What Can I Eat with EPI?
Managing EPI doesn't mean giving up delicious food. With proper enzyme therapy and smart food choices, you can enjoy a varied, satisfying diet. This guide shows you exactly what to eat and what to limit.
Quick Answer
With proper PERT, you can eat most foods. Focus on lean proteins, fruits, vegetables, and whole grains as your foundation. Take enzymes with every meal and snack containing fat or protein. While some people benefit from moderating fat intake initially, the goal is a balanced, nutritious diet – not severe restriction.
Foods to Enjoy Freely
These foods form the foundation of an EPI-friendly diet. They're nutritious, generally well-tolerated, and can be enjoyed with appropriate enzyme coverage.
| Food Category | Examples | Fat Level |
|---|---|---|
| Lean proteins | Chicken breast, turkey, white fish, egg whites | Low |
| Fruits | Apples, bananas, berries, melons, citrus | Very low |
| Vegetables | Leafy greens, carrots, peppers, tomatoes | Very low |
| Whole grains | Oatmeal, brown rice, whole wheat bread | Low |
| Low-fat dairy | Skim milk, fat-free yogurt, low-fat cheese | Low |
Protein Sources
- • Skinless chicken and turkey breast
- • White fish (cod, tilapia, sole)
- • Shrimp, scallops, crab
- • Egg whites or egg substitutes
- • Lean ground turkey (93% or leaner)
- • Tofu and tempeh
Fruits & Vegetables
- • All fresh fruits (berries, apples, bananas)
- • Leafy greens (spinach, kale, lettuce)
- • Cruciferous vegetables (broccoli, cauliflower)
- • Root vegetables (carrots, sweet potatoes)
- • Tomatoes, peppers, cucumbers
- • Squash and zucchini
Foods to Limit or Avoid
These high-fat foods can be challenging even with enzyme therapy. You don't have to eliminate them completely, but they require higher enzyme doses and may still cause symptoms in some people.
| Food Category | Examples | Fat Level |
|---|---|---|
| Fried foods | French fries, fried chicken, donuts | Very high |
| Full-fat dairy | Butter, cream, whole milk, ice cream | High |
| Fatty meats | Bacon, sausage, ribeye steak, lamb | High |
| Rich sauces | Alfredo, cream-based, cheese sauces | High |
| Processed snacks | Chips, crackers, pastries, cookies | Moderate-High |
Important Note
"Limit" doesn't mean "never." With adequate enzyme therapy, many people with EPI can occasionally enjoy higher-fat foods. The key is taking enough enzymes and being prepared for the possibility of some symptoms. Start with small portions and adjust based on your response.
Building Balanced Meals
The EPI Plate Method
Build your plate with:
- ½Non-starchy vegetables
- ¼Lean protein
- ¼Whole grains or starchy foods
Example Meal:
- • Grilled chicken breast (4 oz)
- • Steamed broccoli and carrots
- • Brown rice (1/2 cup)
- • Side salad with light dressing
EPI-Friendly Snacks
Low-Fat Options
Little or no enzymes needed
- • Fresh fruit
- • Raw vegetables
- • Pretzels
- • Rice cakes
- • Fat-free yogurt
Moderate Options
Take 1-2 enzyme capsules
- • Low-fat cheese
- • Greek yogurt
- • Hummus with veggies
- • Turkey slices
- • Protein smoothie
Occasional Treats
Take full enzyme dose
- • Small handful of nuts
- • Nut butter on toast
- • Cheese and crackers
- • Half an avocado
- • Trail mix (small portion)
Understanding Fat Content
Learning to estimate fat content helps you determine enzyme doses. Here's a quick reference:
| Fat Range | Classification | Enzyme Approach |
|---|---|---|
| 0-5g fat | Very low | May not need enzymes |
| 5-15g fat | Low to moderate | 1-2 capsules |
| 15-30g fat | Moderate | 2-4 capsules |
| 30-50g fat | High | 4-6 capsules |
| 50g+ fat | Very high | 6+ capsules (split across meal) |
Note: These are general guidelines. Your actual needs may vary. Use our PERT Calculator for personalized recommendations.
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Medical Disclaimer: This information is for educational purposes only. Dietary needs vary by individual. Consult with a registered dietitian or your healthcare provider for personalized nutrition advice for your EPI management.