@luckyguy - I usually take a few bites of food and then I take the creon. If I am only eating vegetables and a carb intake 2-3 pills. If there is any fat in the food intake 3-4 pills. Even two years out my stools at time are loose, and I always have gas. I suppose it’s a side effect I live with. If the gas gets too intense you can always take an over the counter med for this. Good luck on your journey!