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It is a compounded preparation, so its formula is not FDA-reviewed for safety, effectiveness, or quality the way an approved drug is

In addition, Citrinin can also cause complex translocations with the cellular DNA in a high frequency, and is capable of inducing defects in chromosomal coiling (178), which may lead to the formation of DNA adducts (179)

PMC11859134

As an alternative, tributyrin supplementation in diet-induced obese mice was also shown to improve glucose tolerance and inflammatory status (86), indicating that direct supplementation of butyrate might have beneficial effects on both metabolic and inflammatory parameters relevant for the pathophysiology of T2D

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Chalasani N, Younossi Z, Lavine JE, Charlton M, Cusi K, Rinella M, et al