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If you do not bring in enough live enzymes with the food you have eaten you may expect to have acid indigestion (undigested food), acid reflux, ulcers and constipation all caused by food improperly prepared at your mouth (no live enzymes).    As this improperly prepared food enters the duodenum, your digestive awareness will call on the pancreas and gallbladder to do the job you did not do.  Allow this to happen enough times and you will get sick.