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1 Introduction The tumor microenvironment (TME) is the complex environment surrounding tumor cells which regulates crucial aspects of tumor biology, including disease progression, metastasis, immune evasion, and treatment resistance ( Amino acid metabolism is a crucial factor in the complex metabolic dynamics within TME

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Potential Benefits: Significant reduction in visceral adipose tissue (measurable after 36 months) [3]

The imaging methods (ultrasound and MRI) included measuring the dynamics of the distance of the separated quadriceps muscle from the anatomical insertion points on the iliac and femoral bones
