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A low-fat diet may actually decrease pancreatic secretion, which would cause decreased energy from fat, so an unrestricted fat intake is therefore recommended.9 However, those with severe steatorrhea may need to restrict fat intake to as low as 25 g/day.24 In general, it is recommended to avoid foods high in saturated fat, although a diet too low in fat may cause an essential fatty acid deficiency.24 Additionally, small, frequent meals are recommended.9,12,22 Nutrition Support in Pancreatic Insufficiency Many patients with EPI, especially those meeting criteria for malnutrition, may require nutrition supplements

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This was accompanied by upregulation of inducible nitric oxide synthase (iNOS), IL-1, and TNF-, and downregulation of arginase 1 (Arg-1), IL-10, and transforming growth factor-beta (TGF-)

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