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Metabolic adaptation occurs in some individuals, where the body adjusts to reduced caloric intake by decreasing metabolic rate

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In addition to being administered as a drug to cause oxidative stress, MTX has also been used to induce cachexia, anorexia, intestinal mucositis and digestive absorption problem in experimental animal models (Reference Boukhettala, Leblond and Claeyssens34Reference Sinno, Coquerel and Boukhettala36)