I know this was a question about the powder, but since I also had meconium ileus and adhesions, I thought I would just let you know that I take the Viokase tablet, and it works the best for me out of all the enzymes I've tried (I think I have tried them all). It's the only one that takes care of the fat absorbtion issue, without causing constipation/bulky stools. You may have to try several before you find one that is "just right" for your daughter, since digestion issues vary greatly from cfer to cfer <img src="i/expressions/face-icon-small-wink.gif" border="0"> .