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If you've been taking oral B12 supplements without feeling a difference, a shot is the most reliable way to find out whether the issue is your B12 levels or something else

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Wang Y, Chen N, Niu F, Li Y, Guo K, Shang X, et al

However, multivitamins that include choline bitartrate as their source of choline generally contain only small amounts of choline (e.g., 10 to 25 mg as choline bitartrate), and there does not appear to be evidence that such small amounts significantly increase TMAO levels