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Chemotherapy with drugs like 5-fluorouracil has also been associated with acute thiamine deficiency by disrupting thiamine activation, so oncology patients receiving such therapy might receive parenteral thiamine supplementation as part of this B-Complex if needed

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Among them, diacylglycerol activates PKC and impairs IRS-1 activation, while ceramides activate protein kinase C zeta (PKC) and protein phosphatase 2A (PP2A), resulting in dephosphorylation of Akt, 31,32 and promoting gluconeogenesis