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Lastly, the author mentions multiple times she believes she was misdiagnosed in the asylum

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Lastly, biopsies involve taking small pieces of tissue from inside your body which are then examined under a microscope in order to detect any abnormal cells that could indicate cancerous growths in the lungs due to long term exposure to cigarette smoke toxins

The first review was an overview of Cochrane reviews on the benefits and harms of behavioural, pharmacologic, and other (e.g., acupuncture) therapies.22 We conducted an overview of Cochrane reviews because there were existing Cochrane reviews of all interventions that would likely be considered and these reviews transparently report assessments of risk of bias and other elements important for assessing evidence certainty