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496 Conclusion and future directions Lactate is proven to be a key source of circulating carbohydrates that fuels the TCA cycle and promotes energy production in tumors

The oxidative pathway produces N-acetyl-p-benzoquinone imine (NAPQI), a highly reactive metabolite capable of binding cellular proteins and causing hepatocyte death

Injection-site risk: Any subcutaneous injection carries risk of local infection, bruising, and lipodystrophy with repeated use at the same site

These investigations focus on molecular mechanisms and assay responses exclusively in controlled, non-clinical in-vitro environments

Keep out of reach of infants, away from direct sunlight and extreme hot or cold temperature