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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. [7] Choline is also known to be involved in the synthesis of carnitine, cell membrane phospholipids, and the neurotransmitter acetylcholine

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Patients should be counseled on practical strategies to minimize discomfort during this adjustment period

however, the pathophysiology of T2DM involves insulin resistance and hyperinsulinemia

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