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The four amino-acid substitutions relative to native GHRH(1-29) are engineered to resist that enzymatic degradation particularly cleavage by dipeptidyl peptidase-4 (DPP-4) at the N-terminus which extends the peptides functional plasma half-life modestly relative to unmodified sermorelin-type fragments
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Because of the difficult nature of extended-release formulation for GLP-1 peptides, extending half-life through structural modification has been the main avenue for developers to achieve longer dosing intervals
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