Replied by Art (California) on 01/28/2023
Heimdall, You've got a lot going on with yourself.
Regarding the chronic pancreatitis, melatonin has been shown to help and melatonin helps to maintain the gut microbiome and it has antifibrotic effects which would be important in chronic pancreatitis. Melatonin is also anti inflammatory :
https://pubmed.ncbi.nlm.nih.gov/15683461/
Regarding the ESOA, doctors have little to offer in this category short of surgery. Things that are likely to be helpful are collagen, gelatin/Jell-o, bone broth, berberine, hyaluronic acid, astaxanthin and glucosamine liquid to improve your gut microbiome and consequently your health in general.
Collagen : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695755/
Gelatin/Jell-o : https://www.medicalnewstoday.com/articles/319124
Bone Broth : https://lakehealth.org/bone-broth-an-old-fashioned-secret-to-fight-osteoarthritis/
Berberine : https://www.sciencedirect.com/science/article/abs/pii/S1043661819319486
Hyaluronic Acid : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729158/
Astaxanthin : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914430/
Glucosamine : https://www.nccih.nih.gov/health/glucosamine-and-chondroitin-for-osteoarthritis
I will recommend a specific product or two for some of the above supplements that I have had good experience with, but I realize given your location you may not be able to get these specific ones.
Hyaluronic acid : https://www.iherb.com/pr/now-foods-hyaluronic-acid-double-strength-100-mg-120-veg-capsules/39935?gclid=CjwKCAiArNOeBhAHEiwAze_nKPJueOwEs_gT2OZBrfekLV4JbWAkVXxLV4J74mwrTVekUmQu6DiqyhoCNqwQAvD_BwE
Take at the rate of 300 mg/day
Collagen : https://www.swansonvitamins.com/p/dr-emil-multi-collagen-plus-90-caps?SourceCode=INTL4071&showPopup=f&DFA=1&UTM_Medium=Shopping&UTM_Source=GOOGLE&UTM_Campaign=+&UTM_Content=&SourceCode=INTL4071&gclsrc=aw.ds&gclid=CjwKCAiArNOeBhAHEiwAze_nKO-ysFHtGi4MQMTdFgz1Vs2At2N9aZpgp2Qm68Y2Hny9GbBiGY6Z7BoCaDQQAvD_BwE
Take at the label recommended dose of 3 per day.
Astaxanthin : https://www.amazon.com/Astaxanthin-Supplements-Absorption-Antioxidant-Supplement/dp/B09VX787GV/ref=sr_1_9?crid=3BV6FOP5BBZKP&keywords=astaxanthin&qid=1674931010&sprefix=astaxanthin,aps,141&sr=8-9&th=1
Glucosamine : https://www.amazon.com/Glucosamine-Chondroitin-MSM-Supplements-Arthritis/dp/B081JB5RLQ/ref=sr_1_6?crid=24OM5HBU8R0BF&keywords=liquid+glucosamine+chondroitin+for+humans&qid=1674931169&sprefix=liquid+glucosamine,aps,174&sr=8-6
Take at the label recommended dose.
Art