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Think of it as an exercise-mimetic signal amplifier

A recent study reported that exosomes derived from mouse bone marrow MSCs exerted similar cardio-protective effects [248]

doi: 10.3389/fnins.2020.00267 166 KerinsMJOoiA
It is generally thought to be safe, at least in healthy adults
10.1002/ardp.202100025 134 WangS.CaiQ.XuL.SunY.WangM.WangY.et al (2023)