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The liver also expresses betaine-homocysteine methyltransferase, which uses betaine derived from choline to remethylate homocysteine

Additionally, if itching is severe enough to disrupt sleep, daily activities, or quality of life, or if it is associated with skin changes such as blistering, peeling, or significant inflammation, medical review is advisable

1 This led researchers to further investigate the link between gastric hormones and insulin release

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Allergic Reactions Though reported instances are rare, tranexamic acid can cause allergic reactions, such as severe itching, swelling, hives or a rash