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Where it differs structurally as a synthetic peptide is the addition of the amino acid tyrosine at the N-terminus to provide additional stability to the peptide (hence a longer half-life), seen on the top-right corner of the picture below: (Source) Hence why youll also see it labeled as Tyr-hGH Frag 176-191

Keep in mind when I got the ECG I was having a severe panic attack and had a heart rate of around 110 so not sure if this tachycardia caused by anxiety resulted in this assessment (I think it's an automated assessment from the machine)

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Primary Research Vectors Visceral Adiposity: Studying the reduction of white adipose tissue (WAT) and the shrinkage of fat cell size without altering caloric intake in animal models