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Moreover, surgery often causes a surge in myeloid-derived suppressor cells (MDSCs) many of which are metabolically reprogrammed monocytes/neutrophils that suppress T-cells and promote tumor growth (in cancer patients)

Early clinical data supports this expectation, though longer-term surveillance will be needed as these medications reach broader populations

doi: 10.1097/PRS.0b013e3182450b47 41 ShimizuYShibataRIshiiMOhashiKKambaraTUemuraYet al

It plays a crucial role in transporting fatty acids into the mitochondria, where they can be used as fuel

This protocol may be considered for patients who have plateaued on traditional GLP-1 therapy or who are seeking advanced metabolic strategies beyond appetite suppression alone