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The activation resulted in decreased levels of pro-inflammatory cytokines IL-1 and IL-6 in adipose tissue, ultimately reducing inflammation ( Metformin has been shown to have some anti-inflammatory effects in clinical studies in patients with T2DM, in experimental studies in rodent models of obesity and T2DM, and in vitro experiments with several immune cells ( in vitro , metformin reduces the inflammatory activation of macrophages by interfering with the metabolic changes linked to inflammation (Xiong et al., 2021)

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