Choline
Synopsis of choline
Choline is a water-soluble essential nutrient that plays a central role in numerous physiological functions, particularly in brain and liver health. It is a precursor to acetylcholine, a vital neurotransmitter involved in memory, mood, muscle control, and cognitive processing. Choline is also required for phospholipid synthesis (especially phosphatidylcholine and sphingomyelin), which are critical components of all cell membranes. Furthermore, it is involved in methylation processes, contributing to DNA synthesis, gene expression regulation, and detoxification through its role in generating S-adenosylmethionine (SAMe).
While the human body can synthesize small amounts of choline in the liver, it is not sufficient to meet daily needs, making dietary intake essential. Rich food sources include egg yolks, liver, beef, soybeans, and certain legumes and cruciferous vegetables. In supplement form, choline is available as choline bitartrate, phosphatidylcholine (lecithin), alpha-GPC, and CDP-choline (citicoline), with each form having slightly different bioavailability and effects, especially for neurological and cognitive health.
Choline’s functions are especially important during pregnancy and early childhood, where it supports fetal brain development and prevents neural tube defects. In adults, adequate choline intake helps prevent fatty liver disease, supports neurotransmitter function, and may improve cognitive performance, particularly in aging populations. Deficiency symptoms include memory issues, muscle damage, mood changes, and liver dysfunction. It is also being studied for its potential role in neurodegenerative disorders such as Alzheimer’s disease and other cognitive decline conditions.
Historical Use
Although choline itself was not isolated until the mid-19th century, the benefits of choline-rich foods like egg yolks and liver were intuitively recognized in traditional diets for centuries. Ancient medical systems such as Ayurveda and Traditional Chinese Medicine prized organ meats and egg yolk for nourishing the brain, liver, and reproductive systems—organs where choline plays a critical biochemical role.
The compound choline was first identified in 1862 by German chemist Adolph Strecker, who isolated it from pig bile. However, its essential role in human health wasn't officially recognized until the late 20th century. In 1998, the U.S. Institute of Medicine declared choline an essential nutrient, following studies showing that deficiency could lead to liver damage and cognitive dysfunction.
The use of lecithin, a natural phospholipid source rich in choline, became popular in the 20th century for cardiovascular health and cognitive enhancement. Lecithin supplements derived from soy or sunflower were often used in functional foods and natural medicine to support liver detoxification and memory.
In modern integrative and functional medicine, choline is widely used to support cognitive health, liver function, prenatal nutrition, and methylation balance. It is especially favored in formulations for brain fog, memory support, and age-related cognitive decline, often in combination with B vitamins or nootropic compounds.
Choline is used for these health conditions
Alzheimer's Disease (Scientific)
Autism (Scientific)
Birth Defects (prevention) (Scientific)
Cardiovascular Disease (Scientific)
Depression (Scientific)
Fat Metabolism (poor) (Scientific)
Fatty Liver Disease (Scientific)
Memory and Brain Function (Scientific)
Pregnancy (herbs and supplements for) (Scientific)
Triglycerides (high) (Scientific)
choline is used to support these body systems
Acetylcholine (Scientific)
Brain (Scientific)
Liver (Scientific)
Nerves (Scientific)
Parasympathetic Nervous System (Scientific)
Reproductive System (Scientific)
Specific Neurotransmitters (Scientific)
Products containing choline
Integrative Therapeutics
Active B-Complex
