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In the pooled Phase 3 program, tesamorelin was dosed every day for 52 continuous weeks: IGF-1 reached its elevated plateau by week 26 and was held at that level through week 52, and the trials documented no tachyphylaxis (no loss of response over time) on continuous daily dosing, with visceral-fat reduction sustained across the full year (52-week extension, Falutz et al., 2010)

Acyl glucuronides display limited stability, which is dependent on pH, temperature, nature of the aglycon, and so on

PMCID: PMC8092422 Madsen MT, Zahid JA, Hansen CH et al (2019) The effect of melatonin on depressive symptoms and anxiety in patients after acute coronary syndrome: the MEDACIS randomized clinical trial

Shi C, Hao B, Yang Y, et al