Endometriosis: The Effects of Choline(revised edition with references)

 By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
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Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

Choline is a water soluble vitamin and belonging to the group of vitamin B complexes, discovered by Andreas Strecker in 1864and has been used in traditional medicine in treating heart and liver disease caused by choline deficiency.

1. Strengthens the immune system(2)
 Deficiency of choline causes fat to be deposited into the liver and reduce the function of liver to fight against the abnormal forming of endometrial implants and adhesion in other parts of the body causing inflammation(1).

2. Reduce risk of high blood cholesterol
Women with endometriosis are found to have low levels of choline during their menstrual cycle. The causes of deficiency are still unknown. Choline interacts with other members in the vitamin B complex family to help in carbohydrate, protein and fat metabolism which are necessary to provide energy and nutrients for our body. It also helps help to strengthen the liver in bile production, which helps to reduce the level of bad cholesterol(3) resulting in decreasing the risk of heart diseases.

3. Increase function of nervous system(1)
Since choline is a chemical precursor needed to produce the neurotransmitter acetylcholine(7)(8), it helps to enhance the various congestion systems within the brain resulting in an improved function of the nervous system leading to reduced symptoms of endometriosis such as memory loss, poor concentration, anxiety(5), and mood swings(6).

4. Balancing hormone
Deficiency of choline causes abnormal functions of the liver(3). Since the liver plays an important role in fatty acid metabolism, deficiency of choline weakens the liver function(10) resulting in excessive or reduced estrogen(9) produced during menstrual cycle leading to hormone imbalance and endometrial cramps(11).

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References
(1) Innate immune reactivity of the liver in rats fed a choline-deficient L-amino-acid-defined diet by Kawaratani H¹, Tsujimoto T, Kitazawa T, Kitade M, Yoshiji H, Uemura M, Fukui H.(PubMed)
(2) Alterations in immune function in rats caused by dietary lipotrope deficiency: effect of age.by Nauss KM, Connor AM, Kavanaugh A, Newberne PM.(PubMed)
(3) Choline supplementation protects against liver damage by normalizing cholesterol metabolism in Pemt/Ldlr knockout mice fed a high-fat diet by Al Rajabi A¹, Castro GS, da Silva RP, Nelson RC, Thiesen A, Vannucchi H, Vine DF, Proctor SD, Field CJ, Curtis JM, Jacobs RL.(PubMed)
(4)Alpha-lipoic acid affects the oxidative stress in various brain structures in mice with methionine and choline deficiency by Veskovic M¹, Mladenovic D¹, Jorgacevic B¹, Stevanovic I², de Luka S¹, Radosavljevic T³.(PubMed)
(5)Methyl Donor-Deficient Diet during Development Can Affect Fear and Anxiety in Adulthood in C57BL/6J Mice by Ishii D¹, Matsuzawa D², Matsuda S³, Tomizawa H¹, Sutoh C², Shimizu E².(PubMed)
(6)Behavioral and neurochemical effects of dietary methyl donor deficiency combined with unpredictable chronic mild stress in rats by Javelot H¹, Messaoudi M², Jacquelin C³, Bisson JF², Rozan P², Nejdi A², Lazarus C⁴, Cassel JC⁴, Strazielle C⁵, Lalonde R⁶.(PubMed)
(7) Acute choline supplementation in vivo enhances acetylcholine synthesis in vitro when neurotransmitter release is increased by potassium by Wecker L¹, Cawley G, Rothermel S.(PubMed)
(8) The synthesis and release of acetylcholine by depolarized hippocampal slices is increased by increased choline available in vitro prior to stimulation by Wecker L(PubMed)
(9) Dietary choline requirements of women: effects of estrogen and genetic variation by Fischer LM¹, da Costa KA, Kwock L, Galanko J, Zeisel SH.(PubMed)
(10) Aberrant estrogen regulation of PEMT results in choline deficiency-associated liver dysfunction by Resseguie ME¹, da Costa KA, Galanko JA, Patel M, Davis IJ, Zeisel SH.(PubMed)
(11) Dysmenorrhea and ovulation correlation of the effect of estrogen therapy on pain, the endometrium, and the basal body temperature by HAUS LW, GOLDZIEHER JW, HAMBLEN EC.(PubMed)