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The second reaction involves the enzyme deoxyhypusine hydroxylase which hydroxylates the deoxyhypusine to hypusine
Ipamorelin (Aib-His-D-2-Nal-D-Phe-Lys-NH2) is a five-amino-acid peptide
For endurance athletes, this can be distinctly disadvantageous: accelerated glycogen depletion may precipitate earlier fatigue and reduce sustained performance within a single session, particularly before any long-term adaptations can occur
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