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Results from this study suggest that hepatic fat export in periparturient dairy cows is improved by choline supplementation during the transition period and this may potentially decrease the risk for metabolic disorders in the periparturient dairy cow.12 Choline is also known to be involved in the synthesis of carnitine, cell membrane phospholipids, and the neurotransmitter acetylcholine

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Furthermore, this study did not find any adverse effects resulting from the combination treatment

Curtis, MD, MS, MPH, a professor of medicine in the division of clinical immunology and rheumatology at the University of Alabama at Birmingham (UAB), told the American College of Rheumatology in a press release