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Serrapeptase (EC 3.4.24.40) is a zinc-metalloprotease used for postoperative inflammation, sinusitis, and fibrocystic breast disease. Its ability to cleave fibrin, collagen, and fibronectin raises concerns when administered during gestation—a period requiring intact extracellular matrix (ECM) for implantation, placentation, and fetal membrane integrity.

No human trials or cohort studies exist. Evidence derives from: (1) in vitro studies showing serrapeptase degrades fibronectin and collagen—key to placental implantation; (2) animal data (rats, rabbits) indicating dose-dependent embryolethality and skeletal abnormalities at high doses; (3) theoretical risk of membrane rupture or placental abruption via fibrinogen depletion.

Despite marketing as a “natural” supplement, regulatory bodies (FDA, EMA) have not evaluated serrapeptase for pregnancy safety. This paper synthesizes mechanistic, animal, and theoretical risks.

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Serrapeptase - Pregnancy ^hot^

Serrapeptase (EC 3.4.24.40) is a zinc-metalloprotease used for postoperative inflammation, sinusitis, and fibrocystic breast disease. Its ability to cleave fibrin, collagen, and fibronectin raises concerns when administered during gestation—a period requiring intact extracellular matrix (ECM) for implantation, placentation, and fetal membrane integrity.

No human trials or cohort studies exist. Evidence derives from: (1) in vitro studies showing serrapeptase degrades fibronectin and collagen—key to placental implantation; (2) animal data (rats, rabbits) indicating dose-dependent embryolethality and skeletal abnormalities at high doses; (3) theoretical risk of membrane rupture or placental abruption via fibrinogen depletion. serrapeptase pregnancy

Despite marketing as a “natural” supplement, regulatory bodies (FDA, EMA) have not evaluated serrapeptase for pregnancy safety. This paper synthesizes mechanistic, animal, and theoretical risks. Serrapeptase (EC 3

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