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    The diarrhea resembles steatorrhea and results from a combination of high volumes of acid and neutralization of pancreatic enzymes. 32.  How is Zöllinger-Ellison syndrome diagnosed?. In patients with Zöllinger-Ellison syndrome associated with multiple endocrine neoplasia (MEN) syndrome I, signs and symptoms may be related to parathyroid or pituitary disease.

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