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  > Those imbalances are claimed to be caused by poor nutrition and **exposure to environmental toxins and stressors**. So, like [swimming in streams polluted with sewage](https://abcnews.com/Politics/robert-kennedy-jr-swimming-park-water-high-bacteria/story?id=121734979)?

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  > Because she works in the medical field, she decided to create a condition related to health and hit on the name bixonimania because it “sounded ridiculous”, she says. “I wanted to be really clear to any physician or any medical staff that this is a made-up condition, because no eye condition would be called mania — that’s a psychiatric term.” > If that wasn’t sufficient to raise suspicions, Osmanovic Thunström planted many clues in the preprints to alert readers that the work was fake....