I'm new at this. My daughter is 9 yrs old pancreas sufficient. Her mutation is R117h. For the past year we have been admitted into the hospital five times. The last three times have been within the last month. All the doctors keep tell us is this is the way it will be for us until the pancreas completely shuts down. We are now on Zen pep, miralax, and omeprazole. Nothing seems to help! Open to any suggestions. Worried MOM!