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Trained as primary care physicians, they have practiced integrative and functional medicine for 8+ years

Additionally, consuming more than 3.5 g/d of choline may cause fishy odor and hypotension in adults

Once symptoms clear, reintroduce 5-amino-1MQ at half the original dose (e.g., 25mg instead of 50mg daily) and titrate upward slowly over 23 weeks to assess tolerance