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In such cases, the treatment strategies are likely to target systemic metastases, while the removal of metastatic LNs and targeting of non-metastatic draining LNs may potentially augment the effectiveness of immune checkpoint blockade (ICB) treatment (52, 63)

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However, it is important to note that you want to hit the sweet spot with growth hormone and get your IGF-1 levels in the optimal range, which Dr