Photo by Innerbody Research
You might be diligently tracking your nutrition, exercising regularly, and even taking a multivitamin — yet still fall short on one crucial nutrient: choline. This essential compound supports brain health, muscle function, and liver metabolism.1
Despite its importance, nearly 90% of Americans don’t get enough choline from food alone.2 The shortfall is especially concerning during pregnancy, when higher choline needs support fetal brain development.3
But deficiency isn’t the only reason people turn to choline supplements. Research suggests that certain forms of choline may enhance focus, improve endurance, and promote long-term cognitive resilience. Different forms appear to support different goals — something we’ll explore in detail later in this guide.
In the sections ahead, we’ll explain what choline is, review the science behind its benefits, and compare the best supplements for various needs. If you’re short on time, you can skip down to our top recommendations; otherwise, read on for the details behind our selection process.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions about staying healthy and living healthier lifestyles.
At Innerbody, we thoroughly evaluate every product and service we review, including the choline supplements in this guide. Our team has spent more than 1,000 hours examining choline and related nutrients, as well as reviewing dozens of scientific studies on how different forms of choline affect cognition, athletic performance, and overall health.
In addition to this research, we investigated the top choline supplements on the market, determining which were the best compared to available scientific research and, ultimately, taking on the role of a customer to purchase and try them for ourselves. Given choline’s performance in the literature, Innerbody Labs chose to include a potent form of choline in its Focus Support nootropic supplement, which we’ll also discuss in this guide.
As with all health-related content on our site, this guide was thoroughly vetted by one or more members of our Medical Review Board for accuracy and will continue to be updated as new research and products emerge.
Identifying the market's best choline involved assessing brands on factors that normally influence consumer choices:
In the following sections, we explain how we chose the winner in each category.
Advantage: Bestvite Cognizin Citicoline 500mg
Choosing the most effective choline supplement is tricky. Unlike some nutrients with one primary use, choline has multiple forms and a wide range of applications. Some forms have strong clinical evidence for brain health, others shine in prenatal nutrition or liver support, and some are best suited for filling a basic dietary gap. That means the “most effective” choline supplement for one person may not be the best choice for another.
Here’s how the evidence stacks up when we look at effectiveness by goal:
As you can see, choosing “the most effective choline supplement for everyone” is difficult. Each form has its own strengths — from cognition and liver health to pregnancy. If you have a specific goal — such as boosting cognition or adding power to your workout — the best option may be a blend that pairs the right choline form with supportive ingredients (e.g., adaptogens or other nutrients). That’s why we recommend a few well-designed formulas in this guide.
Still, if we look at whether any specific product or branded form stands out, one does rise to the top: Cognizin, a branded form of citicoline (CDP-choline).
Several trials show Cognizin (250-500mg/day) can improve memory, attention, and psychomotor speed.14 15 16 That’s why we highlight Bestvite’s 500mg Cognizin: it delivers the same form and dose used in these studies, making it one of the strongest options for readers specifically interested in cognitive support. It’s also why we chose to include 500mg of Cognizin in our Innerbody Labs Focus Support, where we combine it with complementary nootropics to enhance clarity and focus.
Even so, effectiveness and the type of choline will be goal-dependent.
Could citicoline cover those needs too? In theory, yes — it still contributes choline to the same metabolic pool. But we don’t have direct research showing citicoline is effective for pregnancy or liver outcomes, and because it delivers only about 21% elemental choline, it’s an impractical choice for high-dose needs compared to other forms.
Advantage: Life Extension HepatoPro
A safe choline supplement combines high-standard manufacturing practices, a low-risk ingredient profile, and a dose aligned with what’s been shown to be safe in research. In this respect, Life Extension HepatoPro succeeds in all three measures:
The main caveat is that the PC is soy-derived, which can be a clear allergen for a small percentage of people. However, for most users soy phospholipids are well tolerated — and the soy base may actually be part of the benefit.12
When gut bacteria metabolize certain forms of choline, they generate trimethylamine (TMA), which the liver converts into trimethylamine-N-oxide (TMAO). Elevated TMAO levels have been linked in some studies to cardiovascular risk.40Free choline salts and possibly alpha-GPC appear to fuel this pathway more readily, while phosphatidylcholine from soy seems less likely to produce large TMAO increases.27 65 That difference in metabolism may give Life Extension’s phosphatidylcholine a safety advantage over other forms of choline.
