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NCI concluded that the data demonstrated no benefit.[2] In 1972, the American Cancer Society (ACS) published a statement summarizing the negative assessments of Gerson's treatment.[10] Another statement published by ACS in 1991 concerned various "metabolic therapies" (defined as treatments that depend on changing metabolism through diet, enemas, and supplements given at clinics in Tijuana, Mexico) and reemphasized the lack of scientific evidence on the efficacy of the Gerson regimen.[11] Gerson died in 1959, leaving behind no systematic way to continue offering his treatment

a distinct cuboidal shape, a high nucleus-to-cytoplasm ratio, sometimes binucleated, bright intercellular junctions and the presence of prominent lipid droplets in the cytoplasm