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This is because the amino sequence for IGF peptides are so fragile that the alcohol in bacteriostatic water will damage the sequence and render the entire vial ineffective after just a couple of days
Recently, a new DON prodrug, DRP-104 (sirpiglenastat) was developed, which carries isopropyl ester and acetylated tryptophan on the C-terminal and N-terminal of DON (Rais et al., 2022)
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50 mg) and working up to 100 mg per dose if tolerated, with injections perhaps 2-3 times weekly
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