I am using up the Creon and take the OTC (actually on line) pancreatic enzymes by Vital and the rectal (that's what they are!) probiotics I got from bumbiotics (apparently I can't give you the link but put in bumbiotics and they are in CA. The nausea from the dumping thing has diminished and/or stopped and I put on few pounds. My bro was diagnosed with Chrones and given prescribed meds. He hates taking those and just about cured himself with the probiotics and an herb he takes (I can't think of the name of it, ,but he makes a paste (it tastes awful to me and I can't stand it). So he gave me the site for the probiotics. They are pricey--$90 I think for a months' supply plus $15 shipping--they come 2 days Fed Ex with an ice pack--they have to be kept in the freezer. Note: if money is an issue--send an email and you might get a code for 20- or 30% off (my total was $78 for everything. I have found that 2 days on and 1 day off for me works for now. I am 80 and tip the scales at 79 (I know--it only took 8 short years to figure out the malabsorption thing) food was just going right through me due to dumping--now it stays there longer with the creon/OTC and the probiotics. Good luck--might be worth a try.