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They work by mimicking the GLP-1 hormone, which helps improve insulin secretion, suppress glucagon release, and slow gastric emptying

Free Radic Biol Med 112:111

Internationally, the rules can vary even more

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Interestingly, in the PREvencin con DIeta MEDiterrnea-Plus (Predimed-Plus) trial in overweight or obese individuals with metabolic syndrome, an increase in dietary choline intake over a one-year period was associated with improved measures of cardiovascular health (i.e., lower serum total cholesterol, serum LDL cholesterol, and systolic and diastolic blood pressure levels) (123)