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Hazen, Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk, The New England journal of medicine 368(17) (2013) 1575-84

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The standard cycle is four to eight weeks of daily dosing followed by a two to four week rest period

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While not a direct side effect, some patients may experience musculoskeletal pain, which can include back pain, possibly due to weight loss or changes in body composition

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