Managing Low Pancreatic Function and Triglycerides: Dietary Considerations - Gastroenterology and Hepatology

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Pancreatic insufficiency and low triglycerides?


Hello, I have a cyst on my pancreas.
Recently, during a check-up, my doctor found that my triglyceride level is only 33.
The doctor prescribed me pancrelipase enteric-coated microgranules and ursodeoxycholic acid.
I would like to know if adding an extra 15ml of flaxseed oil daily would burden my pancreas.
The doctor advised me to consume less oil and eat smaller, more frequent meals.
I'm unsure if this additional intake would be beneficial or increase the load on my pancreas.

Alex, 30~39 year old female. Ask Date: 2020/05/04

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello! The presence of pancreatic cysts does not necessarily correlate with pancreatic insufficiency or low triglyceride levels.
Whether consuming 15cc of oil alone is beneficial or harmful should be advised based on clinical conditions.
It is recommended for individuals with gallstones, biliary stones, or pancreatitis to maintain a regular diet and avoid overly fatty foods and sweets.
Pancreatic cysts should be monitored.
Wishing you health and safety! Sincerely, Dr.
Lin Ming-Hui, Attending Physician, Department of Internal Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/05/04

More Info


Managing low pancreatic function and triglycerides requires careful dietary considerations, especially when dealing with conditions such as pancreatic cysts and low triglyceride levels. In your case, where you have been prescribed pancrelipase and ursodiol, it is essential to understand how additional dietary fats, like flaxseed oil, may impact your pancreatic health.

Firstly, it's important to recognize that the pancreas plays a critical role in digestion, particularly in the breakdown of fats. When pancreatic function is compromised, as in your case with pancreatic cysts, the ability to digest fats can be impaired. This is where pancrelipase, a pancreatic enzyme replacement therapy, comes into play. It helps to supplement the enzymes that your pancreas may not be producing adequately, thus aiding in the digestion of fats, proteins, and carbohydrates.

Regarding your question about adding 15ml of flaxseed oil to your diet, it is crucial to consider the overall dietary fat intake. Flaxseed oil is rich in omega-3 fatty acids, which are known for their anti-inflammatory properties and potential benefits for heart health. However, since your doctor has advised a low-fat diet with small, frequent meals, introducing additional oil could potentially increase the burden on your pancreas, especially if your body is not adequately processing fats.

The recommendation to consume less oil and more frequent, smaller meals is particularly relevant for individuals with pancreatic issues. This approach helps to minimize the workload on the pancreas and can aid in better digestion and absorption of nutrients. If you were to add flaxseed oil, it might be beneficial to monitor how your body responds. If you experience any discomfort, such as bloating, diarrhea, or abdominal pain, it may indicate that your pancreas is struggling to handle the additional fat.

In terms of triglyceride levels, a reading of 33 mg/dL is considered low. While low triglycerides can be a sign of good health, they can also indicate malnutrition or other underlying health issues, particularly in the context of pancreatic function. It is essential to ensure that you are getting enough calories and nutrients in your diet. This can be achieved through a balanced intake of carbohydrates, proteins, and healthy fats, while still adhering to the low-fat guidelines provided by your healthcare provider.

In summary, while flaxseed oil has potential health benefits, its addition to your diet should be approached with caution, given your current pancreatic condition. It may be wise to consult with your healthcare provider or a registered dietitian before making any changes to your diet. They can provide personalized advice based on your specific health needs and help you find a balance that supports your pancreatic function while also addressing your triglyceride levels.
In conclusion, managing low pancreatic function and triglycerides involves a careful balance of dietary fats, protein, and carbohydrates. Monitoring your body's response to dietary changes and maintaining open communication with your healthcare team will be key to optimizing your health.

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