Visceral adiposity comes up often in conversation and rarely with the context attached. Here we lay out the basics in order, then work through the practical considerations.
Updated 2026-04-23. Numbers and descriptions here follow the published literature rather than marketing material.
Tesamorelin is a synthetic peptide analog of growth hormone-releasing hormone, composed of 44 amino acids. It was designed to retain the biological activity of the native hormone while resisting rapid enzymatic degradation. The compound is classified as a growth hormone secretagogue and belongs to the broader family of hypothalamic releasing factors. In research and clinical settings, it is studied for its ability to stimulate pituitary growth hormone release. Its structure includes a modification at the N-terminus that contributes to an extended half-life relative to native growth hormone-releasing hormone.
Tesamorelin binds to growth hormone-releasing hormone receptors on the surface of pituitary somatotroph cells. This binding activates adenylate cyclase, raising intracellular cyclic AMP levels and triggering the release of growth hormone into circulation. The elevated growth hormone then stimulates hepatic production of insulin-like growth factor 1. Because the effect is mediated through the endogenous axis, secretion remains subject to feedback regulation. This distinguishes it from direct growth hormone administration, which bypasses pituitary control entirely.
Clinical investigation has focused on HIV-associated lipodystrophy, a condition in which antiretroviral therapy contributes to abnormal fat distribution. Excess visceral adipose tissue accumulates in the abdomen while peripheral fat may be lost. Tesamorelin was evaluated for reducing this visceral fat depot, with trials measuring changes in abdominal fat by imaging rather than by body weight alone. The rationale rests on the known lipolytic effects of growth hormone. Effects on visceral fat are documented, while long-term outcomes regarding cardiovascular risk remain less clearly established.
Lyophilized tesamorelin is generally stored refrigerated at temperatures between 2 and 8 degrees Celsius. The solid form is comparatively stable when kept dry and protected from light. Moisture uptake can promote aggregation and degradation, so sealed containers with desiccant are common. Researchers typically avoid repeated temperature cycling, which may stress the peptide. Documentation accompanying reference materials usually specifies a shelf life under these conditions.
Once reconstituted, the peptide is handled as a solution and is less stable than the lyophilized powder. Aqueous solutions are commonly kept cold and used within a defined period. Buffer composition and pH influence degradation rates, with extremes of acidity or alkalinity accelerating hydrolysis. Preservatives may be added in multi-dose formats to limit microbial growth. Freezing and thawing of solutions is generally avoided because it can cause precipitation or loss of activity.
| Property | Value | Notes |
|---|---|---|
| Molecular class | Synthetic peptide | Analog of growth hormone-releasing hormone |
| Amino acid length | 44 residues | Matches the native peptide backbone |
| Molecular weight | Approximately 5135 Da | Calculated from the peptide sequence |
| Receptor target | GHRH receptor | Expressed on pituitary somatotroph cells |
| Primary studied use | Visceral fat reduction | Investigated in HIV-associated lipodystrophy |
Tesamorelin is a synthetic peptide of 44 amino acids that reproduces the sequence of human growth hormone-releasing hormone (GHRH) and carries a trans-3-hexenoyl group on its N-terminal tyrosine. That small fatty-acid modification blocks cleavage by dipeptidyl peptidase-4, the enzyme that rapidly degrades native GHRH in plasma. The result is a molecule with a longer circulating half-life than the natural hormone while retaining the same receptor target. It is supplied as a lyophilized powder for reconstitution and belongs to the broader class of GHRH analogs studied for effects on pituitary growth hormone secretion.
Development work on the compound, originally designated TH9507, focused on conditions in which reduced growth hormone signaling is thought to contribute to altered body composition. The United States Food and Drug Administration approved it in 2010 for the treatment of excess visceral abdominal fat in adults with human immunodeficiency virus infection and lipodystrophy. Later research examined other populations, including adults with mild cognitive impairment, where a large trial did not meet its primary endpoints. This mixed record illustrates how a single mechanism can produce clear effects in one setting and inconclusive results in another.
