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Of greater significance, though, is the uncoupling of the enzyme aconitase, the major enzyme involved in the metabolism of citrate in the citric acid

Abbreviations 95% CI: 95% Confidential interval AEs: Adverse events AIC: Akaikes Information Criterion ALT: Alanine aminotransferase aPTT: Activated partial thromboplastin time BHMT: Betaine-homocysteine methyltransferase BMI: Body mass index B12: Vitamin B12 CBS: Cystathionine beta-synthase CT: Computed tomography DHFR: Dihydrofolate reductase ECOG-PS: Eastern Cooperative Oncology Group performance status FA: Folic acid FN: Febrile neutropenia FPGS: Folylpoly--glutamate synthase G: Grade GGH: -Glutamyl hydrolase Hcy: Homocysteine HIBCH: 3-Hydroxyisobutyryl-CoA hydrolase HR: Hazard ratio LD: Linkage disequilibrium MPM: Malignant pleural mesothelioma MTHFR: Methylenetetrahydrofolate reductase MTR: Methionine synthase MTRR: Methionine synthase reductase NLR: Neutrophil to lymphocyte ratio non-Sq NSCLC: Non-squamous non-small cell lung cancer OR: Odds ratio OS: Overall survival PFS: Progression-free survival PS: Propensity score PT: Prothrombin time RBC: Red blood cell RBP: Retinol-binding protein ROC: Receiver operating characteristics SI: Smoking index SLC19A1: Folate carrier SNPs: Single-nucleotide polymorphisms Tf: Transferrin TTR: Transthyretin TYMS: Thymidylate synthase References Niyikiza C, Hanauske AR, Rusthoven JJ, Calvert AH, Allen R, Paoletti P, et al

Tirzepatide is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2)