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Patron et al

In Summary: The oxidative phase of the pentose phosphate shunt can generate NADPH, without generating a net increase of ribose-phosphate by using the ribose-phosphate sugars formed as substrates for the non-oxidative phase, which converts them to fructose-6-phosphate and glyceraldehyde-3-phosphate that can then enter the glycolytic pathway

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In clinical research, dose escalation and monitoring rules are set by a study protocol