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doi: 10.1053/j.ackd.2019.04.004 41 VoitRASankaranVG

It wasn't until the 1960s and 1970s that spirulina, rich in vitamins and minerals, began to be used on an industrial scale

While some studies report reductions in liver enzymes and steatosis, results are inconsistent, and few trials assess histological endpoints (174, 178, 210)

36 Gut Microbiome Imbalances Imbalances in gut microbiome composition may result in problems with lipid and glucose metabolism, increased intestinal permeability, and liver inflammation and fibrosis