Construct a plausible dietary recommendation for a patient with pancreatic insufficiency to maximize absorption of fat‑soluble vitamins. Which combination is best and why?

• A. Suggest intermittent fasting with only raw vegetables to allow intestinal flora to produce sufficient fat-soluble vitamins rapidly in the colon, eliminating need for enzyme therapy.
• B. Advise small, frequent meals containing moderate fat with pancreatic enzyme replacement therapy and fat‑containing supplements of vitamins A, D, E, and K, because enzymes and some dietary fat are needed for micelle/chylomicron formation and absorption.
• C. Recommend a completely fat-free diet and high-dose water-soluble multivitamins because eliminating dietary fat eliminates the need for pancreatic enzymes and ensures immediate absorption of fat-soluble vitamins in portal blood.
• D. Tell the patient to double all current doses of oral fat-soluble vitamin supplements without enzyme therapy because increased oral dose will always overcome malabsorption regardless of digestive deficits.

Answer: (B)