This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Medicine
[{'content': 'Triple A syndrome includes all except \nSelect and explain. \nA. Alacrymia, B. Addison disease, C. Achlorhydria, D. Achalasia', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Triple A syndrome is characterized by three specific features: achalasia, Addison disease, and alacrima (reduced or absent ability to secrete tears) It is a cause of primary adrenal insufficiency Ref Harrison internal medicine 20 e p2734t', 'role': 'assistant'}]