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However, growing evidence indicates that alternative metabolic routes such as malic enzyme 1 (ME1), isocitrate dehydrogenases (IDH1 and IDH2), and the folate cycle also significantly contribute to NADPH production, particularly under stress conditions or during metabolic reprogramming [43]

References 1.Rizzoli A, et al

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This level allows us to maintain stable structure, consistent dissolving performance, and reliable product quality

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Case example : A patient receives laparoscopic RouxenY gastric bypass (RYGB)