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Another review found spirulina supplementation may help reduce fasting blood sugar levels in people with Type 2 diabetes

doi: 10.1039/c1cs15118e

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In these terms, the effect on the heart (cardioprotection) might be an additional part of the cytoprotective activity (for review, see, i.e., [10,11,12,13,14,15,16,17,121,122,123]), and, in particular, it might be commonly taken as proof and consequence of its innate cytoprotective activity (for review, see, i.e., [2,3,4,5,6,7,8])

an unusual or allergic reaction to methylcobalamin, cobalt, other medicines, foods, dyes, or preservatives