In cystic fibrosis care, pancreatic enzyme supplements should be taken with which meals?

• A. Only at bedtime
• B. With all meals and snacks
• C. Only during symptoms
• D. Only with fruit

Answer: (B)

Pancreatic enzyme supplements in cystic fibrosis are used because the pancreas often doesn’t release enough enzymes to digest food. To be effective, these enzymes must be present when food enters the small intestine, so they should be taken with every eating occasion. That means with all meals and with snacks, not just at bedtime or only when symptoms appear. When enzymes are taken with meals, they help break down fats, proteins, and carbohydrates as the chyme moves through the gut, improving nutrient absorption and reducing malabsorption symptoms like greasy stools and poor weight gain. Follow your provider’s specific instructions on how to take them (swallowing whole, or sprinkling on soft foods if allowed).