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Genuine choline deficiency contributes to hepatic fat accumulation which is exactly why choline is in the blend and why the fat-metabolism story sounds plausible

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Changes to IV Infusion Rules With the 2018 Prohibited List, the allowed volume and timing of intravenous infusions of permitted substances will double to no more than a total of 100 mL per 12-hour period

Because it does not activate the hGH receptor (fully) and does not elevate IGF-1 in human trials, it avoids many of the growth-hormone-related side effects (such as insulin resistance) seen with full hGH therapy