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Use cautiously in individuals on hemodialysis due to potential for increase in triglycerides and increased platelet aggregation
The problem is that muscles have about 1,000x higher carnitine concentration than blood
Low Betaine + Normal Choline Choline may not be converting effectively to betaine, or the liver-based backup pathway may not be compensating adequately
Used together under supervision, they aim to support a more natural release pattern
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