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Description
Lyophilized peptide can clump slightly during shipping or storage

doi: 10.1074/jbc.R200006200

Phase 2 and pharmacodynamic study of oral forodesine in patients with advanced, fludarabine-treated chronic lymphocytic leukemia
There was a small spot under the cloud that either looked like cooling, that is, melting ice, or an ammonia enhancement, that is, melting and release of ammonia, Moeckel said

A head-to-head trial would be needed for definitive comparison