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Choline, an essential nutrient, is a precursor to the neurotransmitter acetylcholine and the membrane phospholipid phosphatidylcholine

However, severe persistent vomiting (more than 3 episodes per day for more than 2 days), signs of pancreatitis (severe abdominal pain radiating to the back), or allergic reactions (hives, difficulty breathing, facial swelling) warrant immediate protocol cessation and medical attention

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Clinical evidence: A trial published in the New England Journal of Medicine found that tesamorelin significantly reduced visceral fat and improved lipid profiles in patients with HIV-associated abdominal fat accumulation the population in which it was studied and approved (6)