…

[Rachel Phillips]

Well, if that is what happened, it is not considered allergy, but it is a lipid intolerance, you have now to rule out pancreatitis and/or liver dysfunction, also what was the last lab for serum triglycerides?

After all, and if you can’t define the reason of intolerance, you may now try the SMOF, as a test dose like you did before, and if it is not working again, you may consider the MCT oil, but this will be a caloric source only, not essential fatty acids source, then you may need also to rub the patient’s skin every 2 or 3 days by the external oil.

I have a question to you, if the patient can tolerate oral MCT? why not encouraging enteral feeding then?