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Ultimately, implementation of immune-augmenting nutritional supplements within breast cancer care may require personalized approaches taking into consideration tumour subtype, underlying immunologic competency/deficiency, previous treatments received, microbiome profile and comorbid autoimmunity as well as multidisciplinary teamwork to translate promising immunobiologic signals into safe and empirically defined adjuncts to conventional anticancer immunity that are additive rather than counterproductive to patient health (197)

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The most methodologically sound approach is staggered introduction: start MOTS-c alone for 1014 days to establish baseline metabolic response, then add 5-Amino-1MQ at starting dose and monitor for synergistic effects over the following 1421 days