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Appropriate screening before starting treatment and ongoing monitoring throughout treatment are essential

Cell culture and transfection Gastric cancer cell lines SNU638 (KCLB No.00638), SNU216 (KCLB No.00216), and SNU668 (KCLB No.00668) cells were obtained from KCLB (Korean Cell Line Bank), and HEK293T (CRL-3216) cells were obtained from ATCC (American Type Culture Collection)

C2C12 myocytes were treated with lenvatinib and/or L-carnitine for 4 h and then cultured in fresh medium with 1 M puromycin for 30 min

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Regular monitoring, lab work, and physician collaboration are non-negotiable for experimental approaches