Tesamorelin acts on the growth hormone-releasing hormone receptor, a G-protein-coupled receptor found on somatotroph cells in the anterior pituitary. Binding triggers a rise in intracellular cyclic AMP, which in turn opens ion channels and raises calcium concentrations, leading to release of stored growth hormone into the bloodstream. Because the peptide works through the same receptor as the body's own GHRH, the resulting secretion follows a pulsatile pattern rather than a continuous elevation. The N-terminal modification slows enzymatic breakdown, so the signal persists longer than it would with the unmodified hormone.
Growth hormone released from the pituitary stimulates the liver and other tissues to produce insulin-like growth factor 1, a stable circulating protein that serves as a practical marker of activity. Clinical studies therefore track IGF-1 concentrations alongside the hormone itself, and they commonly measure body composition with imaging rather than relying on body weight alone. Visceral adipose tissue, the fat surrounding abdominal organs, is quantified by computed tomography in the studies that supported approval. Adverse effects reported in trials include injection-site reactions, joint pain, and increases in blood glucose, which is why monitoring accompanies use.
Regulatory approval in the United States came in 2010, when the Food and Drug Administration cleared the peptide for the reduction of excess abdominal fat in adults with HIV infection and associated lipodystrophy. The decision rested mainly on two randomized phase 3 trials that enrolled roughly eight hundred patients and ran for twenty-six weeks. Participants receiving active drug showed substantially greater declines in visceral adipose tissue than those receiving placebo, while total body weight changed comparatively little. A reformulated presentation was later approved, and the product has remained a niche therapy rather than a general weight-loss agent.
Tesamorelin occupies a narrow position among agents that act on the growth hormone axis. Unlike growth hormone itself, which is given as replacement, it stimulates the pituitary to release the hormone in pulses, so the downstream increase in insulin-like growth factor 1 depends on intact somatotroph function. Other peptides in the same family include shorter GHRH fragments and synthetic secretagogues with different stability profiles. Several points remain unresolved, including whether the reduction in visceral fat translates into fewer cardiovascular events, what happens to metabolic markers after long-term use, and how the drug compares with lifestyle or surgical approaches.
=== Influenza === Flublok Quadrivalent is a licensed recombinant subunit vaccine for active immunisation against influenza. It contains HA proteins of four strains of influenza virus purified and extracted using the Baculovirus-insect expression system. The four viral strains are standardised annually according to United States Public Health Services (USPHS) requirements. Flublok Quadrivalent has a comparable safety profile to traditional trivalent and quadrivalent vaccine equivalents. Flublok is also associated with less local reactions (RR = 0.94, 95% CI 0.90–0.98, three RCTs, FEM, I2 = 0%, low‐ certainty evidence) and higher risk of chills (RR = 1.33, 95% CI 1.03–1.72, three RCTs, FEM, I2 = 14%, low‐certainty evidence).
=== Metabolic and covalent labeling of glycans === Metabolic labeling of glycans can be used as a way to detect glycan structures. A well known strategy involves the use of azide-labeled sugars which can be reacted using the Staudinger ligation. This method has been used for in vitro and in vivo imaging of glycans.