We’ll dig deeper into these questions, including the evidence around TMAO, in the section: “Are choline supplements safe?”
Advantage: Nutricost Choline Bitartrate Powder
Breaking down the cost of choline supplements is trickier than it looks. Price per bottle or serving isn’t the whole story, since different forms of choline vary in how much elemental choline they deliver — and in what they’re useful for.
The chart below compares our top contenders by their lowest achievable monthly cost and elemental choline per serving. This highlights how much the numbers can vary depending on form and intended use.
Lowest monthly cost | Form of choline | Elemental choline per serving | |
---|---|---|---|
Nutricost Choline Bitartrate Powder | $4.39/mo | Choline Bitartrate | 400mg |
Doctor’s Best Choline L-Bitartrate | $15.32/mo | Choline Bitartrate | 550mg |
Bestvite Cognizin Citicoline | $16.49/mo | Citicoline | 105mg |
Nootropics Depot Alpha-GPC 150mg | $13.98/mo | Alpha-GPC | 60mg |
Transparent Labs Bulk Pre-Workout | $44.99/mo | Alpha-GPC | 60mg |
Innerbody Labs Focus Support | $69.00/mo | Citicoline | 105mg |
Life Extension HepatoPro | $17.25/mo | Phosphatidylcholine | 117mg |
Needed Prenatal Multi Capsules | $50.32/mo | Choline Bitartrate | 400mg |
From this information, a few things stand out:
With these trade-offs in mind, Nutricost earns the cost advantage for basic choline intake. But depending on your goal — cognition, prenatal support, liver health, or athletic performance — other budget picks like Bestvite or Nootropics Depot may represent the better value for their specific form.
Advantage: Life Extension HepatoPro (900 mg PC)
Although convenience is partly subjective, choline supplements generally aren’t difficult to take; however, the timing can vary by form. Citicoline is often taken in the morning for its cognitive effects, while alpha-GPC is best used 30-60 minutes before a workout. With blends like Transparent Labs Pre-Bulk, the inclusion of caffeine means late-day use may interfere with sleep.
Outside of timing differences by form, we can also look at the companies and how they stack up on convenience. Here, Life Extension earns the advantage, thanks to two features that set it apart:
Where Life Extension falls short is in transparency. Brands like Nootropics Depot, Innerbody Labs, and Transparent Labs post third-party certificates of analysis (COAs) directly on their product pages. Life Extension also performs third-party testing and will provide COAs on request, but we wish those documents were available up front.
The chart below offers a quick reference of how our top picks compare in several major ways, including their cost, serving counts, and more.
Choline is a vital nutrient involved in many key functions throughout your body. In fact, every cell in your body contains choline. While your body can make some choline, it's generally not enough, classifying it as an essential nutrient that needs to come from your diet.1
Proper intake becomes important when you consider that choline is critical for:
Choline is required to produce phosphatidylcholine, a major component of cell membranes.20 Strong, intact membranes help maintain cellular structure and function, allowing nutrients in and waste products out.
Choline is a precursor to acetylcholine, a neurotransmitter essential for muscle contraction and memory performance.1 Adequate choline intake supports normal cognitive function and neuromuscular control from childhood through older adulthood.
Choline provides methyl groups that your cells use to synthesize DNA — the genetic blueprint that directs cellular activity and replication.22 This role in methylation makes choline especially important for normal cell growth and repair.
Our understanding of choline is relatively recent. While choline was first isolated in the 1860s, its biological importance wasn’t fully appreciated until the 20th century.26 In 1998, the Institute of Medicine officially classified it as an essential nutrient — highlighting its vital roles in liver health, cell signaling, and brain development.11 Since then, research on choline has expanded significantly, influencing dietary guidelines and supplement formulations.1
Choline appears in supplements under several different names. Each form has unique characteristics that affect cost, absorption, and how the body uses it.
Alpha-GPC provides roughly 40% elemental choline and is highly bioavailable. Unlike salts, it crosses the blood-brain barrier efficiently.6 It’s commonly found in nootropics and sports supplements, where early studies suggest benefits for memory, focus, and athletic performance, typically in the 600-1,200mg range.8 9 10 Because it’s significantly more expensive than simpler salts like choline bitartrate, alpha-GPC is rarely included in multivitamins or general nutrition products.
