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They tried to switch my husband during his short rehab. stay to another brand of enzymes. I brought our own, because I figured it's not a good idea. He tolerates Creon well, but he was started on it right after whipple.
Besides all the blood work you may want to try MCT fats besides adding extra virgin olive oil to food or make your toast in a pan with olive oil for calories. These fats are usually digested without problems and when taking any fat soluable vitamin you should add that spoon of olive oil to assure some uptake. Below you will find some information about the MCT fats.
. Conservative Therapies for pancreatic disorders The treatment of pancreatic disorders requires precise analysis. Conservative therapies can only be used, if the nature of the disorder is known, if pancreas cancer can be excluded or the tumour is inoperable. These therapies are an important post-operative tool.
Nutrition also plays a crucial role. Sufferers of pancreatic disorders should eat at least 6 times a day. This applies regardless of the exact nature of the pancreatic disorder except for acute phases of the disease or immediately after surgery, where special measures would be taken.
It is important that enough calories be fed to the body. Often, the weight loss we associate with the disease can be explained by the patient's insufficient food intake. Intake of fats is usually the problem, as they normally represent the main calorie providers and pancreas sufferers cannot easily absorb nutritional fats. An easily digestible fat is required and intake must be increased on a very gentle gradient. Middle-chained triglyerides (MCT-fats) such as margarine or oil can be consumed as additional energy source. These substances are beneficial, as they do not need to be broken down by digestive enzymes. Every pancreas sufferer should consult a nutritionist. http://www.pankreasinfo.com/en/therapien.html
Use of mct-fats -- http://www.basisgmbh.com/english/e_ver-in/e_mct-ve.htm
There are many reasons indicating a dysfunction with the absorption of fats from the intestine or maldigestion. They include: Diseases of the bile ducts and/or liver with a deficiency of fat-digesting bile acids
Diseases of the pancreas with a deficiency in the production and release of fat-digesting enzymes (lipase)
Condition following the surgical removal of a part of the small intestine with diminished absorption surface
Mucoviscidosis (cystic fibrosis)
Blocked lymph drainage from the intestine This means that patients suffering such diseases require a special diet, calling for optimal, easily digestible nutrient fats and oils which can be absorbed directly by the body without bile acids and lipase.
I wish you good luck and also all the best to your husband.
Lots of hugs,
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