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Beck et al
Endogenous D-Asp is converted from L-Asp by racemization in the central nervous system and endocrine system
That distinction matters because ipamorelin is studied for its ability to trigger a receptor-mediated pulse, not for acting like a bulk replacement hormone
, 10 15 1,55 % (95 % 1,74 1,37) 1,57 % ( 1,76 1,37) HbA1c, 9,6 % ( 11,1 8,1) 11,6 % ( 13,0 10,1) [5]
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The medication had already started its cascade of metabolic changes, but they could not see it yet
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