=== 1988 === 11 February Running to Time, about the new InterCity 225; the National Express Coaches Rapide service; the project team of the Intercity 225, with project director Mike Rollin, and Mike Newman of GEC; the 225 train had to be delivered on 14 February 1988, with an operational life of thirty years; the InterCity 125 was not intended to have been primarily developed - in a board meeting, the commercial directors were not technologically knowledgeable of trains, and asked about alternatives, to be told by an engineering director that a 125 mph diesel train could be developed in two years, so the HST began at that meeting; the British Rail APT-E prototype, powered by the Leyland 2S/350 gas turbine; in 1974 BR commissioned the APT-P, which had ten years of development, due to the active tilting suspension; the 225 train was possibly to enter service on the UK's only large electrified line, the West Coast Main Line, but the much-straighter and faster East Coast Main Line was being electrified, so BR decided to implement the 225 train on the ECML instead; Crewe railway station, which opened in 1837, and where trains were first built nearby in 1843; Steve Corfield, of Crewe Works; the unsprung mass of a train, and Cardan shafts; Roger Ford of Modern Railways; John Prideaux, director of InterCity; David Carter of DCA in Warwick, who designed the livery; the Modernisation Plan was published in December 1954, which had advocated the electrification of the ECML, and the phasing-out of steam travel; the late-1980s ECML electrification had cost BR £350m - it was not government-funded, with 2,800 miles of copper wire, and 33,000 support masts, overseen by Don Heath; all of the improvements in the UK were on old lines of track, but France and Germany had built entire new electrified lines - the TGV was planned from the mid-1960s; G. Freeman Allen of Jane's World Railways; the 225 train underframe being built at Crewe Works; GEC Traction at Preston, Lancashire, Al Reed, the separately excited (Armature Controlled DC Motor) brushed DC electric motor, and Gerald West; the right-angle gearboxes were built by David Brown Ltd and Voith of Heidenheim an der Brenz in southern Germany; Eric Black of Metro-Cammell in Washwood Heath; the ST41 bogies were made by SIG Combibloc Group of Neuhausen am Rheinfall in Switzerland. Narrated by Robin Ellis, produced by Patrick Uden, directed by Paul Fabricius, made by Uden Associates. 12 February Playing with Fire 17 July The Air Fix!, about aviation safety; a television adaptation of a black comedy theatre production by 35-year-old James Castle, dressed as an airline pilot, largely featuring Turkish Airlines Flight 981, the Ermenonville air disaster, in France on 3 March 1974, to this day the worst airliner crash, without any survivors, with 177 British people killed, when a cargo door ruptured, and the subsequent enquiry led to a cover up by the airline and aviation authority; the DC10 had known design failings in its fuselage, and its cargo door design was known to be faulty by the aircraft manufacturer; the American Airlines Flight 96 crash had happened on 12 June 1972, involving a design failure of the cargo door, but the FAA nonetheless gave the DC-10 a certificate of airworthiness; the DC10 had been rushed into service; James Castle accused the aircraft industry of callous negligence; James Castle had been a British Airways aircraft maintenance technician from 1969 to 1977 at Heathrow Airport; he listed the numbers of children that lost one or both parents in the crash, and the numbers of women who were widowed; the theatre production had been going since December 1986, directed by Caroline Noh Narrated by James Castle, produced by Ben Gooder, made by Uden Associates 24 July Nic's Boat, about Nic Bailey, a 37-year-old architect with Foster and Partners; he designed a 40-ft trimaran, called MTC, for the Carlsberg Single-Handed Trans-Atlantic Race on 5 June 1988; he had helped to design the 1978 Sainsbury Centre for Visual Arts in Norwich and the Renault Centre in Swindon; boat builder Spud Rowsell in Exmouth, with Phil Morrison; the hull cost £46,000, and the rigging cost £46,000; the mast and rigging were fitted at Topsham, Devon; Robin Knox-Johnston; French yacht designer Bruno Fehrenbach; he sailed the Atlantic