“…For instance, the exopolysaccharides produced by kefir specific microorganisms have been shown to have anti-obesity and immunomodulatory activity ( Vinderola et al, 2006a ; Lim et al, 2017 ), while cell-free fractions of kefir have also been shown to have immunomodulatory, lipid lowering, and anti-cancer effects ( Vinderola et al, 2006b ; Gao et al, 2013 ; Santanna et al, 2017 ). Additionally, kefir peptides and peptide fractions have been shown to have a wide range of health impacts including reductions in hyperlipidemia, atherosclerosis, improved neurological function, and reduced non-alcoholic fatty liver disease (NAFLD) risk ( Quiros et al, 2005 ; Chen et al, 2016 ; Tung et al, 2017 , 2020 ; Malta et al, 2022 ). There is also some evidence that kefir or kefir components may improve factors associated with atherosclerosis and cardiovascular disease (CVD) development, both of which are associated with obesity and hyperlipidemia ( Santanna et al, 2017 ; Tung et al, 2020 ; Ghizi et al, 2021 ).…”