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Most subjects experienced no change in constipation, with one subject reporting improvement, and four reporting a slight worsening
However, association between dietary choline/betaine, which are essential nutrient for health (Zeisel and Da Costa, 2009

Immunol Cell Biol 80:550557 Kim SM, Ha JS, Han AR, Cho SW, Yang SJ (2019) Effects of -lipoic acid on LPS-induced neuroinflammation and NLRP3 inflammasome activation through the regulation of BV-2 microglial cells activation

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We're doing this thing, and we actually don't have a choice, right