Citicoline delivers about 21% elemental choline and also provides cytidine. When consumed, your body breaks it down into choline and cytidine; the choline supports acetylcholine production, while the cytidine converts to uridine, which helps build and repair brain cell membranes.5 It’s the most clinically studied form of choline for cognition — including as the branded ingredient Cognizin — with trials showing improvements in memory and attention at daily doses of 250-500mg.14 15 16
PC is a phospholipid that contributes to cell membranes and supplies about 13% choline by weight.11 It’s abundant in foods like eggs and soy.28 Supplemental PC, especially polyunsaturated PC (PPC), has been studied for fatty liver disease. Research shows that daily doses between 900-1,800mg can reduce elevated liver enzyme levels — a common sign of liver stress — and improve ultrasound findings that indicate fat buildup in the liver.12 17
Choline chloride is the most concentrated form, providing over 70% elemental choline by weight.29 Its low cost and high density make it a staple in animal feed and food fortification.30 Because it absorbs moisture easily (hygroscopic), it’s less common in human supplements, where stability and storage are concerns.
Choline is an essential nutrient that plays key roles in brain function, liver health, and more. Unfortunately, most people don’t get enough choline — for example, about 90-95% of pregnant women fall short of the recommended intake.1 Below, we explore the scientific evidence for choline’s health benefits across major areas, from cognitive performance to cardiovascular and liver health.
Choline is perhaps best known for its role in brain health and cognition. As a precursor to the neurotransmitter acetylcholine, it supports memory, learning, and mental focus.11 It’s also needed to form cell membranes in the brain, which help neurons maintain their structure and signaling. Because of these roles, researchers have studied choline supplementation for preventing cognitive decline and improving memory in people of all ages.6
Observational research supports the link: in the Framingham Offspring cohort, higher choline intake correlated with better memory and a reduced risk of dementia over 10 years.31 Clinical trials have also zoomed in on forms that more readily cross the blood-brain barrier — citicoline (CDP-choline) and alpha-GPC.
For healthy individuals, the benefits are more nuanced. In short trials, citicoline (250-500mg/day) improved attention, reaction time, and impulse control in middle-aged women and adolescent males.15 16 The gains were strongest in those with lower baseline performance, suggesting citicoline may be most useful when focus or processing speed is diminished — whether from stress or other factors — rather than in people already performing at their peak.
One of the most critical roles of choline is in liver function and fat metabolism. The liver packages fats into very-low-density lipoprotein (VLDL) particles to ship them out to the body, and this process requires phosphatidylcholine. Without enough choline, fats build up in the liver, which can progress to NAFLD.11
Evidence for this is striking:
Beyond deficiency models, population research also shows that higher dietary choline intake is linked to a lower risk of NAFLD. In a cohort of over 56,000 Chinese adults, women with the highest choline intake had a 32% lower risk of NAFLD than those with the lowest.35 The protective effect was strongest in normal-weight women, but genetics also play a role. About 40% of women carry a variant in the PEMT gene, which normally helps the body make some of its own choline under the influence of estrogen.36 With this variant, that backup pathway is less effective, leaving women more dependent on dietary intake.
When it comes to supplementation, different choline forms can support liver health in distinct ways:
Here is a practical takeaway: ensuring sufficient choline intake (about 400-550mg/day) is one of the most reliable nutritional strategies for protecting the liver.1 37
Choline supports cardiovascular health in several interconnected ways. One of the most important is its role in homocysteine metabolism. In the liver, choline is converted into betaine, which provides methyl groups that help transform homocysteine into methionine.11 This matters because elevated homocysteine is a well-established risk factor for cardiovascular disease, linked to arterial plaque, blood clots, and stroke.38 While folate and vitamin B12 also contribute to this process, choline-derived betaine may provide as much as 60% of the methyl groups needed to keep homocysteine levels under control.11 By helping regulate homocysteine, adequate choline intake contributes to healthier blood vessels and reduced cardiovascular risk.
Observational and clinical studies support this connection.
