How does ENTEROSGEL work?

HOW ENTEROSGEL WORKS?

Enterosgel has adsorption capacity towards some toxins and harmful substances in the gut (e.g. endotoxins, enterotoxins)

Enterosgel physically binds toxic and harmful substances in the gut and expels them in the stool

This process of elimination of trapped toxins and other harmful substances can be beneficial for treatment of diarrhoea and other health conditions.

HOW ENTEROSGEL HELPS TO TREAT DIARRHOEA?

Acute diarrhoea can sometimes be caused by viral or bacterial infection and ENTEROSGEL is proven to bind and remove the bacterial toxins from such harmful bacteria such as; E.Coli, Shigella, C.difficile – common causes of gastroenteritis.

A 2018 randomised controlled clinical study published in the BMJ Open Gastroenterology, has shown that Enterosgel significantly reduces the duration of acute diarrhoea in adults.

The study recruited 105 patients from ten GP surgeries across England. Patients were randomised to the treatment group which received Enterosgel and oral rehydration solution for 8 days, or the control group which received oral rehydration solution alone. Patients completed a daily diary to record their symptoms and treatment use. The study found that the duration of diarrhoea was significantly shorter in the group of patients receiving Enterosgel® compared to the control group of patients (27 hours vs 39 hours respectively). Enterosgel® was well tolerated and safe with no serious side effects.

Dr Preeti Pandya, a GP from The Village Practice, Thornton medical centre was the chief investigator and helped design the study. She says: “Acute infectious diarrhoea is a common condition especially in young children. NHS guidance suggests that you can usually treat yourself or your child at home by drinking plenty of fluids or taking an oral rehydration solution which can alleviate dehydration, although this has no effect on the duration of diarrhoea. We know that Enterosgel® can adsorb bacterial toxins, so it can help remove the causes of diarrhoea and reduce its duration, and this may especially benefit vulnerable groups of patients, such as children and the elderly.”

The cause of chronic IBS diarrhoea is more complex and multi-factorial and probably includes immune activation, changes to the gut microbiome, increased gut secretion and, in some patients, bile salt malabsorption. The immune proteins released, the bacterial breakdown products of the micro-environment, together with fat molecules and bile acids can all contribute to the development of diarrhoea in these patients. All these molecules are targets for Enterosgel, and research confirms effective adsorption.

WHAT IS ENTEROSGEL?

ENTEROSGEL is an oral intestinal adsorbent.

ENTEROSGEL is based on organic mineral and water.

ENTEROSGEL is free from preservatives, any additives, gluten, sugar, sweeteners, lactose, fat, flavours, colouring, plant or animal-derived ingredients.

ENTEROSGEL is completely non-allergenic.

ENTEROSGEL is suitable for children and adults, including pregnant or breastfeeding women.

ENTEROSGEL is not a drug, because it is not absorbed by the body and completely expelled with the stool.

ENTEROSGEL is an oral intestinal adsorbent.

HOW ENTEROSGEL SELECTS WHAT TO BIND IN THE GUT?

ENTEROSGEL has a unique porous structure consisting of small micropores and a majority of larger mesopores suitable for adsorption of toxins.

These properties favour ENTEROSGEL’S adsorption of toxins and limit adsorption of lower molecular mass solutes.

ENTEROSGEL does not remove any bacteria, ENTEROSGEL removes bacterial toxins and other similar harmful molecules.

EVIDENCE OF HOW ENTEROSGEL WORKS FROM LAB STUDIES

A recent study published in the journal Scientific Reports tested ENTEROSGEL’S adsorption or binding capacity for bacterial toxins, bile acids and pharmaceutical drugs.

Bacterial toxins

Enterosgel was tested for removal of bacterial toxins released from Clostridium difficile, Shigella and E.coli, which can cause inflammation and damage to the mucosal cells lining the colon resulting in diarrhoea. ENTEROSGEL adsorption of these molecules was compared to an activated carbon (Charcodote) which is used orally to treat cases of poisoning. The results showed that ENTEROSGEL has substantial adsorption or binding capacity for these bacterial toxins (see Figure 1).

Figure 1. Graphs showing remaining concentration of C.difficile toxin A and Shigella toxin after mixing with Enterosgel, Charcodote and positive control (no adsorbent) for 60/120 minutes (mean + sem).

Bile acids

The adsorption or binding capacity of ENTEROSGEL was also tested for the 4 most common bile acids, the levels of which can be raised in the intestines of patients with IBS. The results showed that ENTEROSGEL also adsorbed these molecules but to a lesser extent. This was calculated as potentially removing up to 10% of the bile acids produced daily, thereby helping patients with excess levels.

Pharmaceutical drugs

The study tested the adsorption of 2 common drugs; cetirizine (antihistamine) and amitriptyline (antidepressant) and showed that ENTEROSGEL had a much lower rate of adsorption of these drugs than the Charcodote carbon. As most drugs are adsorbed rapidly by the body within 1 hour, this finding suggests that ENTEROSGEL is safe to use in combination with other drug therapies, as long as patients leave at least a 1 hour gap between administration.