A controversial drug allowed in meat production in the U.S.—but banned in 160 other countries—is in the news again. This time, it’s because the Trump administration, as part of a trade deal, is trying to force China to allow imports of U.S. pork raised with ractopamine. Ractopamine is a beta-agonist routinely fed to pigs, cattle and turkey raised in industrial factory farms, or in industry parlance, “concentrated animal feeding farms,” or CAFOs. The drug mimics the effects of adrenaline, and is used to increase muscle tissue and make animals grow faster. It’s manufactured by Elanco Animal Health, until recently a division of drug giant Eli Lilly & Co.