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Constitutive activation of NRF2, mainly via loss-of-function mutations in the CUL3-adapter KEAP1 or gain-of-function mutations in NFE2L2 , is thought to provide a fitness advantage to tumor cells in confronting metabolic/oxidative stress resulting from dysregulated growth (DeNicola et al, 2011

Its table pairs that warning with baseline and periodic assessment as the monitoring requirement rather than a one-time check at the start

You can, but timing matters less than total daily dose and consistency

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