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2 Among these, cold exposure and fasting are well-studied paradigms that necessitate metabolic flexibility, prioritizing fatty acid oxidation over glucose catabolism to sustain systemic energy balance while sparing glucose for obligate tissues such as the brain

355,356,357 Giredestrant, despite not reaching statistical significance for the primary endpoint of investigator-assessed PFS in the acelERA BC phase 2 study, demonstrated comparable efficacy to the physicians choice of endocrine monotherapy in key subgroups and showed a beneficial trend in the ESR1 -mutant population

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