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The increased levels of choline in COC users may be the result of increased synthesis via phosphatidylethanolamine N-methyltransferase (PEMT), since estrogen treatment has been found to increase the activity of PEMT, leading to increased synthesis of choline 42

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I wouldnt up the test

A Elevated AST and ALT levels can indicate liver inflammation and damage in people with NAFLD, so lower levels are favorable