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These drugs are emulating a protein molecule we have in our body, so if youre putting something in there that is low quality, the risk is that you get antibodies, that you have an autoimmune reaction to that chemical, says Angela Fitch, MD, chief medical officer at Knownwell

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Labeling them as carcinoids or, worse, well-differentiated neuroendocrine carcinomas, is confusing, particularly to clinicians, and is only marginally supported morphologically