Another way that the kinetic isotope effect can help distinguish E1cB mechanisms involves the use of 19F. Fluorine is a relatively poor leaving group, and it is often employed in E1cB mechanisms. Fluorine kinetic isotope effects are also applied in the labeling of Radiopharmaceuticals and other compounds in medical research. This experiment is very useful in determining whether or not the loss of the leaving group is the rate-determining step in the mechanism and can help distinguish between E1cBirr and E2 mechanisms. 11C can also be used to probe the nature of the transition state structure. The use of 11C can be used to study the formation of the carbanion as well as study its lifetime which can not only show that the reaction is a two-step E1cB mechanism (as opposed to the concerted E2 mechanism), but it can also address the lifetime and stability of the transition state structure which can further distinguish between the three different types of E1cB mechanisms.