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Amylase inhibitors
Amylase inhibitors/Drug Interactions:
Antidiabetic agents
Antidiabetic agents: In humans, amylase inhibitors may reduce postprandial glucose, C-peptide, and gastric inhibitory polypeptide (
19
). Thus, there is a potential for interactions between amylase inhibitors and hypoglycemic agents. Amylase-inhibiting drugs, such as acarbose and voglibose, are often used for diabetes (
22
).
Weight loss medications
Weight loss medications: Preliminary evidence suggests that amylase inhibitors may increase weight loss over dieting alone (
4
). Thus, there is a potential for interaction between amylase inhibitors and weight loss agents.
Amylase inhibitors/Herb/Supplement Interactions:
Garcinia cambogia
Garcinia cambogia: In humans, a combination of amylase inhibitor, inulin, and Garcinia cambogia extract increased weight loss compared with placebo (
23
).
Guar
Guar: Guar is a source of soluble and bound amylase inhibitors (
14
). Thus, there is a potential for interaction if guar and amylase inhibitors are taken at the same time.
Hypoglycemics
Hypoglycemics: In humans, amylase inhibitors may reduce postprandial glucose, C-peptide, and gastric inhibitory polypeptide (
19
). Thus, there is a potential for interaction between amylase inhibitors and hypoglycemic agents.
Inulin
Inulin: In humans, a combination of amylase inhibitor, inulin, and Garcinia cambogia extract increased weight loss compared with placebo (
23
).
Rosmarinic acid
Rosmarinic acid: Herbal extracts containing rosmarinic acid have been shown to inhibit amylase activity in vitro (
24
). Theoretically, amylase inhibitors and other plant constituents may have additive effects as well.
Weight loss agents
Weight loss agents: Preliminary evidence suggests that amylase inhibitors may increase weight loss over dieting alone (
4
). Thus, there is a potential for interaction between amylase inhibitors and weight loss agents.
Amylase inhibitors/Food Interactions:
Diabetic diet
Diabetic diet: In humans, amylase inhibitors may reduce postprandial glucose, C-peptide, and gastric inhibitory polypeptide (
19
). Thus, there is a potential for interaction between amylase inhibitors and a diet designed for diabetic patients.
Dietary carbohydrates
Dietary carbohydrates: In humans, powdered amylase inhibitor decreased amylase activity by greater than 96% and increased malabsorption of wheat starch (
25
). Thus, use of amylase inhibitor may decrease absorption of dietary carbohydrates.
Dietary fiber
Dietary fiber: Dietary fiber is a source of soluble and bound amylase inhibitors in guar and other dietary roughage (
14
). Thus, there is a potential for interaction if dietary fiber and amylase inhibitors are taken at the same time.
Legumes
Legumes: Legumes are a source of amylase inhibitors (
12
;
13
;
14
;
15
). Thus, there is a potential for interaction if dietary fiber and amylase inhibitors are taken at the same time.
Weight reducing diet
Weight reducing diet: Preliminary evidence suggests that amylase inhibitors may increase weight loss over dieting alone (
4
). Thus, there is a potential for interaction between amylase inhibitors and a diet designed for weight reduction.
Amylase inhibitors/Lab Interactions:
C-peptide
C-peptide: In humans, amylase inhibitors may reduce postprandial C-peptide (
19
;
3
).
Fecal minerals
Fecal minerals: In rats, amylase inhibitor increased fecal zinc and copper (
26
).
Gastric inhibitory polypeptide
Gastric inhibitory polypeptide: In humans, amylase inhibitors may reduce postprandial gastric inhibitory polypeptide (
19
;
27
;
3
).
Insulin
Insulin: In humans, an increase in postprandial insulin was abolished after the use of amylase inhibitors (
3
). In rats, the use of amylase inhibitors with a starch load had no effect on postprandial insulin levels (
20
).
Peptide YY
Peptide YY: In humans, wheat-derived amylase inhibitor increased levels of peptide YY in blood (
27
).
Serum glucose
Serum glucose: In humans, amylase inhibitors may reduce postprandial glucose (
19
;
27
;
3
). In rats, the use of amylase inhibitors with a starch load decreased postprandial glycemia (
20
).