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10.1016/j.mib.2011.11.002 103

Additionally, multi-strain formulations have been shown to significantly reduce insulin resistance (HOMA-IR) by modulating the TGR5 bile acid receptor pathway (399)

Tumor necrosis factor (TNF)-mediated kinase cascades: bifurcation of nuclear factor-kappaB and c-jun N-terminal kinase (JNK/SAPK) pathways at TNF receptor-associated factor 2 Proc Natl Acad Sci USA 1997 94 : 97929796 Jang IK, Lee ZH, Kim YJ, Kim SH, Kwon BS
Beyond the bioenergetic defects, damaged mtDNA may leak from mitochondria into the cytoplasm or extracellular space [31]

the Sikiric group has consistently argued the opposite

It is water soluble so excess gets flushed out