Vitabase
Active Woman's Multi
Thorne
Advanced Nutrients Multivitamin
Vitabase
B-Complex 100 mg Sustained Release
Thorne
B-Complex #12
Thorne
B-Complex #6
Designs For Health
B-Supreme
Designs For Health
B-Supreme
Pure Encapsulations
B6 Complex
Pure Encapsulations
B6 Complex
Thorne
Basic B Complex
Thorne
Basic Prenatal Multivitamin
Vitabase
Brain Support
Pure Encapsulations
Choline Bitartrate
Douglas Laboratories
Choline Bitartrate
Integrative Therapeutics
Detoxication Factors
Integrative Therapeutics
Detoxication Factors
Metagenics
Glutagenics
Integrative Therapeutics
Glycemic Manager
Metagenics
Glycogenics
Vitabase
Hair, Skin & Nails Formula
Integrative Therapeutics
K-PAX MitoNutrients
Klean Athlete
Klean B-Complex
Klean Athlete
Klean Multivitamin ™
Vitabase
Life's Essentials Plus
Metagenics
Lipo-Gen™
Metagenics
Lipo-Gen
Integrative Therapeutics
Lipotropic Complex
Pure Encapsulations
Lipotropic Detox
Thorne
MediClear Plus
Thorne
Men's Multi 50+
Metagenics
MetaKids Nutrition Powder Chocolate
Metagenics
MetaKids Nutrition Powder Vanilla
Thorne
Multi-Vitamin Elite NSF
Thorne
Multi-Vitamin Elite NSF
Metagenics
Multigenics®
Metagenics
Multigenics Intensive Care
Metagenics
Multigenics Intensive Care without Iron
Metagenics
Multigenics without Iron
Integrative Therapeutics
Multiplex-1 No-Iron
Pure Encapsulations
NeuroMood Pure Pack
Integrative Therapeutics
Nutrivitamin No-Iron
Pure Encapsulations
O.N.E.™ Multivitamin
Pure Encapsulations
O.N.E.™ Multivitamin
Pure Encapsulations
O.N.E.™ Multivitamin
Designs For Health
PaleoCleanse Plus™
Designs For Health
PaleoCleanse Plus™
Designs For Health
PaleoCleanse Plus™ Detox Program
Designs For Health
PaleoCleanse Plus™Chocolate Detox Kit
Designs For Health
PaleoMeal®
Designs For Health
PaleoMeal®
Integrative Therapeutics
Physicians Elemental Diet Dextrose Free
Integrative Therapeutics
Physician's Elemental Diet
Integrative Therapeutics
Physician's Elemental Diet
Integrative Therapeutics
Physicians Elemental Diet Kit
Metagenics
PhytoMulti™ Multivitamin
Metagenics
PhytoMulti With Iron
Metagenics
PhytoMulti Without Iron
Metagenics
PhytoMultivitamin
Designs For Health
Plant Protein Cleanse Plus™ 570g
Metagenics
PlusOne® Daily Prenatal Packs
Pure Encapsulations
Polyphenol Nutrients
Pure Encapsulations
Polyphenol Nutrients
Douglas Laboratories
Prenatal
Pure Encapsulations
PreNatal Nutrients
Pure Encapsulations
PreNatal Nutrients
Designs For Health
Prenatal Pro™
Pure Encapsulations
PureGenomics® B-Complex
Pure Encapsulations
PureGenomics® Multivitamin
Pure Encapsulations
PureGenomics® UltraMultivitamin
Pure Encapsulations
PurePals
Pure Encapsulations
PurePals with Iron
Pure Encapsulations
PureResponse™ Multivitamin
Thorne
Stress B-Complex
Douglas Laboratories
Stress-B-Plus ™
Vitabase
Super Fat Burner
Vitabase
Super Stress Formula
Douglas Laboratories
Ultra B-Complex
Douglas Laboratories
Ultra Preventive
Douglas Laboratories
Ultra Preventive
Douglas Laboratories
Ultra Preventive ® 2 Daily
Douglas Laboratories
Ultra Preventive 50+ -EZ Swallow
Douglas Laboratories
Ultra Preventive ®-EZ Swallow
Douglas Laboratories
ULTRA PREVENTIVE® III W/COPPER
Douglas Laboratories
Ultra Preventive ® Kids Grape Flavor
Douglas Laboratories
Ultra Preventive ® Kids Orange Flavor
Douglas Laboratories
Ultra Preventive One Daily
Douglas Laboratories
Ultra Preventive® X
Pure Encapsulations
UltraDetox 10-Day Pure Pack
Metagenics
Wellness Essentials Active Daily Packs
Metagenics
Wellness Essentials Brain Health Daily Packs
Metagenics
Wellness Essentials® Daily Packs
Metagenics
Wellness Essentials Healthy Balance Daily Packs
Metagenics
Wellness Essentials Men's Vitality Daily Packs
Metagenics
Wellness Essentials Women's Daily Packs
Metagenics
Wellness Essentials Women's Prime Daily Packs
Thorne
Women's Multi 50+
Pure Encapsulations
Women's Nutrients
Pure Encapsulations
Women's Nutrients
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