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If the patient has additional risk factors (prior history of thrombosis, obesity, or is on concurrent corticosteroids), that might bump them into a high-risk category, wherein fasting is not recommended due to cumulative risk

Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese center for disease control and prevention

For example, in a prospective, multicenter cohort study, the use of broad-spectrum antibiotics prior to ICI therapy was associated with poorer overall survival and a higher incidence of refractory disease in patients with NSCLC, melanoma, and other tumors