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Even under aerobic conditions, cancer cells often prefer anaerobic glycolysis, known as the Warburg effect [8, 10], which produces energy more rapidly than oxidative phosphorylation (OXPHOS) and satisfies the increased demand for glycolytic intermediates, supporting rapid tumor growth and leading to poor clinical outcomes [8, 11, 12]

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Providers may be more cautious and order labs if you have kidney disease, heart issues, other chronic conditions, or if you are interested in more intensive or frequent IV treatments
