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We determine the contribution of long-range pion interactions to the dynamics, assuming it is a loosely bound molecule. Our result is based on the distorted wave Born approximation in non-relativistic quantum mechanics. Despite their long-range nature, we find that pion interactions cannot produce a large and negative effective range. Nonetheless, they introduce imaginary parts. In particular, they contribute to the total decay width of the with a term associated with, but not precisely corresponding to, the width. Our approach can also be applied to the recently discovered states.

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