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A 2021 review published in the International Journal of Molecular Sciences by researchers from Leipzig University and the Helmholtz Centre for Environmental Research put it plainly: the combination of mold and mycotoxin exposure in individuals with a pre-existing dysregulated immune system is, in their words, a combination of concern.1 That is a carefully worded understatement

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Cells were incubated with fresh medium for 36 h and pooled together for further experiments

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Overall the changes are best regarded as a lentigo maligna (Hutchinson's melanotic freckle)