We gave the patient a test dose 100ml of 20% over 3 hours. She experienced only minor abdominal pain and legs muscle pain. The patient agreed to start full dose 50gm intralipid to be mixed in PN 3:1. Unfortunately, in the middle of infusion the abdominal pain and muscle pain started getting worse. The primary physician decided to stop the infusion and continue only PN 2:1. May be will recommend oral MCT oil ???.