between the Rhumb Line Route and the Great Circle Route; some yachts made the journey to Newport, Rhode Island in ten days; the yacht mast was constructed by Proctor South West. Produced by Michael Wills, directed by Bob Bee, made by Juniper Productions 31 July The Living Dead 7 August Zen and the Art of TV Manufacture, a Panasonic TV factory in South Wales; in 1933 the company founder Kōnosuke Matsushita established seven guiding commercial principles; the Fidelity TV factory in west London was given one year - 1988 - to turn its fortunes around or be closed; the factory's closure was announced to the workforce on 25 January 1988, with the site closing at the end of July 1988; Amstrad bought the Fidelity name in May 1988. Narrated by Alan Howard, directed by Patrick Uden, produced by Michael Proudfoot, made by Uden Associates 14 August How Good Is Soviet Science?, about the political inhibition of Soviet technology in the 1980s; in many ways the Soviet Union in 1987 was a backward and underdeveloped nation, with food queues; the Soviet system didn't respond to changes in demand - everything was planned years in advance; physicist Alexander Prokhorov, who won the Nobel Prize for Physics in 1964; Russians were proud of mathematicians Pafnuty Chebyshev and Nikolai Lobachevsky; large government centrally planned projects were compatible with the communist system, notably its space programme; by the 1970s, the Russians realised that they were some distance behind other countries, such as in disciplines of computing and genetics; science teaching was emphasised at Soviet schools, and English was well taught as well; after secondary schools, half went into science; theoretical science was where Soviet teaching excelled, such as at the Steklov Institute of Mathematics; Yuri Ovchinnikov wanted to improve Soviet science; in the early 1950s, the Soviet Union tried to ignore the findings of genetics, through the work of Trofim Lysenko, who claimed that genetics was anti-communist, known as Lysenkoism leading to many scientists being imprisoned and executed; in the 1960s, a set of large biological research centres were built at Pushchino; one of the most well-built research institutes was the Shemyakin Institute of Bioorganic Chemistry, for biotechnology; Stalin did not like computer science, and it was largely banned until 1958; the Soviets were always years behind in computer science; the first recognisable transistor Soviet computer was the BESM-6 in the 1960s; later computers were the ES EVM series, copied from the IBM System/360; the Akademgorodok (Academic City) in Novosibirsk; the Institute of Automation and Electrometry researched optical memory on holographic slides to and much work on lasers; collaboration between Soviet research and Soviet industry was long-winded, maybe almost impossible - the centrally planned Soviet industry could not sufficiently adapt for short-term changes, as it had to be monotonously planned years in advance, for mass production; Soviet government research was perhaps excellent nonetheless; not many Soviet scientists could travel to international conferences; dissemination of current worldwide science was limited throughout the Soviet Union, due to widespread government restrictions; Suite No. 2 in B minor, BWV 1067. Narrated by US technology historian Loren Graham, produced by Chris Durlacher, directed by Martin Smith, made by Uden Associates, NDR and WGBH. Shown on Nova on 17 November 1987 and 22 March 1988 21 August Toys for the Boys, about the Williams racing team; Graham Hill and Jim Clark in 1967; Tomorrow's World in 1967, narrated by Derek Cooper; journalist Peter Windsor of Williams; aerodynamicist Frank Dernie, head of research at Williams; Keith Botsford, motor racing editor of the Sunday Times; the German racing manager Alfred Neubauer, in the late 1930s; there were 18 F1 teams, with 7 being British; Mobil Oil paid Williams £2.5m for advertising on the cars of Nigel Mansell and Riccardo Patrese; the Williams FW11; racing driver Howden Ganley; part of a BBC Horizon documentary broadcast on 9 March 1981, featuring the Williams FW07, and likewise narrated by Martin Jarvis and produced by Patrick Uden; engineering director Sir Patrick Head; Bach Mass in B minor; Mike Hawthorn, was killed on a public road, the