Choline is utilized by the body in a variety of ways including aiding nerve signaling, maintenance of cell membranes, transporting triglycerides from the liver, and as a constituent of nervous system tissues in early brain development. Choline is also a precursor of acetylcholine, a neurotransmitter vital to nerve and muscle function, and a component of lecithin, which is critical to normal liver metabolism. Without adequate dietary intake of choline, there is a higher-than-normal risk of chronic liver damage and eventual liver failure. Choline is vital in forming very low density lipoprotein (VLDL) in the liver, which helps transport fat from that organ to cells throughout the body. Although VLDL is considered a “bad” form of cholesterol because high levels indicate an abundance of circulating triglycerides, if VLDL levels fall too low, fat will begin to accumulate in the liver.