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This patient's isolated, intensely pruritic serpiginous tracks and absence of fever or systemic illness make ehrlichiosis unlikely

Pftzner A, Forst T (2005) Pulmonary insulin delivery by means of the Technosphere drug carrier mechanism

This metabolic reprogramming supports tumor proliferation and enhances malignancy by promoting lactate production and extracellular acidification, which in turn stabilizes HIF-1 and sustains tumor hypoxia
