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[2] Choline chloride serves as an essential substrate for phosphatidylcholine and betaine formation, thereby enhancing bile-dependent lipid emulsification and acting as an osmolyte that maintains hepatocyte membrane integrity under oxidative stress

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In addition to reviewing the updated List and Summary of Major Changes from WADA, athletes and support personnel including parents, coaches, and medical professionals should take time to review some highlights and additional explanations from the relatively minor changes for 2019: CLARIFICATION ON ANABOLIC AGENTS The title of S1.1b Endogenous Anabolic Androgenic Steroids (AAS) when administered exogenously was changed to Endogenous AAS and their Metabolites and isomers when administered exogenously. This change was made to clarify that all endogenous AAS and their metabolites and isomers are prohibited when administered exogenously