A3 Guildford bypass, in his Jaguar Mark 1 on 22 January 1959; Canadian Gilles Villeneuve was thrown from his Ferrari, when qualifying for the 1982 Belgian Grand Prix; Swedish Ronnie Peterson, died after an accident on the start line at the 1978 Italian Grand Prix; Italian Elio de Angelis was killed in May 1986 at the Circuit Paul Ricard in south-east France; British Piers Courage burned to death at the 1970 Dutch Grand Prix; Jim Clark hit a tree on 7 April 1968 at the 1968 Deutschland Trophäe in the north-west of Baden-Württemberg; German Jochen Rindt was killed at the 1970 Italian Grand Prix after winning the championship in the same year, which was awarded posthumously; Bach Mass in B minor; Frank Williams had a crash on 8 March 1986 in the south of France, with Peter Windsor, in a Ford Sierra, making him quadraplegic; the Williams wind tunnel; Alan Jones waving the British flag at the 1980 Grand Prix; the 1988 season Williams car had a Judd V8 engine; the closing fanfare of Les préludes by Liszt; the documentary ends with German military march Prussia's Glory. Narrated by Martin Jarvis, produced by Patrick Uden, made by Uden Associates 28 August Cold Spring, Morning Sun, about atomic physicist Joan Hinton and her husband Erwin Engst. Joan's mother was teacher Carmelita Hinton. Joan worked on the top secret Manhattan Project at Los Alamos in 1944 which produced the atomic bombs that were dropped on Hiroshima and Hagasaki in the summer of 1945. After the war, Joan, her brother Bill, and her husband Erwin (Sid) Engst travelled to China to join Mao Ze Dong and the cultural revolution. Over the next five decades, Joan and Sid became pioneers in Chinese agricultural science and technology. Narrated by Liza Goddard, written, produced and directed by Chris Haws, Made by InCA. 18 September Taking the Tunnel, who would be travelling through the Channel Tunnel; the tunnel would open in May 1993; Colin Kirkland, technical director of Eurotunnel; Roger Vickerman of the University of Kent; historian Corelli Barnett, and how France and Germany spent money after the war improving rail infrastructure; journalist Kathy Watson; a working model was built of the two Channel rail terminals; 90% of the tunnel went through chalk; the French end was built much more water-tight than the English end, due to the worse geology; the tunnel was around one mile long at the English end, to meet the French side in 1990; the Single Market would stop duty free sales on the Channel ferries; the former Night Ferry across the Channel, which operated until 30 October 1980; TGV Est would connect Bordeaux, and TGV Nord would connect to Germany, the Netherlands, with a spur to the new tunnel; Richard D. North; tolls on the autoroutes discouraged local traffic, which slowed down British motorways; Daniel Ghouzi of Transmanche; Martin Simmons of Kent County Council; A292 junction of M20; Corelli Barnett believed that the British civil service was best at fudging, whereas the French civil service had been trained differently at the French grandes ecoles; a VTG ship from Dover to Dieppe carried trains; freight journeys over 250 miles were most cost effective by rail, but did lack logistical flexibility at either end; Michael Barclay of Tiphook Rail; a distribution centre in Paddock Wood in Kent, built by the Spanish Transfesa; UIC gauge was the main European gauge for freight; Artura Boix of Transfesa; Richard Hope of Railway Gazette; British trains had a 25 tonne axle weight, more than the European 22 tonnes; early plans for the new Eurostar trains, which would be dual voltage for travelling in England and France; rail writer Geoffrey Freeman Allen; the French trains would leave from the Gard du Nord; customs checks would be at the British end in London, but not in France; British Rail planned a high speed line across Kent to open in 1998 from King's Cross, but it would not open until September 2003, and to London in November 2007; Roger Ford of Modern Railways. Narrated by Geoffrey Palmer, produced by Patrick Uden, directed by Paul Fabricius, made by Uden Associates 25 September Road Test about road transport in the UK; there were two million vehicles in the UK in 1930; a test drive would be conducted from The Point, Milton Keynes at 8.30am to Maidstone, by different routes - Mike