Intermittent Fasting for Pancreatitis

Inclusion Criteria: * Age ≥ 18 year * Recurrent acute pancreatitis defined by greater than 2 episodes of pancreatitis, defined by: abdominal pain and either amylase or lipase \> 3 x the upper limit of normal, imaging suggestive of, separated by time * Anatomy of chronic pancreatitis defined by Rosemont criterion9 or on imaging (CT, MRI) * Pancreatic exocrine insufficiency defined by a pancreatic elastase \< 200 ug/g stool10 Exclusion Criteria: * Age \< 18 years * Pregnant Patients * Age \> 80 years * Patients who cannot consent for themselves * Glycogen storage disease * Insulinoma or hypoglycemic state * Active alcohol abuse * Alcohol induced acute pancreatitis * Gallstone induced acute pancreatitis * Pancreatic solid neoplasm * Patients with diabetes * Patients on beta blockers