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Synthetic analogs reproduce this signal with optimized pharmacokinetic profiles: Sermorelin (GRF 1-29): shortest active fragment, half-life ~10 minutes, signal close to natural Tesamorelin : analog stabilized by an N-terminal trans-3-hexenoyl group, half-life ~26 minutes, only molecule of the family with FDA approval (HIV-associated lipodystrophy reduction) CJC-1295 with DAC : Drug Affinity Complex modification that binds plasma albumin, extending half-life to ~8 days and creating continuous "GH bleed" rather than a pulse Key point: GHRH analogs preserve physiological pulsatility

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ACS Appl Mater Interfaces 31:33053313 Amjadi M, Jalili R (2016) Molecularly imprinted polymer-capped nitrogen-doped graphene quantum dots as a novel chemiluminescence sensor for selective and sensitive determination of doxorubicin

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