Many tumors are also catabolic to start with, e.g. https://www.cambridge.org/core/journals/proceedings-of-the-n...: "Cancer-associated malnutrition is driven by reduced dietary intake and by underlying metabolic changes (such as inflammation, anabolic resistance, proteolysis, lipolysis and futile cycling) induced by the tumour and activated immune cells."
Many tumors are also catabolic to start with, e.g. https://www.cambridge.org/core/journals/proceedings-of-the-n...: "Cancer-associated malnutrition is driven by reduced dietary intake and by underlying metabolic changes (such as inflammation, anabolic resistance, proteolysis, lipolysis and futile cycling) induced by the tumour and activated immune cells."