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I report recent developments on hadron interactions in lattice QCD by the HAL QCD method. As an introduction, I summarize the lattice community’s consensus on the absence of the deeply bound dinucleons at heavier pion masses. We then present 4 results by the HAL QCD method using flavor QCD gauge configurations at MeV and fm, which are the interactions, dibaryon, the tetra-quark state and the interaction with the 2-pion tail. A brief summary follows.

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