One last point on choline and cardiovascular health: some research has raised questions about trimethylamine-N-oxide (TMAO), a compound produced when gut bacteria metabolize choline (and also carnitine from red meat). Elevated TMAO levels have been linked to cardiovascular risk in some studies, though whether it’s a cause or just a marker is still debated.40 We’ll return to this in the safety section, but at typical dietary intakes, choline is considered heart-healthy. Concerns mainly arise with very high supplemental doses (over 3g/day of elemental choline).1
Because choline is required to make acetylcholine — the neurotransmitter that drives muscle contractions — researchers have long wondered if supplementation could enhance athletic output.
Early studies showed that plasma choline levels fall 40-50% during ultra-endurance events, but controlled trials found that even large doses of choline citrate or bitartrate failed to improve time to exhaustion, endurance capacity, or perceived effort.41 42 In well-nourished athletes, extra choline doesn’t translate into better endurance.
Choline intake seems to affect how well the body adapts to exercise. A 2023 trial found that older adults with low dietary choline gained less than half the muscle strength and lean mass from a 12-week resistance program compared to those meeting the AI.43 Adequate intake seems important for muscle repair and growth.
In short, choline isn’t a quick performance booster like caffeine or creatine. But meeting daily needs supports recovery and training progress — benefits most relevant to older adults and athletes with low dietary intake.
Choline is critically important during pregnancy and early development. It supports neural tube closure, DNA methylation (with folate), and rapid brain growth in the fetus, especially in the hippocampus — the memory center.46 Low maternal choline has been linked to neural tube defects in animals, and human data suggest insufficiency may raise risk too.1
Research backs this up:
Most prenatal vitamins still lack meaningful amounts of choline — fewer than half sold in the U.S. include it, and those that do typically provide only small doses.50 Dietary surveys suggest over 90% of pregnant women fall short of the recommended intake.1 In 2017, the American Medical Association (AMA) advised that all prenatal vitamins should include adequate choline, but adoption has been slow.51
For the mother, choline also supports liver function under pregnancy stress and may play a role in reducing risks like preeclampsia and postpartum anxiety, though more research is needed.1 52
Choline may also play a role in mood and emotional regulation. Because acetylcholine circuits influence stress responses and phosphatidylcholine supports brain cell signaling, insufficient choline could subtly affect mental health.
In the Hordaland Health Study (5,900 adults), people with the lowest plasma choline had 33% higher odds of significant anxiety symptoms compared to those with higher levels, even after adjusting for diet and lifestyle.52 Researchers suggest this may be because acetylcholine helps regulate the parasympathetic “calming” response, so low choline could impair stress resilience.53
A small trial found that patients with mania receiving high-dose phosphatidylcholine (approximately 2,000-3,000mg/day) alongside standard treatment showed faster symptom improvement than those on standard treatment alone.54 The authors suggested that increased choline availability may modulate overactive brain signaling, potentially aiding recovery, though evidence is limited by the small sample size and lack of recent replication.55
Some population studies have found that people with higher choline intake are less likely to report depressive symptoms, suggesting diet quality and choline status may play a role in mood regulation. Other studies, however, haven’t confirmed this link, so the evidence is not yet consistent.56
In clinical studies of patients with dementia and post-stroke cognitive impairment, alpha-GPC (about 1,000-1,200mg/day, usually in divided doses) has been associated with improvements not only in memory but also in mood-related symptoms such as apathy and low motivation.32 These effects are thought to stem from enhanced acetylcholine signaling in the brain, though they have generally been less consistent and less pronounced than the cognitive benefits.57 58
In short, choline isn’t a stand-alone antidepressant, but maintaining adequate intake may help buffer against anxiety, support mood, and complement brain health strategies — particularly in older adults with cognitive decline.
