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Not a stand-alone diagnosis.

Rittase WB, Slaven JE, Suzuki YJ, Muir JM, Lee SH, Rusnak M

The low abundance hexa- and decadepsipeptide esters are proposed to be generated by an incorrect transfer of D- O -Leu-D-Ala- S -PCP ( DP2a ) onto L- O -Val-L-Val-D- O -Leu-D-Ala- O -TE ( DP4 ) and (L- O -Val-L-Val-D- O -Leu-D-Ala) 2 - O -TE ( DP8 ) leading to the generation of the hexadepsipeptide O -Leu-D-Ala-(L- O -Val-L-Val-D- O -Leu-D-Ala)- O -TE ( DP6a ) and O -Leu-D-Ala-(L- O -Val-L-Val-D- O -Leu-D-Ala) 2 - O -TE ( DP10a ), respectively (Fig

Do not start any GH peptide without baseline IGF-1, HbA1c, and a full medication review

The two hydrolases are involved the detoxification of methylglyoxal (a by-product of glycolysis