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Choline may increase cholinergic tone and could theoretically augment adverse reactions when combined with acetylcholinesterase inhibitors such as donepezil

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10.1016/j.celrep.2017.04.004 31 LvL.ChenZ.BaiW.HaoJ.HengZ.MengC.et al (2023)

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The clinical and metabolic effects of rapid weight loss in obese pet cats and the influence of supplemental oral Lcarnitine. Journal of veterinary internal medicine 14.6 (2000): 598-608