McDonald of the University of Southampton and Margaret Bell of the University of Nottingham in a Volvo 850 would go across London, and Peter Bonsall and Howard Kirby of the University of Leeds in a Volkswagen Passat B3, would follow the M25 to the north of London, George Hazel of Napier College and John Wootten in a Ford Granada would follow the M25 south of London, and Martin J. H. Mogridge would take the train on the new Thameslink from Bedford railway station via Blackfriars Railway Bridge; the test would be directed from the Road Traffic Research Centre at Middlesex Polytechnic, with Chris Wright, Peter Hills from Newcastle University, and psychologist Ivan Brown from the Applied Psychology Unit (MRC Cognition and Brain Sciences Unit) in Cambridge; variable-message signs (VMS) on the M6; before joining the M25, the vehicles had an average speed of 50 mph; the early plans in the 1940s for the M25, which the M25 to the south and west of London, now largely follows; when the M25 needed to be built, in the 1960s, many environmental objections had arisen for it to be built; Russ Kane in Capital Radio's Flying Eye; David Marsh at the AA Roadwatch studio in north London; the ramp meter, installed on the M6 by John Wootten; all of London's traffic lights were controlled from a computer centre in Westminster, with software (Split Cycle Offset Optimisation Technique) developed by Dennis Robertson; the Volvo 850 enters London along the Edgware Road and Park Lane to Hyde Park Corner; the prototype Autoguide system invented by Ian Catling; automatic vehicle identification (AVI) and piezoelectric strips developed at the University of Nottingham Department of Civil Engineering, and tested by Peter Davies on the Nottingham ring road, next to the QMC; the Volkswagen Passat arrives first at the Great Danes Hotel, making the 107 miles in two hours seventeen minutes, an average speed of 47 mph; the route south of London - 119 miles, also has a 47 mph average speed; the 96-mile rail journey had an average speed of 35 mph; the programme content would be copied by Top Gear fifteen years later. Narrated by Martin Jarvis, produced by David Sharp, directed by Mike Tomlinson, made by Orlando Productions 9 October Look, No Hands! about technology outpacing human knowledge; Hubert Dreyfus of University of California, Berkeley; Martin Corbett, industrial psychologist at the University of Warwick; work by Mike Cooley, and systems design; mechanical engineer Frederick Winslow Taylor and his meticulous improvements to industrial methods, in his book The Principles of Scientific Management; John Harris, manager of the Rolls-Royce helicopter engine plant at Leavesden, Hertfordshire; perhaps automation in engineering manufacturing processes could perhaps add or enhance, rather than totally replace, which required and produced less directly competent workers. Produced by Debra Hauer, directed by Christopher Rawlence, made by Hauer Rawlence Productions 16 October Spytech, John Pike of the Federation of American Scientists and how the Space Shuttle was built mostly for low Earth orbit reconnaissance satellites; but the Titan 34D was also available for many spy satellite launches; Christopher Andrew of the University of Cambridge; Harry Rositzke of the CIA, and the disastrous Operation Red Sox, from 1949 to 1953; William Colby, Director from 1973 to 1976 of the CIA, and how spying methods that worked in Germany during World War II were simply hopeless in a possibly more bizarre culture of communist eastern Europe in the early 1950s, so Ferret missions by B-29 aircraft over the border were attempted instead, but many were shot down; the Americans decided to go for high-altitude reconnaissance; on 1 May 1960, an aircraft photographing a missile construction factory, pilot was sentenced to 10 years, but released after two years in exchange for Rudolf Abel; H. Keith Melton and notorious improvised technology of the KGB; the Russian defector Stanislav Levchenko; the burst transmission method; camera lenses for spy satellites made by Itek; the Space Shuttle was built to maintain and repair the Key Hole set of spy satellites, such as KH-11 KENNEN, launched by the National Reconnaissance Office (NRO) in 1976, and introduced digital photography, and EOSAT and its Landsat program; Jeffrey