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Tesamorelin is a 44-amino-acid synthetic peptide based on the full sequence of growth hormone-releasing hormone (GHRH) with an N-terminal trans-3-hexenoic acid modification
Nutrient Deficiencies and Lab Results Low levels of B12, B6, or other B vitamins might warrant an initial round of weekly or biweekly injections until levels stabilize
The only structural difference is the first amino acid: glycine vs alanine
American Family Physician, 96(6), 384-388
However, it never received FDA approval because the results, while positive, weren't dramatic enough to meet regulatory thresholds for an obesity drug
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