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They are fast-acting and effective, but long-term use causes skin thinning, telangiectasia (visible blood vessels), and tachyphylaxis (reduced effectiveness over time)

Betaine and Choline Status Modify the Effects of Folic Acid and Creatine Supplementation on Arsenic Methylation in a Randomized Controlled Trial of Bangladeshi Adults. European Journal of Nutrition, vol

These include cancer, heart disease, and inflammatory conditions like lupus