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The effect may be due to the primary component of apple cider vinegar (ACV) acetic acid which has been shown in a limited number of studies to reduce fat and improve metabolism, but the exact mechanism requires further study, researchers said

This association remained significant even after adjusting for age, BMI, and other potential confounders [1]

Neurology (2003) 60(9):14137

However, it is generally used in cycled protocols (e.g., 8-16 weeks) rather than continuous long-term therapy

It is generally known that Aspirin, Ibuprofen and most other NSAIDS have gastrointestinal side effects associated with long term use at levels which are effective in treating joint pain

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