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Cold Spring Harb Perspect Med 1, a009316 (2011)

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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

For instance, GLP-1 treatment can be expensive, and insurance coverage may be limited