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Overall, this fraction of venom may be heavily implicated in the nausea and vomiting produced by envenomation

Despite these merits, macrolactamization is limited by challenges such as steric hindrance, substrate incompatibility due to reactivity issues, and potential polymerization side reactions caused by competition between inter- and intramolecular processes

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M.UpadhyayJ.RutagengwaC.DiPriscoB.RantaZ.AdraA.et al

The manufacturer is explicit about this: frozen tirzepatide must be discarded even after thawing

doi:10.1016/j.lfs.2019.117139 Park JR, Lee H, Kim SI, Yang SR