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doi:10.1517/14740338.6.4.341

This cascade activates CHOP, a marker of apoptosis, further regulating the expression of Bcl-2 and Bax, ultimately initiating apoptotic signaling [45]

Depending on where the spirulina is grown, there could be toxins and heavy metals found within it, which is why finding a reliable source is important, says Koszyk