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Pancreatic enzyme supplements are used to treat people who lack pancreatic secretions. Pancreatin is an extract of pancreas, and contains enzymes with proteinase, amylase, and lipase activity; most commercial formulations are similar or identical [ ].
The effect of oral pancreatic enzyme supplementation (Creon 10 000 in a dose of 1000 units of lipase per gram of ingested dietary fat) on fat malabsorption has been evaluated in an open study in 24 patients with HIV infection [ ]. Pancreatic enzyme supplementation was highly effective in reducing fecal fat loss. There were no clinical adverse reactions or adverse effects on serum biochemistry attributable to the drug.
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