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Doubling can increase side effects like nausea, vomiting, or constipation without improving outcomes

Anderberg R, Richard J, Hansson C, Nissbrandt H, Bergquist F, Skibicka C, et al

Potential Side Effects and Long-Term Risks Common side effects include nausea, vomiting, digestive issues, and fatigue

Thus, CTLs facilitate choline transport across the plasma and mitochondrial membranes, aiding in the production of phosphatidylcholine (PC) and betaine, respectively (14)