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doi:10.1002/acr.25142

Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A
Free Report Salaffi F, et al

Dietary choline is partially absorbed by intestinal cells or metabolized by gut bacteria ( Figure 1 )

Not always, but mostly women have slower metabolism rates because of a different hormonal status and lower muscle mass

Orlandi AC, Ventura C, Gallinaro AL, Costa RA, Lage LV.Improvement in pain, fatigue, and subjective sleep quality through sleephygiene tips in patients with fibromyalgia