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Steatosis, or fat accumulation in the liver, which is a direct effect of choline deficiency, can lead to inflammation and cause more severe conditions like fibrosis, cirrhosis and liver cancer (161)

Kumar S, Xu J, Perkins C, Guo F, Snapper S, Finkelman FD, et al

Supporting healthy protein breakdown can support a healthy homocysteine balance

This integrated approach often helps patients improve adherence, reduce setbacks, and build the skills needed to maintain results over time, including when transitioning off medication under medical guidance