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The short answer is that they refer to the same molecule
The FDAs primary enforcement mechanism is against vendors who make explicit health claims or market compounds as supplements or medicines
Circulating concentrations of choline and betaine and risk of cardiovascular disease A 1995 study had found that elevated blood homocysteine concentrations in patients who experienced a vascular occlusion were associated with higher urinary excretion of betaine, rather than with reduced intake of choline or betaine or diminished activity of BHMT (49)
10.1016/j.pnpbp.2023.110915 16 KapsiS.KatsantoniS.DrigasA
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