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What is the tolerability profile of carglumic acid

highlight that this sequence incorporates several carefully designed amino acid substitutions that may support stability and resistance to enzymatic degradation: (1) At the second position, there is a substitution with D-alanine, possibly offering protection against rapid cleavage by dipeptidylpeptidase-IV (DPP-IV), a key enzyme involved in the degradation of endogenous GHRH

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