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Enzyme

Bromelain

Bromelain is a mixture of protein-digesting enzymes from the fruit and stem of the pineapple plant.

Also listed as Pineapple extract

What changes after wisdom-tooth surgery?

A 2019 review of six randomized trials found less pain during the first day and at one week, but no clear improvement in facial swelling or restricted mouth opening. Another six-trial review found less swelling and pain at day seven, but not early pain relief. Swelling results therefore differ between reviews. 1 2

What did the newer trial add?

A 2024 Italian trial assigned 42 people having a lower wisdom tooth removed to purified bromelain, a standardized pineapple extract or placebo for seven days. Both active groups used less ibuprofen and had less pain and swelling. This small study supports further investigation of those preparations, rather than a claim about recovery from every operation. 3

What about sinus symptoms and other conditions?

NCCIH considers the evidence insufficient to recommend oral bromelain for sinusitis. Studies of other conditions often combine it with additional ingredients, making its own contribution difficult to determine. 4

Effects by health goal

Open an effect to see the studies behind its rating. Bars show the size of the effect; the letter grades the evidence.

Bone & Joint1 effect

Joint ComfortBone & JointModerateBNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

Gut Health3 effects

Gut healthModerateBNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

Bloating & gas reliefGut HealthSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · low confidenceEvidence record

Microbiome healthGut HealthSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · low confidenceEvidence record

Immune Support1 effect

Immune SupportModerateBNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

Fitness1 effect

Injury PreventionFitnessSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

Hair & Skin1 effect

Skin InflammationHair & SkinSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

Other effects3 effects

InflammationModerateBNo linked study

No study is linked to this rating.

Rated by SuppCo · medium confidenceEvidence record

DiarrheaSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · low confidenceEvidence record

ConstipationSmallCNo linked study

No study is linked to this rating.

Rated by SuppCo · low confidenceEvidence record

Sources