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It swaps in a dual GIP/GLP-1 agonist for the GLP-1 agonist semaglutide, and it has no dedicated combination trial, no fixed-dose product, and no regulatory review

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For example, when glucose catabolism is impaired (such as during inhibition of glycolysis or in a glucose-poor environment), many tumors compensate by increasing glutamine utilization 350 , a phenomenon referred to as glutamine anaplerosis 351

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Kang S, Liu L, Wang T, Cannon M, Lin P, Fan TW, et al

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XOIs represent the cornerstone of conventional treatment

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This phenomenon resulted in glycogen accumulation and glucose uptake, which supported the pentose phosphate pathway to maintain NADPH synthesis, leading to cell survival and growth

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