The episode tries to have it both ways, but it's too ridiculous to be anything but Frohike's paranoid conclusions based on a trashy fiction magazine, and yet has too much detail, and the camera lingers on the Cancerman too much, for it not to be his recollections
[21] Prenatal exposure to tobacco smoke is associated with a higher risk of attention deficit hyperactivity disorder (ADHD) in children, though it remains unclear whether the relationship is causal or reflects shared genetic and familial factors between parent and child
[174] "Report of the Committee on Legislation and Legal Activities," in Proceedings of the 54 th Annual Meeting of the National Tobacco Tax Association (Chicago: Federation of Tax Administrators, 1990), 49, 52
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Protease activity was measured using the Chinese standard GB/T 23527-2009