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The trans-3-hexenoic acid group sterically shields the N-terminal region from dipeptidyl peptidase IV (DPP-IV) cleavage, which is the primary route of GHRH degradation in vivo, resulting in meaningfully improved metabolic stability compared to native GHRH and sermorelin

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In particular, we previously showed that CD38 is the main NAD + -hydrolyzing enzyme in mammalian tissues, and its upregulation largely accounts for age-dependent decline in NAD + 11,17,18,19

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