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Description
PCa ranks as the second most prevalent malignancy and the sixth foremost cause of cancer-related mortality among men worldwide, with approximately 1.46 million new cases and 396,000 fatalities documented in 2022

Or you may need to have an injection of hydroxocobalamin twice a year

doi: 10.1016/j.freeradbiomed.2004.03.008

Its demonstrated that the de novo synthesis of ceramide, the important phospholipid component of ECM, enhances the effect of camptothecin and doxorubicin on FTC therapy, and inhibiting glucosylceramide synthase augments the antitumor effects even better [281]
