Bromelain

Origins
Bromelain is a group of proteolytic enzymes found in pineapple. It is most highly concentrated in the core and stem from where it is extracted and made into a supplement. Indigenous people of Central and South America have long used pineapple in traditional medicine.

Claims
Has promising anti-inflammatory and pain relief effects.

Evidence
A 2021 review of bromelain processing, pharmacokinetics and therapeutic uses notes that for rheumatoid and osteoarthritis, bromelain has the potential to act as an NSAID treatment. But the poor quality of studies means there is not enough evidence for recommendations.

Safety
There seems to be good tolerability and safety in the lower doses that have been studied, around 500mg/day and comparable in symptom relief to standard pain medication. It also appears safe and well tolerated with no relevant side effects with higher doses of up to 2000mg/kg body weight. Remember that it is up to your health provider to work out the dosage for you.

Care should be taken in;

• long-term supplementation
• People with kidney issues
• People taking anticoagulants and antibiotics.