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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

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Acetyl-L-carnitine (1 g) supports neurotransmitter function and energy production, a requirement for the regeneration and proper function of nerve cells.* Neurotransmitter and Pain Response Support Vitamin B6 is required for the normal release and function of serotonin, dopamine, and GABA