You start the patient on pancreatic enzyme replacement therapy, which he is compliant with. He enters a rehab program and reports being abstinent from alcohol. His diarrhea improves and his weight stabilizes. However, after 3 months he loses insurance coverage and can no longer get his pancreatic enzyme replacement therapy.
He calls you one evening saying that he is in the ER again for acute colicky left sided abdominal pain.
You review his labs done in the ER which are below
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