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Hi there!

I asked my TPN clinic nurse (all she does is long and short term TPN) today

about the lipids in the TPN and any possible contribution it may have to

pancreatitis. She said that lipids in TPN are not harmful to the pancreas

because they bypass the GI tract and the pancreas, itself. Since they are being

put straight into the bloodstream the pancreas has no direct interaction with

the IV lipids and therefore is not stimulated by them. On the other hand, eating

fats, as we all know, will contribute to any pancreatic inflammation since the

pancreas is involved in helping with digesting them.

She said that the only time that IV lipids are a hazard to the pancreas is if

they cause the triglyceride level to go into the thousands. She put my mind at

rest with the whole lipids and pancreatitis issue...thought I would share what I

learned.

Karyn- You may want to ask for a decreased amount of lipids per week. Most docs

won't give them up completely since you need some so you won't develop a fatty

acid deficiency, but they might decrease them for you. I get 300 ml of 20%

lipids twice a week. I do still wonder why they do the apheuresis if there is

supposedly no connection between blood lipid levels and pancreatitis.?????

-Malisa

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