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This may be because: They cant be made in advance since theyre only stable for a short period of time The medication is made from a combination of ingredients that are not cost-effective or practical to submit to Health Canada for approval, the way most prescription medications are

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Lys 16 Replacing the Gly 22 of GLP-1 with Ala or Aib slightly decreased both its affinity and activity (Ala IC 50 : 0.27 nM0.57 nM;EC 50 : 2.6 nM4 nM)

La L- carnitina se encuentra casi exclusivamente en productos animales (carnis = carne)