# Nutrition in chronic pancreatitis
Fat absorption and nutritional deficiencies
In chronic pancreatitis, the pancreas no longer functions properly, which reduces the production of digestive enzymes. This mainly leads to fats being absorbed with difficulty.
ProveniIncluded in official guidelines, or approved by EMA or FDA
Because fats are not absorbed well, so-called fat-soluble vitamins (A, D, E and K) are also poorly absorbed by the body. This can lead to deficiencies that are noticeable in the form of, for example, dental and bone problems, or bleeding tendencies.
ProveniIncluded in official guidelines, or approved by EMA or FDA
In addition to fat absorption, proteins and certain minerals (calcium, magnesium, iron) may also be absorbed with difficulty. This can result in muscle loss and weakness, something that has been observed in research in patients with chronic pancreatitis.
ResearchediPositive results in clinical studies, not yet standard treatment
Role of enzyme replacement and nutrition
When enzyme replacement medications are used, nutritional absorption can improve. Studies show that these medications positively influence the absorption of fats and other nutrients.
ProveniIncluded in official guidelines, or approved by EMA or FDA
The way in which these medications work best (for example, when they are best taken) varies from person to person and is something your healthcare provider and dietician can help determine.
Meal composition
A diet adapted to lower fat absorption can help reduce symptoms. Many people with chronic pancreatitis benefit from meals that are not too high in fat.
ResearchediPositive results in clinical studies, not yet standard treatment
Small, regular meals are mentioned in many guidelines as a way to reduce strain on digestion, although individual experiences vary.
ResearchediPositive results in clinical studies, not yet standard treatment
Nutrients from whole grain products, vegetables and protein sources can help, but the best composition varies from person to person. This is something to work out together with your dietician.
Fluid and alcohol
Drinking plenty of fluids helps digestion, but large amounts at once can cause discomfort.
ResearchediPositive results in clinical studies, not yet standard treatment
Alcohol can further damage the pancreas and can cause severe worsening of symptoms. This especially applies to people for whom alcohol played a role in the development of chronic pancreatitis.
ProveniIncluded in official guidelines, or approved by EMA or FDA
Supplements and special foods
Whether special supplements are useful (such as omega-3 fatty acids or antioxidants) has not been researched clearly enough to make general statements about it.
UnproveniNo scientific evidence that it works
Supplements of certain vitamins (especially the fat-soluble vitamins A, D, E and K) may sometimes be necessary if deficiencies develop, but dosage and needs vary greatly from person to person and situation.
Nutrition and pain management
Whether certain dietary choices directly reduce pain has not been established with strong evidence.
ResearchediPositive results in clinical studies, not yet standard treatment
However, many patients notice that certain foods worsen their symptoms, and these are better avoided.
Phytotherapeutics or 'miracle cures' have no proven effect as support for chronic pancreatitis.
Advised againstiProven ineffective or harmful, or dangerous in combination with your treatment
Adjusting your own diet
It is important not to drastically change your diet on your own without consultation. A dietician can help you identify which foods worsen your symptoms, and how you can still get enough nutrients.
It is also good to be regularly checked for nutritional deficiencies, especially of the fat-soluble vitamins. Your healthcare provider can determine whether additional vitamin supplementation is necessary.
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_This information never replaces a doctor's judgment. Always discuss your situation with your own healthcare provider._