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PMC10706451 Brown B, Cohen L, Jackson R, et al

This is the cholesterol-testosterone paradox,

Some functions that choline serves in the body are: Production of sphingomyelin and phosphatidylcholine, which are needed to maintain cell membrane integrity

As our results showed, there is no difference between them in terms of efficacy, but in terms of patients tolerance, advantages, and disadvantages of each route, the sublingual route is preferred over IM and oral routes