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In patients with renal dysfunction, refractory hypotension, severe metabolic abnormalities, active seizure, or persistent coma, extracorporeal removal by haemodialysis or haemofiltration may be considered, although there are no controlled trials that demonstrate an improvement in outcome with these measures [8890]

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Modifications within the peptide backbone and sequence influence receptor binding behavior and resistance to enzymatic degradation in biochemical environments

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