Wow, that NP does not understand what EPI is like. I’d suggest seeing a registered dietitian who has dealt with EPI patients if possible.
I also have EPI as well as SIBO and lactose intolerance., bile reflux, etc… I take Zenpep as well as some other digestive enzymes. Have you tried eating lean meats like 93-99% fat free ground turkey, white fish or lean chicken breasts? I do okay with these but fattier items like salmon hurt to eat and result in steatorrhea. I’ve found I can no longer tolerate high fat content foods like mayonnaise, avocados or nuts. I bake a lot of zucchini, yellow squash and spaghetti squash with salt as my seasoning and use that as my base rather than bread or pasta. It is hard to maintain your weight though due to limited calories as well as malabsorption. My registered dietitian has me on protein shakes made by OWYN.
It took me a while to figure out how many Zenpep to take and at what point of eating. I now split my 3 tablets to first bite of food, 1/2 way through meal and one at end. I used to eat slowly but have learned to finish up within 1/2 hour. Dietitian suggest small meals more often.
Hope this helps.