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Gastrointestinal effects represent the most common concern

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Xianyu YL, Xie YZY, Wang NX, Wang Z, Jiang XY

No significant benefits of citicoline supplementation over placebo were found at 90 days (end of treatment period) and 180 days

Most respondents were of European ancestry (78.3%), although the study also included substantial representation from Latino (12.9%) and African American (4.2%) ancestries

Here is what it actually is, how it differs from sterile water and saline, and how to get a tested, documented version