If the patient is taking digestive enzymes, can he/she possibly tolerate some gluten and casein?
Digestive enzymes are an excellent way to supplement the diet and help improve the digestion in people who have a hard time eliminating these opioid peptides even while staying on the strict diet. Enzymes cannot substitute the diet; it can be compared with taking antidotes after poison, but they are an excellent way to save the situation if the patient has inadvertently eaten any gluten and casein or if gluten and casein may be hidden ingredients of any foods eaten.
