to bridge the gap between traditional gastroenterology and evidence-based comprehensive solutions, helping patients find real, lasting comfort for common digestive concerns.
Why Patients Turn to Digestive Supplements
Everyday digestive health issues are among the most common complaints patients bring to their doctors. The modern diet—high in processed foods, refined sugars, and artificial additives—has left many people struggling with common gut imbalances, irregular bowel movements, and food sensitivities.
But here’s the problem: many people don’t get answers from conventional interventions to these occasional problems. They are recommended antacids for reflux, laxatives for constipation, or antidiarrheals for upset stomach, yet the root cause remains unaddressed. As a result, patients often turn to digestive health supplements as an alternative or complementary approach to support their gut health.
The question is: Do these supplements actually help? And if so, which ingredients have the most research backing for promoting better digestion?
The Role of Supplements in Digestive Wellness
While it’s important to be careful not to overstate claims, the research surrounding probiotics, prebiotics, fiber, and certain herbal compounds is promising. Here’s a look at some key ingredients that can support digestion and promote gut balance:
- Probiotics: Restoring Balance to the Microbiome
The human gut is home to trillions of bacteria that play a critical role in digestion, immune function, and oxidative stress control. When this delicate ecosystem is disrupted—by everyday stress, antibiotics, environmental factors, or poor diet—digestive symptoms can follow.
Probiotics are beneficial bacteria that help repopulate the gut microbiome, improving microbial diversity and potentially alleviating symptoms of common bloating, irregularity, and discomfort. Research suggests that certain strains, such as Lactobacillus rhamnosusGG and Bifidobacterium infantis, may support intestinal barrier function and aid in digestion.
2. Prebiotics: Feeding the Good Bacteria
While probiotics introduce beneficial bacteria, prebiotics serve as their food source. These indigestible fibers and compounds help promote the growth of beneficial bacteria in the gut, creating a healthier microbiome over time.
Ingredients such as inulin, fructooligosaccharides (FOS), and resistant starches encourage the production of short-chain fatty acids (SCFAs), which provide energy to the gut lining and help regulate oxidative stress. For individuals experiencing occasional gut dysbiosis or irregular digestion, prebiotic supplementation can be an effective tool.
3. Digestive Enzymes: Enhancing Nutrient Absorption
Some people struggle with common digestive discomfort due to insufficient enzyme production. Lactase deficiency, for example, is the primary cause of lactose intolerance, while low pancreatic enzyme levels may contribute to poor fat digestion.
Supplemental digestive enzymes, including protease, lipase, amylase, and lactase, can help break down food more efficiently, potentially reducing common gas, bloating, and indigestion. I also like bromelain and papain, derived from pineapple.
4. Herbal Support: Soothing the Gut
Herbs have been used in traditional medicine for centuries to support digestion and ease occasional discomfort. While more research is needed, certain wholesome compounds have been studied for their potential digestive benefits: ginger, peppermint oil, slippery elm & marshmallow root, and turmeric & curcumin.
Who Can Benefit from Digestive Supplements?
Not every patient needs a supplement—but for those experiencing occasional bloating, irregularity, or discomfort, well-formulated digestive health products may offer additional support. Here are a few scenarios where supplementation may be beneficial:
- Individuals with poor gut microbiome diversity: A high-quality probiotic may help repopulate beneficial bacteria.
- People with food intolerances: Digestive enzymes can assist in breaking down problem foods, reducing typical bloating and discomfort.
- Those with occasional constipation: Prebiotics and fiber-based supplements may help promote regular bowel movements.
- Patients dealing with everyday stress-related digestive issues: Adaptogenic herbs and gut-supporting compounds may help calm the nervous system and improve gut function.
A Physician’s Perspective: Why I Embrace Nutritional Support
It’s still rare for a traditionally trained gastroenterologist to incorporate nutrition and supplementation into their practice. But my experience has shown me that dietary therapy, probiotics, and targeted nutrients play a crucial role in maintaining long-term digestive health.
As part of my commitment to bridging the gap between medicine and nutrition, I partnered with 1MD Nutrition, working alongside other physician formulators to develop award winning, scientifically formulated digestive health supplements. My goal is to provide patients with evidence-based, physician-formulated solutions that complement a well-balanced diet and healthy lifestyle.
Moving Forward: A More Holistic Approach to Gut Health
While digestive supplements should never replace a nutrient-rich diet, stress management, and a healthy lifestyle, they can offer valuable support for individuals dealing with gut imbalances. As more research emerges, we are beginning to appreciate how a personalized approach to digestive wellness—one that integrates conventional medicine with functional nutrition—can improve patient outcomes.
Articles in this issue
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Pilot Plant Prep8 months ago
A gaggle of gummies8 months ago
Big picture on immune health8 months ago
The GRAS system at a crossroads8 months ago
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