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Hepatocellular enlargement or swelling may occur from accumulation of glycogen, fat, or other substances and may also be a feature of degeneration and some forms of hepatocellular necrosis

However, research on ALCARs effects on athletic performance is limited and results have been mixed

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[PUBMED Abstract] Medina T, Chesney JA, Whitman E, et al.: Long-term efficacy and safety of lifileucel tumor-infiltrating lymphocyte (TIL) cell therapy in patients with advanced melanoma: a 4-year analysis of the C-14401 study