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I dont understand how they got the answer, when the text states otherwise

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i just recieved fit to be well essential concepts, i am on chapter 1 introduction. i was looking through the knowledge check section and im confused about the "correct" answer on number 4. The appendix says the correct answer is C, which is clearly listsed as one the the biomarkers in the text and the question states which is NOT a biomarker. please could someone explain why this is the correct answer? thank you.


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