T. Richelson, a writer on national security; Major-General George Keegan of the Twenty-Fifth Air Force described how the Soviet Union got to know when spy satellites would be overhead, and would hide anything sensitive; listening satellites sent their data to the NSA at Fort Meade in Maryland, such as data from Magnum, launched by the secret STS-51-C mission in January 1985; Paul Bracken and all-source intelligence fusion; Soviet intelligence in the US was quite widespread, with up to 800 spies operating out of Soviet trade missions, and operated much more widespread than the US had attempted; the new KH-12 satellite, that launched in November 1992, could see through clouds. Narrated by Mike Short, produced by Claudia Milne, made by Twenty Twenty 23 October Bamboo, the importance of bamboo to the Chinese economy; Prof Hsiung Wenyue of the Bamboo Research Centre of Nanjing Forestry University; bamboo structures do not collapse in high winds; over a thousand species of bamboo; bamboo dies out for ten years, then grows again; only 15% of China can be cultivated; bamboo can grow four feet in 24 hours, it is the fastest growing plant; bamboo has a tensile strength twice as much as timber; hospitals in China worked with herbal remedies; bamboo traders had quotas set by the Chinese government; bamboo shoots were mostly exported to Japan; growing bamboo helped soil structure; the Chinese government encouraged the growing of bamboo, as an alternative to timber. Narrated by Jenny Agutter, produced by Michael Blakstad, directed by Patrick Fleming, made by Workhouse Productions, made in cooperation with China Central Television 30 October Heavy Metal, chemist Neil Ward of the University of Surrey, who found abnormal pregnancies; medical doctor Robin Russell-Jones of the Campaign for Lead Free Air; environmental chemist Brian Davies of the University of Bradford; footage from the 1971 BBC A Public Poison, with chemist Derek Bryce-Smith, and Patrick Lawther of St Bartholomew's Hospital; Gloria all'Egitto from Aida by Giuseppe Verdi, with the assembly line of the Rover 800; Robin Brundle; Eric Fountain of Vauxhall Motors; Ojos Criollos by Louis Moreau Gottschalk. Narrated by Catherine Robins, produced by Michael Blakstad, made by Workhouse Productions 13 November Free Flight, about gliding, with Derek Piggott in a Rolladen-Schneider LS4 at Booker Gliding Centre in Buckinghamshire; in the UK there were about 350,000 flights and 2 deaths each year; a Schleicher ASW 24 in a wind tunnel with Loek Boermans at TU Delft Faculty of Aerospace Engineering in the Netherlands; the Schleicher ASH 25 with glider pilot John Jeffries at London Gliding Club west of Dunstable; at Wasserkuppe, a 3,000 ft mountain in the east of Hesse in the centre of Germany is where gliding mostly developed in the 1920s by the Deutsche Forschungsanstalt für Segelflug, due to German powered-aircraft manufacturing being legally restricted; nearby at Poppenhausen, Hesse is Alexander Schleicher GmbH & Co, with designer Gerhard Waibel, where gliders had wings made from carbon fibre, and covered in kevlar for torsional stiffness; the first glider of a contemporary design was the Akaflieg Stuttgart fs24 in 1951. Narrated by Robert Gary 20 November Chaos, Tim Palmer of the ECMWF; mathematician Robert L. Devaney; German mathematician Heinz-Otto Peitgen and fractal geometry; strange attractors in dynamical systems, such as weather systems; David Rand of the University of Warwick, and period-doubling bifurcation, discovered in 1975 by mathematician Mitchell Feigenbaum discovered; fractal landscapes; British mathematician Michael Barnsley, and affine transformations, which are applied to digital image processing; the chaos game; Soviet physicist Lev Landau; physicist Harry Swinney of the University of Texas; economist James B. Ramsey; Ian Stewart of the University of Warwick, and the unpredictable rotation of Hyperion. Written, produced and directed by Chris Haws, the programme was made by Independent Communications Associates (InCA). In 1989, it won the SciTech Award for best scientific documentary. 