Thank you so much for your question. Per ASPEN Adult Nutrition Support Core Curriculum (2017), evaluating Vitamin A stores annually on a patient requiring long term TPN is appropriate. Vitamin A status should be measured by serum retinol and keep in mind that measuring CRP and retinol binding protein can also support lab value interpretation as increased inflammation can decrease serum/plasma retinol concentrations.

Yes, I found Pancreas Glandular (by Allergy Reasearch group) worked well if you don't mind pork enzymes ( the worked better than veg enzymes for me)and i only have to take one per meal!

@ thank you

@@bm421 You're welcome! Forgot to mention I trialed a small bottle first, then looked for more economical bulk deals (here in the UK but I think available elsewhere). I found this tip through a facebook support group, and a member who had been recommended this by an alternative practioner.

@@francesholliday5427 I ordered some from Amazon and should have it this week. Thanks again, really appreciate it!

Thank you for watching this video. The technique for placing a nasal securement device (“bridle”) can vary slightly by clinician and patient anatomy. For RDNs or any other clinician placing a bedside feeding tube, securing the tube with tape or a bridle is part of the procedure and included in institutional policies. More information on this topic can be found on the ASPEN practice tool, “Feeding Tube Placement Resources for Dietitians” and the Academy and ASPEN Revised 2021 SOP and SOPP for RDNs (Competent, Proficient, and Expert) in Nutrition Support linked below. www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/EN_Resources/Feeding-Tube-Placement-Resources.pdf www.jandonline.org/action/showPdf?pii=S2212-2672%2821%2900379-8

Per oral :)

Thanks for your question! PO stands for “per os,” which is Latin for “by mouth". For example, 'PO intake' is referring to how much someone is consuming by mouth.

Thank you for your question! For this patient, the macronutrient increases happened over the course of several months, however the patient was weighing himself at least weekly.

If you are looking for a Registered Dietitian Nutritionist near you, you may find this search page from the Academy of Nutrition and Dietetics to be helpful: www.eatright.org/find-a-nutrition-expert Experts listed on these search pages should have profiles available to read through to find someone who may suit your needs and who is also in your geographic area.

Thank you for your question. If you are experiencing new nutrition related problems, you may benefit from speaking to a Registered Dietitians Nutritionist. If there are none in your area who are experienced with EPI, telehealth consultations may be an option to consider. To search for nutrition experts by topic or area (including telehealth), you might find this search page from the Academy of Nutrition and Dietetics helpful: www.eatright.org/find-a-nutrition-expert. Experts listed on this search tool also include short biographies where you can identify a provider who can best serve your needs.

Thanks for your question. While specific protein recommendations should be individualized, a generally safe protein intake range would be around 1.2-1.5 g/kg. Yes, protein drinks can be utilized to achieve protein goals, if needed.

@@DietitiansinNutritionSupport 1.2-1.5g/kg a day?

I’ve been wondering the same. I read a study that MSCs helped pancreatitis. Mission cure is currently doing trials where they take stem cells from bone marrow from the patient, grow more stem cells, then inject back into the patient. I worry that IV stem cell therapy will just get trapped in the lungs and be a waste of money that I don’t have. EPI sucks though.

Male or femle

Me too suffering same

Thank you for your question. If you have started on PERT, you may experience weight gain as the enzymes are formulated to help the body break down and absorb nutrients. Some common side effects of PERT include bloating or other GI distress. Changes such as limiting carbonated beverage intake, not drinking from a straw or chewing gum and eating smaller, more frequent meals along with limiting gas-producing foods may help reduce bloating. It would be encouraged to speak with a registered dietitian nutritionist about your concerns to get personalized nutrition guidance.