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Spirulina naturally produces soluble polysaccharides that exert a prebiotic-like effect, bypass digestion, and fermented by gut bacteria [21, 23]

The hyperpigmentation slowly diminished, but 12 months later dark bluish-grey macules were still visible on the back of his hands and his lower arms (figure 1B)

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Changes of flux in any one of these pathways will influence pyruvate concentration and thus directly affect lactate concentration as the two are maintained close to thermodynamic equilibrium