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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

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

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

XOIs represent the cornerstone of conventional treatment

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
