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This is a combination product consisting of the probiotic strains **Lactobacillus reuteri GMNL-263**, **Lactobacillus reuteri GMNL-89**, and **Lactobacillus rhamnosus GMNL-74**. These strains are used together as a **multi-strain probiotic supplement**, predominantly formulated for oral administration (sometimes including both heat-killed and live bacterial forms). This probiotic combination is being studied for its beneficial effects on metabolic liver diseases such as **nonalcoholic fatty liver disease (NAFLD)**, and has also been investigated in animal models for its potential to **ameliorate hepatic inflammation and apoptosis in autoimmune conditions such as systemic lupus erythematosus (SLE)**[1][3][4]. The mechanism of action is implied to involve modulation of the gut microbiota, strengthening of intestinal barrier function, and reduction of inflammatory signaling through inhibition of the MAPK and NF-κB pathways, resulting in decreased liver cell apoptosis and inflammatory mediator expression[1][3].
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