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While formal drug interaction studies dont exist, the peptides mechanisms suggest several areas of concern

Oz Show, a landmark new article in the New England Journal of Medicine shows that choline in eggs, poultry, dairy, and fish produces the same toxic TMAO as carnitine in red meatwhich may help explain plant-based protection from heart disease and prostate cancer

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It significantly increases the risk of adverse pregnancy outcomes such as congenital anomalies, preeclampsia, abnormal fetal growth, preterm delivery and pregnancy loss [4,5,6] Preterm delivery, especially if it is very preterm or extremely preterm, and major congenital anomalies can result in children living with long term disabilities and chronic disease [7,8,9]