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    Choline Bitartrate Stats & Data

    Choline Vitamin b4
    PubChem
    MW253.25
    FormulaC9H19NO7
    IUPAC2-hydroxyethyl(trimethyl)azanium;(2R,3R)-2,3,4-trihydroxy-4-oxobutanoate
    InChIKeyQWJSAWXRUVVRLH-LREBCSMRSA-M
    Chemical Class Choline derivative

    Pharmacology

    DrugBank
    State Liquid

    Description

    A basic constituent of lecithin that is found in many plants and animal organs. It is important as a precursor of acetylcholine, as a methyl donor in various metabolic processes, and in lipid metabolism.

    Mechanism of Action

    Choline is a major part of the polar head group of phosphatidylcholine. Phosphatidylcholine's role in the maintenance of cell membrane integrity is vital to all of the basic biological processes: information flow, intracellular communication and bioenergetics. Inadequate choline intake would negatively affect all these processes. Choline is also a major part of another membrane phospholipid, sphingomyelin, also important for the maintenance of cell structure and function. It is noteworthy and not surprising that choline deficiency in cell culture causes apoptosis or programmed cell death. This appears to be due to abnormalities in cell membrane phosphatidylcholine content and an increase in ceramide, a precursor, as well as a metabolite, of sphingomyelin. Ceramide accumulation, which is caused by choline deficiency, appears to activate Caspase, a type of enzyme that mediates apoptosis. Betaine or trimethylglycine is derived from choline via an oxidation reaction. Betaine is one of the factors that maintains low levels of homocysteine by resynthesizing L-methionine from homocysteine. Elevated homocysteine levels are a significant risk factor for atherosclerosis, as well as other cardiovascular and neurological disorders. Acetylcholine is one of the major neurotransmitters and requires choline for its synthesis. Adequate acetylcholine levels in the brain are believed to be protective against certain types of dementia, including Alzheimer's disease.

    Pharmacodynamics

    This compound is needed for good nerve conduction throughout the CNS (central nervous system) as it is a precursor to acetylcholine (ACh). Choline is also needed for gallbladder regulation, liver function and lecithin (a key lipid) formation. Choline also aids in fat and cholesterol metabolism and prevents excessive fat build up in the liver. Choline has been used to mitigate the effects of Parkinsonism and tardive dyskinesia. Choline deficiencies may result in excessive build-up of fat in the liver, high blood pressure, gastric ulcers, kidney and liver dysfunction and stunted growth.

    Indication

    For nutritional supplementation, also for treating dietary shortage or imbalance

    Receptor Profile

    Receptor Actions

    Other
    Acetylcholine precursor
    supports phospholipid synthesis for cell membrane structure
    facilitates trimethylamine (betaine) production for osmoregulation and SAM-e synthesis

    Toxicity

    DrugBank

    Toxicity (DrugBank)

    Oral rat LD50: 3400 mg/kg

    Tolerance & Pharmacokinetics

    drugs.wiki

    Tolerance Decay

    Full tolerance 3d Half tolerance 8d Baseline ~14d

    Experience Report Analysis

    Erowid
    16 Reports
    1 Single-substance
    2003–2017 Date Range
    12 With Age Data

    Demographics

    Gender Distribution

    Too few reports for a chart: gender is known from 16 reports, and a split is drawn only from 20 reports or more. Counts are shown instead. Why 20?

    • Male 15 of 16
    • Female 1 of 16

    Age Distribution

    Reports Over Time

    Common Combinations

    Most co-occurring substances, as a share of all 16 reports filed under Choline Bitartrate

    Too few reports for bars: these combinations come from 16 reports, and a bar is drawn only from 20 reports or more. With fewer, a percentage cannot tell a common effect from a rare one. Counts are shown instead. Why 20?

    • Piracetam 10 of 16

    Legal Status

    Country Status Notes
    Germany Choline bitartrate is an approved dietary supplement.
    United States In the United States, choline is legal as a dietary supplement. The Food and Drug Administration (FDA) requires choline to be in non-dairy infant formula.
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