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[DOI] [PubMed] [Google Scholar] 31.Ma P, Bian F, Wang Z, et al

Reproductive Toxicology, 2010

in 2000 about the effects of acetyl-L-carnitine on plasma membrane and sperm motility in semen samples of 41 men before freezing-thawing revealed that acetyl-L-carnitine could not prevent cryodamage to the membrane or motility integrity in human spermatozoa of subfertile men (87)

Genuine choline deficiency contributes to hepatic fat accumulation which is exactly why choline is in the blend and why the fat-metabolism story sounds plausible