11/04/2025
I’m making lighthearted something that is quite important to get clear on if you’ve tried everything for your IBS, SIBO, IMO and you’re still bloated, fatigued, and your vitamin D is found to be low, amongst other possible signs and symptoms.
Pancreatic Exocrine Insufficiency (PEI) is when your pancreas, for some reason or another, is failing to chuck out the typical est 900,000 lipase units (enzymes that break down and help us digest our dietary fats) per meal.
It’s also responsible for making enzymes to break down proteins and carbs- but it’s the fat malabsorption piece that typically makes you feel like p**p on a platter the most.
Those at risk for PEI include patients with Celiac Disease, elderly populations, and those with other autoimmune conditions and more.
Oh, and if you think all peeps with PEI have chronic diarrhea, think again.
Just this week I’ve had clients with IBS-C and IBS-M come back with test results indicating PEI.
The common denominator seems to be gas, bloating, fatigue and less than ideal serum vitamin D- but each patient is different.
Because those with PEI also might not shoot sufficient bicarb into the small intestine (which is antimicrobial) these patients are also at higher risk for SIBO that juuuust doesn’t go awayyyyyy.
Thanks to one of my GI supervisors for that last tidbit
So, if you feel like you could get down with some more info on testing in the context of ongoing digestive issues (like IBS-D) sign up for Thursday’s webinar.
Link in the biooooo! ⬆️
