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 Exocrine pancreatic insufficiency (EPI) is a condition in which people are unable to properly digest food due to a deficiency of the exocrine pancreatic enzyme Symptoms of exocrine pancreatic insufficiency include Fat in stools Bulky stools that float in the water and are difficult to flush;Stools may appear pale and oilyExocrine Pancreatic Insufficiency (EPI) is a condition that occurs in people who cannot digest food normally because their pancreas does not make enough enzymes As a result, people with EPI suffer from one or more troublesome gastrointestinal (GI) issues 1 Exocrine Pancreatic Insufficiency Wikipedia Exocrine pancreatic insufficiency (epi) symptoms