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However, the VA National Criteria for Use guidelines for checkpoint inhibitor initiation explicitly allow use only for ECOG performance status score of 0 or 1 for all immunotherapy agents, with some exceptions for ECOG performance status score of 0 to 2 for nivolumab and pembrolizumab

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It targets fat metabolism through specific mechanisms that don't affect blood sugar, don't cause insulin resistance, and don't mess with your growth hormone levels

This gives your liver time to adjust to the increased antioxidant support without overwhelming your system