Changes

===Dietary modification===

===Dietary modification===

*Diets containing high volumes of non-fermentable fibre should be avoided and Low fat diets should not be fed

Diets containing high volumes of non-fermentable fibre and low fat should be avoided. 

*Certain studies show that:

It has been suggested that animals suffering from EPI may also benefit from readily hydrolysed and absorbed medium chain triglycerides within the diet.

 

**the animals may also benefit from readily hydrolysed and absorbed medium chain triglycerides within the diet

===Vitamin supplementation===

===Vitamin supplementation===

Levels of vitamin B12 (cobalamin) and vitamin E (tocopherol) are often found to be low.

Levels of vitamin B12 (cobalamin) and vitamin E (tocopherol) are often found to be low and hence should be supplemented. Similarly Cobalamin supplementation is often required.

*Tocopherol should be supplemented for 1 month

*Cobalamin weekly for several weeks. Long term monitoring should be carried out in cats.

===Antibiotic therapy===

===Antibiotic therapy===

===Glucocorticoid therapy===

===Glucocorticoid therapy===

This is a last line treatment.

Oral prednisolone may be useful in animals that do not respond to the above treatment.  

 

==Prognosis==

==Prognosis==

EPI is a life-long condition and so is the treatment. However recoveries have been reported. The prognosis is generally good so long as the owner understands the longevity of the disease and the cost involved with treating it.

EPI is a life-long condition and so is the treatment. However recoveries have been reported. The prognosis is generally good so long as the owner understands the longevity of the disease and the cost involved with treating it.