Sorry you crashed again. It is hard to pace, when it seems often so random in terms of the timing or the varying levels of exertion that can trigger it.
Regarding amylase, and pancreas function, anything is possible. It is the one doctors focus the least on, since amylase is also produced by salivary glands. Their view is that if you take pancrelipase you have all bases covered. There are some pills that have higher amylase ratios than others. It is one of the issues with testing for enzyme production, since it is not accurate enough to determine at what level and which exact enzyme your body is struggling with. It can vary day-by-day too.
I didn't realize that about saliva. I am missing part of my left salivary gland, but have all the right. Don't even notice it. So can't imagine that would be a problem.
But again, all of this crashing started after my first six month and horribly-fatiguing copper detox, which was followed by SIBO (doc says that was related to poor bile release at the time), and when my candida was a mess. I have always wondered if candida plays a role in all this, as I've had repeated problems with candida due to my poor bile release. But I'm now on bile, and have greatly improved my candida levels, to the point that only arabinose in my urine still needs to come down. Yet, I still crash.
I have noticed that my lipase production seems to have become slightly better since I really turned my food intake around and gave my pancreas time to heal. However, my protein enzyme production is still super low.
How are you testing them?? I really should be doing that.
Another side thought. Have you tried chewing longer, so that more saliva with amylase is mixed and has time to help digest the food in the mouth before swallowing?
Never even knew to do that.
When you do take the amylase pills, are they enterically coated (i.e. can survive the acid bath of the stomach)? It would be better to take them with food, not before. Depending of course on how many you take, but try the 1st pill after the first bite, next one around halfway, and last one towards the end. And yes, if you do not make enough it would be needed for every meal, snack or drink with calories.
The only Amylase I found at first are by NESS and no, the capsules are not enterically coated. I completely forgot about that when I got these. https://smile.amazon.com/NESS-Enzym...words=amylase&qid=1563411660&s=gateway&sr=8-9
But my Complete Enzymes by Dr. Amy Myers aren't coated either. The complete enzymes I mostly take are Natures Plus Maximum Strength ULTRA-ZYME. They are hard, coated tablets said to delay. https://smile.amazon.com/Natures-Pl...ds=ULTRA-ZYME&qid=1563411836&s=gateway&sr=8-4
I still have the Pure Encapsulations Pancreatic Enzyme formula with acid-resistant capsules. But they were too strong/high in enzyme amounts for me (quadruple the amount of amylase, eight times the amount of lipase, and triple the amount of protease...as compared to Ultra-Zyme).
My stool test said elastase was good at >500 (reference >200) and the interpretation said this: Elastase findings can be used for the diagnosis or the exclusion of exocrine pancreatic insufficiency. Correlations between low levels and chronic pancreatitis and cancer have been reported.
The ONLY clue to my crashes is the stool showing an intermediate level of carbs in my stool. And carbs are a man source of energy for ATP. So if I'm not metabolizing carbs well, I'm left wondering if there's a conneciton to these terrible crashes. Then as mentioned, my high succinic is said to "indicate cellular stress in regards to glycosis and mito function". Below are the OATS:
2015: Very high succinate
2016: Very high succinate
2018: Very high succinate
2019: Much better...just barely above the range, yet I still crash. So I'm wondering if it rules out a problem in glycosis...yet why the carbs in my stool??? Something is not adding up here about me and my crashes....
But here's another clue. In regards to Succinic being related to glycosis, the info concludes: Approximately 90% of the time, these values improve with effectively treating..
1) yeast and bacteria (I have brought three of four high levels down, and with Arabinose, brought it down from 75 to 50, and still need to get it down to less than 26)...yet I still crash
2) dietary changes (I have greatly reduced sugar)
3) reduction in oxalates (have kept that below the top of the range twice now)
Yet I still crash.
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