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According to clinical data, probiotics can help MASLD patients' liver histology and liver injury indices like alanine aminotransferase (ALT) and aspartate aminotransferase (AST) (168)

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It appears to modulate the immune response by influencing cytokine activity and suppressing pro-inflammatory signaling

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If a TNF inhibitor previously worked well but has stopped, this is worth discussing with your rheumatologist before assuming you need to switch