27 November The Art of Deception, about camouflage, deception, decoys and stealth. The Northrop Grumman B-2 Spirit was first displayed on Tuesday 22 November 1988, just five days before the programme was aired. Featured interviewees include: Richard P. Hallion of Wright-Patterson Air Force Base; Peter Varnish of the Admiralty Research Establishment at Funtington in West Sussex; defence writer Antony Preston; Roy Behrens of the Art Academy of Cincinnati; Lt Col Chris Nash of Surveillance, Target Acquisition, Night Observation and Counter-surveillance (STANOC); Major William Marshak of the AAMRL - now the 711th Human Performance Wing; Captain Brian Perowne, commanding officer of HMS Brazen (F91); aviation writer Bill Sweetman, and Commander Patrick Walker, commanding officer of HMS Trafalgar (S107) a Royal Navy hunter-killer submarine; John Hall of the Admiralty Research Establishment (former Admiralty Experiment Works) at Haslar. Narrated by Nick Chilvers, Written, produced and directed by Chris Haws, made by InCA and WGBH Boston
Sources: en.wikipedia.org
== External links == GeneReviews/NCBI/NIH/UW entry on von Willebrand Factor Deficiency. Includes: Type 1 von Willebrand Disease, Type 2A von Willebrand Disease, Type 2B von Willebrand Disease, Type 2M von Willebrand Disease, Type 2N von Willebrand Disease, Type 3 von Willebrand Disease Overview of all the structural information available in the PDB for UniProt: P04275 (von Willebrand factor) at the PDBe-KB.
== Uses == Because of their amphiphilic structures, the polymers have surfactant properties that make them useful in industrial applications. Among other things, they can be used to increase the water solubility of hydrophobic, oily substances or otherwise increase the miscibility of two substances with different hydrophobicities. For this reason, these polymers are commonly used in industrial applications, cosmetics, and pharmaceuticals. They have also been evaluated for various drug delivery applications and were shown to sensitize drug-resistant cancers to chemotherapy. In bioprocess applications, poloxamers are used in cell culture media for their cell cushioning effects because their addition leads to less stressful shear conditions for cells in reactors. There are grades of poloxamers commercially available specifically for cell culture, including Kolliphor P 188 Bio. In materials science, the poloxamer P123 has recently been used in the synthesis of mesoporous materials, including SBA-15. In colloidal science, certain poloxamers such as Pluronic F-108 or Pluronic F-127, are used as steric stabilizers to prevent coalescence and/or reduce aggregation. In the case of hydrophobic colloids, the poloxamer's interior hydrophobic block is absorbed into the colloid while the two hydrophilic tails remain suspended in solution, creating a steric barrier. When mixed with water, concentrated solutions of poloxamers can form hydrogels. These gels can be extruded easily, acting as a carrier for other particles, and used for robocasting.
== Saturation of the gastric ATPase == Even though consumption of food stimulates acid secretion and acid secretion activates PPIs, PPIs cannot inhibit all pumps. About 70% of pump enzyme is inhibited, as PPIs have a short half-life and not all pump enzymes are activated. It takes about 3 days to reach steady-state inhibition of acid secretion, as a balance is struck between covalent inhibition of active pumps, subsequent stimulation of inactive pumps after the drug has been eliminated from the blood, and de novo synthesis of new pumps.
Sources: en.wikipedia.org
It is a synthetic analog of growth hormone-releasing hormone, a hypothalamic peptide. It functions as a growth hormone secretagogue acting at pituitary receptors. The classification separates it from direct growth hormone products.
The synthetic peptide incorporates modifications that slow enzymatic breakdown in circulation. Native growth hormone-releasing hormone is short-lived, whereas the analog is designed for greater stability. The core amino acid backbone is largely retained.
The main studied application is reduction of excess visceral abdominal fat in HIV-associated lipodystrophy. Research has measured fat changes through imaging. Findings concern fat distribution rather than overall body weight.
Refrigeration between 2 and 8 degrees Celsius is typical, with protection from moisture and light. Dry, sealed containers help maintain stability over the labeled shelf life. Temperature cycling is usually minimized.