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Ostinelli, E.G., Salanti, G., Macleod, M., Chiocchia, V., Smith, K.A., Stringaris, A., Downs, J., Robinson, E.S.J., Malhi, G.S., Dwyer, D.M., Chevance, A., Correll, C., Tonia, T., Wheeler, E., Furukawa, T.A., Pizzagalli, D.A., Browning, M., Potts, J., Cipriani, A

In this study, exogenous lactate markedly increased intracellular lactate level, and activated NLRP3 inflammasome in fibroblasts
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GLP-1 analogs are complex peptides that weigh around 3,000 to 4,000 daltons, while the typical upper limit for skin penetration is about 500 daltons

A more accurate frame is: berberine is a metabolic-support supplement that may help some people a little, especially if blood sugar/insulin resistance is part of the picture

This was supported by protein changes indicating enhanced immune modulation and cellular detoxification