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High-risk groups include older adults, vegans, individuals with pernicious anaemia, those with malabsorption conditions such as Crohn's disease or coeliac disease, people taking metformin or proton pump inhibitors long-term, and those with recent nitrous oxide exposure including recreational use

Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work

This is not a trivial consideration

These pretreatment steps ensure your safety, effectiveness of therapy, and clarity on costs

Choline is an essential nutrient that is vital for various bodily functions