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Pancreatic Enzymes Exocrine pancreatic insufficiency, a condition in which not enough digestive enzymes are secreted into the small intestine (Toouli 2010), is relatively common in celiac disease patients who do not respond to a gluten-free diet (Ferri 2015)
Flavahan WA, Drier Y, Johnstone SE, Hemming ML, Tarjan DR, Hegazi E, et al

Hcy was 15.1 umol/L (normal 4 to 14 umol/L)

cruzi infection, rules out a black fly vector
