EPI (Exocrine Pancreatic Insufficiency) in Dogs: Signs, German Shepherd Risk, Enzyme Replacement
A guide to EPI (Exocrine Pancreatic Insufficiency) in dogs — what EPI is (a deficiency of exocrine pancreatic enzymes → maldigestion), causes (pancreatic acinar atrophy in German Shepherds, secondary to chronic pancreatitis), clinical signs (chronic voluminous greasy diarrhoea, weight loss despite eating a lot, coprophagia, a thin dog with a normal appetite), diagnosis (TLI test), treatment with pancreatic enzyme replacement (PER), diet, B12, and an FAQ.