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Algunos pacientes reportan que la administracin nocturna hace que las nuseas ocurran durante el sueo, mientras que la administracin matutina permite implementar estrategias de manejo como comer pequeas cantidades de alimentos blandos o tomar medicamentos antiemticos si estn prescritos

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R Clinical associations of TT homozygosity: Elevated risk of benzene-related leukemia (particularly acute myeloid leukemia) R Increased bladder cancer risk (especially in smokers) R Increased colorectal cancer risk R Poor response to quinone-based chemotherapy drugs (mitomycin C, RH1) because NQO1 activates these prodrugs R Reduced CoQ10 (ubiquinol) recycling capacity R Reduced p53 stabilization R Clinical takeaway: TT carriers should supplement with ubiquinol (not ubiquinone), aggressively support NRF2 through other pathways, avoid quinone-generating exposures (benzene, PAHs), and ensure riboflavin status is optimal to support whatever residual NQO1 activity exists