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To this point, we recognized that peptidyl GHRPs are composed in large part of D-amino acid isomers which, unlike the l-isomers, are resistant to endopeptidase attack in the gut (28)

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Thus, action on the patients biology cannot be limited to drugs, the level of efficacy of which is modest, but can include physical activity, personalized nutraceuticals based on biomarkers, and a specialized non-pharmacological medical intervention such as acupuncture, which one of the authors (A.G.B.) also uses routinely in psychiatric disorders as we shall see in the clinical case we present