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The non-coded amino acid residues incorporated at positions 2, 20, and 13 provide resistance to enzymatic degradation while maintaining receptor-binding affinity across all three target receptors

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Br J Nutr 131 Kluger BM, Krupp LB, Enoka RM (2013) Fatigue and fatigability in neurologic illnesses: proposal for a unified taxonomy

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Uncommon: Constipation, skin reactions, arthralgia, hypoglycaemia, peripheral oedema