Hello, you do not need Creon, Amazon sells Vital Pancreatic Enzymes, 90 capsules for $39.00, I use 2 bottles a month. It is the same dosage and works the same way, without the astronomical cost. I had a Whipple surgery 2017, lost my gallbladder, part of small intestine and probably a bile duct. Four years later I experienced massive diarrhea and went to see a gastrointestinal specialist who did an ERCP. Diagnosis was EPI. I changed my diet and have maintained a weight of 105 lbs. Now 4 years later I just had an ERCP, which showed “debris” which my gastro removed. He prescribed Reglan. After 1 pill I had a severe reaction of bloating and squeezing of my stomach and rib cage, I stopped the pills and went to the emergency room. My blood pressure reached 205/95 but the saline IV brought it down. They took a CT scan without contrast and diagnosed gastroparesis. I am again taking the 4 hour SIBO emptying test, I will keep in touch