Here we take an even deeper plunge into the mysteries of exocrine pancreatic insufficiency. The Turds explore the importance of addressing dysbiosis and other factors in integrative and naturopathic medicine to help patients get off enzyme supplements. The conversation also touches on the dosing of enzyme supplements, potential side effects, and the role of autoimmune predispositions in EPI. The Turd Nerds emphasize the need to rule out other conditions like microscopic colitis and consider diet and lifestyle factors in the treatment of EPI. They also discuss the challenges of diagnosing and treating EPI and the importance of managing symptoms while addressing underlying causes.