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Dogs that do not respond well to the treatment listed above may have small intestinal disease causing malabsorption despite adequate pancreatic enzyme replacement. These cases usually require further investigation of the small intestine.
 
==Prognosis==
 
==Prognosis==
 
EPI is generally irreversible and hence life-long treatment is needed. The prognosis is generally good as long the owner is aware of the longevity of the disease and the cost involved with treating it.
 
EPI is generally irreversible and hence life-long treatment is needed. The prognosis is generally good as long the owner is aware of the longevity of the disease and the cost involved with treating it.
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