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This form can be used directly in the body, without need for conversion, and is better utilised than cyanocobalamin (5)

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Choline is incorporated into phosphatidylcholine, a major component of very-low-density lipoproteins (VLDL) that export triglycerides from hepatocytes

Patients managing PCOS or mild insulin resistance , when integrated into a broader management strategy

Diagnostic evaluation proved challenging due to the broad clinical spectrum, the occasional absence of classical CSF abnormalities, and the limited sensitivity of CSF VDRL, emphasizing the need for multimodal diagnostic approaches and an international diagnosis standard