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No obstante, su implementacin no est exenta de retos, visto que en la prctica clnica cotidiana ya se observan efectos secundarios previsibles, como la prdida de masa muscular cuando no se acompaa de una estrategia nutricional adecuada, el uso indiscriminado en pacientes sin indicacin clara y barreras significativas de acceso derivadas de su costo

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An MRI performed 1 month after the operation showed gross total resection of the tumor, and additional imaging showed no discernible metastasis to other parts of the central nervous system, chest, abdomen, or pelvis

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Other factors, such as your diet, sleep habits, activity, and hormonal changes can contribute and often multiple factors can be at play