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Titration is critical with GLP-1 medications

doi:10.1136/bmj.285.6337.264

A human retrospective cross-sectional analysis of 1477 women suggests that adequacy of dietary choline/betaine may be important for individuals with a lower folate intake or where the folate cycle is reduced due to SNPs or high alcohol consumption (lowering folate status) because the betaine-remethylation pathway of homocysteine is able to go someway to compensate for the folate re-methylation pathway (Chiuve et al , 2007)