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Digestive Enzymes SAP is a combination of ox bile, betaine hydrochloride, and pancreatic enzymes. It has been documented that, as we age or are under chronic stress, the production of important digestive enzymes can drop significantly. This can result in symptoms such as abdominal bloating, gas, or a feeling that food isn't passing through the digestive system effectively, known as functional dyspepsia. Digestive Enzymes SAP may also be helpful for patients with exocrine pancreatic insufficiency or food intolerances, and after gallbladder removal. This formulation contains enzymes that help with the breakdown of proteins, fats, and carbohydrates, and is useful for patients with suboptimal digestive enzyme production.