The typical recommendation is to eat a low fat diet and smaller, more frequent meals to make this condition more manageable. I was diagnosed with EPI along with Collagenous Colitis in the Fall of 2023 and take Creon for the EPI. I don't know how the dosing for Zenpep works, but with Creon I take two capsules with each meal: one with the first bite and the second about halfway through my meal. Creon (along with the Budesonide I continue to take for the colitis) has been a total game-changer and I am able to live a mostly normal life - although I do have to be careful about what I eat.

Yes my GI doctor did the stool calprotectin test which came back at 365 and should be under 50. He also did the pancreatic elastase test which should be greater than 200 snd mine was 52,thus the diagnosis of pancreatic insufficiency. I found the doctors no help with diet. Had to pay myself for a dietitian who put me on a 1400 calorie diet, and suppose to eat only 30 grams of fat, 35 degrees of fiber, snd 68 grams of Protein. I am not overweight. Use to be 128pounds snd am 5’9” tall. Have lost weight, now at 118, but holding steadying.
I do fine with breakfast and lunch but find dinner difficult if you eat good like lasagna and casseroles. Going back to dietician in two weeks.