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People often look at this combo for liver support because choline plays a direct role in fat transport and metabolism in the liver, and inadequate intake can be associated with liver-related issues

The association between betaine and choline intakes and the plasma concentrations of homocysteine in women

Arab J Urol 16(1):3543 Bui A, Sharma R, Henkel R, Agarwal A (2018) Reactive oxygen species impact on sperm DNA and its role in male infertility

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Some research has suggested a possible connection between L-carnitine supplementation and increased risk of atherosclerosis, a condition in which the arteries harden due to buildup of fats, cholesterol, and other substances
