Choline (bitartrate vs alpha-GPC vs phosphatidylcholine) and prenatal alcohol exposure

What 2 graded rows on choline (bitartrate vs alpha-gpc vs phosphatidylcholine) agree on for prenatal alcohol exposure, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Choline (bitartrate vs alpha-GPC vs phosphatidylcholine) page, with its PubMed record.

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Choline (bitartrate vs alpha-GPC vs phosphatidylcholine) and prenatal alcohol exposure

2 rows · 198 people

They agree: both rows found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 2
Rows
2
Trials
3
People
198
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade C, is a randomized trial of 104 people (2025) and found an improvement.

The rows run from 94 to 104 people, published in 2025: 1 pooled review and 1 single study.

The rows

2 improved
  1. Grade CMemory in preschool children with fetal alcohol spectrum disorder · Improved

    RCT, 3 studies · n 104 · 2025 · Children aged 2.5–5.9 years with fetal alcohol spectrum disorder from prenatal alcohol exposure (3 placebo-controlled trials, pooled)

    500 mg/day or 19 mg/kg/day choline · 9 months

    Choline gave a trend-level memory advantage (25% better on a short-delay sequential memory task, with a steeper rise between 6 and 9 months) but no effect on executive function or IQ. Fishy body odor affected 36% on choline vs 8% on placebo.

    Row on the Choline (bitartrate vs alpha-GPC vs phosphatidylcholine) page · PubMed 39956364 (opens PubMed)

  2. Grade CMemory in children with prenatal alcohol exposure, after choline given to their mothers in pregnancy · Improved

    Meta-analysis, 2 studies · n 94 · 2025 · Children with prenatal alcohol exposure, born to mothers who drank heavily in pregnancy (2 prenatal trials in a 5-trial review); not a general memory population

    Not stated in the abstract · During pregnancy (prenatal trials)

    Prenatal supplementation likely benefited memory (SMD 0.61; moderate certainty). Two postnatal trials (62 children) suggested better global cognition (SMD 0.78; low certainty).

    Row on the Choline (bitartrate vs alpha-GPC vs phosphatidylcholine) page · PubMed 40251090 (opens PubMed)

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