Hi, I'm new here and recently been diagnosed with RH, but apparently I'm complicated, so treatment is going to be difficult. So I had Gastric Bypass in November 2015, but I also have significant pancreatic atrophy, that makes me Creon dependant with severe Exocrine Pancreatic Insufficiency. My Bariatric Team have put this down to me having Alpha-1 Antitrypsin Deficiency (ZZ genotype), which has damaged my pancreas and kidneys. I also have Small Intestinal Bacterial Overgrowth and Bile Salt Malabsorption, both in the very severe ranges, which effectively makes Acarbose contraindicated for me. The other complication is that my RH occurs with any food, it doesn't have to be carbs and also any food, small amounts or not, can give me pain and diarrhoea. This makes small, frequent meals totally impractical for me, as I work full time and cannot spend all day in the toilet. With all this in mind, we have decided to give Acarbose a try and if it turns out to be too dreadful, I will try another medication. If anyone else has any other brilliant ideas, I would be very happy to hear them.