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Our data suggest that choline can promote liver health by maintaining cholesterol homeostasis. [5] Choline induces glucose and insulin intolerance in Pemt(-/-) mice through modulating plasma glucagon and its action in liver. [6] Choline supplementation decreased the concentration of liver triacylglycerol during the first 4 wk after parturition

However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly and the owner should be forewarned that clinical signs may recur sometime in the future

Discuss with your prescriber before modifying the standard weekly schedule

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The Mayo Clinic adds that some people experience side effects with a vitamin injection (9)