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Medications that induce or inhibit cytochrome enzymes can lead to wide variations in absorption (53)

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(11) The presence of d-amino acids blocking each side of the internal, activity essential, tri-peptide moiety is a functionally significant attribute of all GHS peptides because they protect the molecules from endopeptidase attack and thus, make them orally bioavailable 12

This is largely due to the strict 30-minute fasting requirement