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The Problem with Traditional GH Therapy While synthetic GH therapy can be effective, it comes with some downsides: Side effects Joint pain, swelling, and even an increased risk of diabetes

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Choline may raise blood levels of TMAO, a compound that may advance atherosclerosis (hardening of the arteries) by reducing the normal clearing of cholesterol and may increase plaque instability (which can cause it to become dislodged) (Koay, Cardiovasc Res 2020), although there do not appear to be studies assessing the link between citicoline (the form of choline in Cognizin ) and TMAO