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Additional foods to avoid are meat and dairy from conventionally raised animals, farmed fish, processed foods, hydrogenated fats, and highly processed vegetable oils, such as canola, grapeseed, and safflower

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Epithelial-to-mesenchymal transition (EMT) and its reversed process, mesenchymal-to-epithelial transition (MET), are fundamental evolutionarily conserved processes in embryonic development and tissue repair, but confer malignant properties to carcinoma cells 116

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This requires systematic screening, structured counseling, integration of pharmacologic therapies, and referral to specialized cessation services supported by a multidisciplinary approach