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it should be further investigated, specifically to identify patient populations most likely to benefit from supplementation (173)

A validation study on 51 patients receiving anti-PD-1 therapy alone or in combination (NCT02644369) (235), found no association between choline levels and changes in absolute neutrophil count (ANC), lymphocytes, and neutrophil-to-lymphocyte ratio (NLR) (235)

The combination is widely referenced but no published study has directly compared the stack against either peptide alone

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