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In the cAMP/PKA pathway, elevated cAMP levels trigger PKA-mediated phosphorylation of substrates, modulating energy metabolism by promoting glycogen breakdown and fatty acid oxidation to maintain energy balance [31]

Follow-up visits: mid-window and end-of-window, in person or hybrid depending on stability

AP demonstrates potential therapeutic efficacy in MM management, though its toxicity profile and adverse effects warrant critical consideration, particularly regarding cellular, reproductive, and renal impacts