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You can get it from a few dietary sources, including: Beef Cheese Ice cream Whole milk Codfish Chicken breast If you follow a vegetarian or vegan diet, though, getting enough L-carnitine can be trickier

However, more recent studies have failed to find an inverse relationship between maternal choline intake and risk of NTDs (60-63)

A small-molecule oral drug such as orforglipron could be cheaper and faster to make, and easier to scale, Andersen said