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A Covalent Intermediate in CD38 Is Responsible for ADP-Ribosylation and Cyclization Reactions

Critically, AOD-9604 did not produce the metabolic side effects associated with full-length growth hormone, including no insulin resistance or glucose intolerance, no elevation of IGF-1 levels, no fluid retention or joint pain, and no cardiovascular parameter changes

Muscle preservation: Because AOD 9604 targets adipose tissue specifically and does not suppress systemic anabolic signaling, researchers have hypothesized that it may allow for fat loss with less collateral impact on lean mass, though this has not been formally tested in head-to-head trials

In this regard, CD38 inhibitors may have beneficial effects upon conditions, where cellular calcium homeostasis is deregulated such as in hypertension, cardiac ischemia, asthma and dysfunctional labor [29, 21, 69, 72, 73]
