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Choline

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Revision as of 04:31, 20 January 2020 by Bethany.Chester (talk | contribs) (Research)

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Note that we want only enough information to convincingly support the assertion and counter inaccurate information. When making a point, it is important to find those sources that will result in the most convincing arguments, and to summarize findings in the most convincing manner, all without misrepresenting or exaggerating those sources.

Places to start for research:

Is there research showing that vegans are generally not deficient in choline, or that non-vegans are?

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Fact Sheet

Assertion

  • This fact sheet supports the assertion that choline from animal sources is not necessary and may be harmful to health.

Context

  • <-- Put the article in context. State that there is confusion and the source/sources of the confusion. See Grazing's context section -->
  • The nutrient choline is most highly concentrated in animal-derived foods such as eggs, meat, and dairy. This has led to claims that vegans are at risk of becoming deficient in choline.
  • A 2019 opinion piece published in the journal BMJ made headlines by expressing concern about choline deficiency in those eating plant-based diets. However, the author has ties to the egg and meat industries.[1]

Research

  • Choline produces a byproduct called TMAO in the body. A study in the New England Journal of Medicine found that TMAO increases the likelihood of stroke, heart disease, and even death. The study recommends that excess choline intake should be avoided and suggests that a high-fiber or vegetarian diet is an effective way to do this.[2]
  • Another study also found that high choline intake is linked to heart disease, but noted that vegans and vegetarians are protected from its effects.[3]

Conflicting Information

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Other Sources

  • <-- expert testimony from prestigious or credentialed people or organizations -->

See Also

Plain Text

Footnotes

  1. Derbyshire, Emma. “Could We Be Overlooking a Potential Choline Crisis in the United Kingdom?” BMJ Nutrition, Prevention & Health 2, no. 2 (December 1, 2019): 86–89. Accessed January 20 2020. https://doi.org/10.1136/bmjnph-2019-000037.
  2. Tang, W.H. Wilson, Zeneng Wang, Bruce S. Levison, Robert A. Koeth, Earl B. Britt, Xiaoming Fu, Yuping Wu, and Stanley L. Hazen. “Intestinal Microbial Metabolism of Phosphatidylcholine and Cardiovascular Risk.” New England Journal of Medicine 368, no. 17 (April 25, 2013): 1575–84. Accessed January 20 2020. https://doi.org/10.1056/NEJMoa1109400.
  3. Zhu, Weifei, Zeneng Wang, W. H. Wilson Tang, and Stanley L. Hazen. “Gut Microbe-Generated Trimethylamine N -Oxide From Dietary Choline Is Prothrombotic in Subjects.” Circulation 135, no. 17 (April 25, 2017): 1671–73. Accessed January 20 2020. https://doi.org/10.1161/CIRCULATIONAHA.116.025338.

Meta

This fact sheet was originally authored by Greg Fuller and copyedited by Isaac Nickerson. The contents may have been edited since that time by others.