Creon seems permanent with me. The CT scans have shown atrophic pancreas, I believe this means the cells with not grow back to make the enzymes I need for digestion. I ate by the clock after surgery, not going more than three hours and not waiting until I got hungry. I was 103 after the hospital, 110 now, 6 months later. I seem to be holding. The dietician doesn't want me to be obsessing about calories and the oncologist wants me to count calories more. I am looking for a middle way as I want to get my life back. Nut butters have been helpful 200 calories a scoop. One of the best suggestions the dietician made. She also advised about increasing my Creon. I am tired of peanut butter but cashew butter and almond butter are high in calories. They have fats that I seem to digest just fine. Macadamia nut butter caused a lot of intestinal distress. I liked walnut butter, haven't been eating lately. Nutella (hazel nuts, chocolate and sugar) also seems to be agreeable to me.