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Preclinical studies showed no adverse effects across several organ systems including liver, spleen, lung, kidney, brain, thymus, prostate, and ovaries in studies up to 6 weeks

Res 141 , 466480 (2019)

The protective action of metformin against pro-inflammatory cytokine-induced human islet cell damage and the mechanisms involved

The ER also communicates with mitochondria via signaling from the unfolded protein response (UPR), which is activated by ER stress and signals through the three ER-resident stress sensors IRE1, PERK, and ATF6 (Walter & Ron, 2011)
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