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absorption is usually still adequate for most people

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Results from this study suggest that hepatic fat export in periparturient dairy cows is improved by choline supplementation during the transition period and this may potentially decrease the risk for metabolic disorders in the periparturient dairy cow. [7] Choline is also known to be involved in the synthesis of carnitine, cell membrane phospholipids, and the neurotransmitter acetylcholine

Food Nutr Bull 2013;34:151-9

After not hearing back from the doctors, Jimmy followed up and was told he was supposed to have been referred to neurology