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O'Brien S, Kantarjian H, Keating M, Koller C, Andreeff M , Feldman E, Beran M, Escudier S, Hester J, Robertson L, Talpaz M

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An enzyme in the gut called beta-glucuronidase can cleave the metabolites (such as estrogen) from glucuronidation and cause these metabolites to be reabsorbed