PERT Enzyme Tracker
Log your pancreatic enzyme replacement therapy (PERT) doses alongside meals and track how different doses and timings affect your outcomes over time.
The PERT Enzyme Tracker is available on the PancreaTrack Pro plan. Upgrade from Settings to unlock full enzyme logging and dosing history.
Why Track Enzyme Doses?
Enzyme replacement therapy works best when the dose is matched to the fat content of each meal. Too little and malabsorption continues; too much is wasteful. But finding the right dose for your diet requires data — and that's exactly what the Enzyme Tracker collects.
Over time, your logged history shows your physician which doses correlated with good outcomes and which meals consistently caused symptoms, making PERT adjustments a data-informed conversation rather than a guess.
The Enzyme Tracker records what you took and what happened — it does not recommend or calculate doses. Always follow your physician's dosing instructions. Any dose changes should be discussed with your care team.
Getting to the Enzyme Tracker
There are two ways to open the Enzyme Tracker:
- After logging a meal (Pro users): When you save a meal log, you're automatically taken to the Enzyme Tracker with that meal pre-selected and its fat content already filled in. This is the fastest workflow.
- Directly from the sidebar: Click Enzyme Tracker in the left navigation at any time to log a dose manually or review your history.
Logging a Dose
Choose from your recently logged meals in the dropdown. Selecting a meal auto-fills the fat content field based on what you logged. If the meal isn't listed, select "Other" and describe it manually.
The fat field is pre-filled from your meal log. Fat amounts are estimates based on USDA nutrition data — actual content may vary. You can adjust if needed.
Your PERT medication from your profile is pre-selected. If you take a different brand occasionally, select "Other" and enter it manually.
Enter how many capsules you took. The total lipase units calculate automatically based on your medication strength (e.g., 3 capsules × 36,000 units = 108,000 units).
Select when you took the enzyme relative to eating — with the first bite, mid-meal, before eating, or after eating. Timing affects absorption and is clinically relevant data.
After the meal, record how it went — no symptoms, mild symptoms, or significant symptoms. Add any specific notes (bloating, urgency, steatorrhea, etc.).
Your Dosing History
Below the log form, your dosing history is organized by fat range — low fat (under 10g), medium fat (10–25g), and high fat (over 25g). For each range you'll see:
- Average lipase units you have taken
- Average units per gram of fat (u/g ratio)
- Number of entries in that range
This is observational data for your awareness and for sharing with your physician — not a target or recommendation. The u/g ratio varies because the same number of units covers different amounts of fat in different meals.
Sharing With Your Care Team
Your enzyme logs are visible to any physician you've linked your account to. The physician portal displays enzyme dose vs. outcome data and can be queried using the Report Request feature. Before your next appointment, your physician can ask: "Show me enzyme dose vs. bowel outcomes for the past 30 days" and receive a structured analysis of your logged data.
You can also include enzyme data in your Appointment Summary.
Tips for Better Data
- Log right after the meal — outcomes are easier to recall when logged within an hour
- Be consistent with timing — if you always take enzymes with the first bite, that consistency makes your data more interpretable
- Note unusual outcomes — even "no symptoms" is useful data, especially after a high-fat meal
- Log every meal, not just problem meals — patterns only emerge from complete data