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Physiological fatigue corresponds to a homeostatic process, selected by evolution for its usefulness, whereas pathological fatigue unravels a dyshomeostatic state, which reflects a combined dysfunctioning of numerous potential systems, revealed by both physiological issues (chronic inflammation, mitochondrial dysfunctioning, cardio-pulmonary pathologies, endocrinopathies, vitamin deficiencies) and interoceptive processes, with inappropriate corrections by the brain of biological perturbations

10.1155/2018/1056173 133 SchumackerP

(September 2004)

Other systemic strategies exert comparable effects: regular exercise reduces circulating glucose levels at the expense of tumors 204 , and adrenergic activation in brown adipose tissue suppresses tumor growth by increasing host glucose utilization 205

Recent studies indicate that PHGDH expression is reduced by 40-50% in 1p/19q-codeleted gliomas compared to non-codeleted gliomas, suggesting these gliomas have selective vulnerability to serine and glutathione depletion (103)