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This plays a critical role on the utilization of fats and carbohydrates in energy production as well as the manufacturing of adrenal hormones and red blood cells

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Aflatoxins are one of the major causes of liver cancer in certain regions of Africa and Asia [83], [61]

Special attention should focus on its potential interactions with standard medications for thyroid disorders (e.g., methimazole, propranolol) and diabetes (e.g., metformin) to ensure safe integration into conventional therapies and support its rational clinical use

Severe deficiency can contribute to fatty liver changes, which is one reason choline gets framed as liver support. Details are summarized in the NIH ODS Choline fact sheet for health professionals