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doi: 10.1007/BF00686114

In MM, CD4 + and CD8 + T-cells form the primary immune defense, however, tumor-induced remodeling of the TME is unfavorable to T-cells due to nutrient deprivation, acidosis, and the accumulation of toxic metabolites (146) ( Figure 1 )

The combination has also been investigated for its role in lipolysis , lean mass preservation , and recovery-related signaling , with research models showing synergistic effects on fat oxidation and tissue regeneration markers