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As part of a weight loss program, choline is essential for fat metabolism, it functions as a methyl donor and it assists detoxification reactions in the liver

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It would also help explain a clinical observation discussed later: the gastrointestinal side effects associated with amylin analogs (nausea, early fullness) tend to be most pronounced during dose escalation and to ease with continued treatment, a pattern consistent with partial adaptation of the very gastric mechanism in question