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See our take on this in our Apple Cider Vinegar Review

Intestinal absorption does not appear to be age-dependent (Maccari 1990)

51,124 Additionally, endothelial dysfunction associated with elevated serum uric acid levels leads to a low-grade inflammatory state and vascular activation of the angiotensin system

2 (3), 299316 (2010) L.K

Those two benefits together impact metabolism and overall energy levels and feelings of vitality
It is made by fermenting the sugar from apples, which turns it into acetic acid