Hello all! I was dx with EPI in June 2020, after years of dealing with GI symptoms and anemia. Anemia has been so bad that I have required dual infusions every 6-8 weeks. I started taking 24,000 Creon with all meals and snacks and have noticed some improvement in GI symptoms, but no real improvements with iron/blood. I am an endurance runner (running 60-90 miles/week) and have an increased daily caloric need, and am having issues managing EPI with diet and medication. Questions for you: 1) Is anyone else an athlete? How have you dealt with this, especially the increased kcal need and supplementing with enzymes? 2) Has anyone else struggled with long term anemia and EPI? Thanks!