The right amount of choline depends on your overall diet, your life stage, and the health goals you’re targeting. The Institute of Medicine set Adequate Intake (AI) levels at 425mg/day for women and 550mg/day for men, including food and supplements together.1 During pregnancy and lactation, needs rise to 450mg/day and 550mg/day, respectively.1
The following table illustrates different forms of choline, their respective doses, and use cases:
Typical supplemental dose | Elemental choline (per 500mg) | Key use case | |
---|---|---|---|
Choline bitartrate | 250-1,000mg/day | 205mg | Most common multivitamin supplement; effective for filling general dietary gaps |
Citicoline (CDP-choline) | 250-2,000mg/day | 105mg | Well-studied for cognitive performance and attention; valued for efficient brain uptake. |
Alpha-GPC | 300-1,200mg/day | 200mg | Supports cognitive function; also studied for short-term effects on power output in athletes. |
Phosphatidylcholine (PC) | 900-2,400mg/day | 65mg | Provides direct substrate for liver fat metabolism; often used in liver health and general nutritional support. |
Choline citrate | 250-1,000mg/day | 165mg | Less concentrated; occasionally used in medical research but not widely chosen for supplements |
Choline chloride | 250-1,000mg/day | 370mg | High elemental yield; used clinically (e.g., parenteral nutrition) but less common in consumer products |
While the chart gives an overview of forms, doses, and key uses, your optimal intake also depends on what you’re hoping to achieve. The following sections highlight how much choline has been studied for specific outcomes — from cognition to liver health, pregnancy, training, and general wellness.
Acetylcholine, the neurotransmitter most tied to memory and attention, is built from choline.4 Increasing brain choline availability can sharpen mental performance, and this is where citicoline and alpha-GPC stand out, since both forms of choline cross the blood-brain barrier efficiently.
Citicoline shows benefits at 250-500mg/day, improving memory and attention in healthy adults and those with mild decline.16 59 Alpha-GPC shows the strongest evidence in dementia and post-stroke patients at 1,000-1,200mg/day, often divided throughout the day.60 Data in healthy adults is sparse with alpha-GPC, so citicoline is the better-supported choice for everyday cognitive support.
Choline is essential for exporting fats out of the liver. Without it, fat accumulates in the liver, raising the risk of non-alcoholic fatty liver disease (NAFLD).11 Phosphatidylcholine (PC) has been studied most extensively in this context, particularly in its polyunsaturated form (PPC). Studies show that PPC supplementation can lower liver enzyme levels and improve ultrasound results in people with fatty liver disease in doses of 900-1,800mg/day.12 17 For general prevention, simply meeting the AI (425-550mg/day elemental choline) through diet or modest supplements is protective.1
Choline is critical for fetal brain development and a mother’s milk supply.46 Most prenatals contain little or none, and over 90% of pregnant women fall short of the AI.1 40Experts advise aiming for 450-550mg/day, but one Cornell clinical trial showed that 930mg/day in late pregnancy produced infants with faster processing speeds than 480mg/day.1 47 Extra supplementation may be warranted.
Acute doses of choline don’t reliably improve endurance, even at multi-gram levels.4042But maintaining adequate intake supports muscle repair and training adaptations.43 For most people, the performance benefit comes not from megadoses of choline but from simply avoiding deficiency.
There have been small, short-term trials of alpha-GPC that suggest it may increase lower-body power output and support recovery at doses of 600-1,00mg/day.9 10 While these findings are intriguing, the evidence is still early-stage, and results are mixed.9 4445
For most adults, the main goal is to reach the AI: 425mg/day for women, 550mg/day for men.1 Eggs, meat, and soy cover much of this, but vegetarians, vegans, and older adults often need supplementation.11 A modest 250-500mg/day supplement is typically enough to close dietary gaps. This ensures foundational support without approaching the upper limit of 3.5g/day. Doses above this raise the risk of side effects like fishy body odor, low blood pressure, sweating, and GI upset.1 We’ll explore this more in the next section.
Choline is essential for brain, liver, and muscle function, and moderate supplementation is well tolerated. But like many nutrients, there’s a point where benefits flatten out and risks begin to surface.
The Institute of Medicine set a UL of 3.5g/day for adults from food and supplements combined.1 That cap comes from human data showing that very high intakes (7.5g/day and up) can cause:30
To keep everyday use safe, experts cut 7.5g/day in half (and rounded down) to set 3.5g/day as the ceiling.30
Why does excess choline create problems?
When you flood the system with more choline than the body can use for membranes and acetylcholine, gut bacteria step in. They metabolize the surplus into trimethylamine (TMA), which the liver converts into trimethylamine-N-oxide (TMAO). TMAO is the compound responsible for the odor at high doses, and it’s also at the center of debates about heart health.61 62
Elevated blood TMAO has been linked to higher cardiovascular risk in observational studies, but the story is complicated.40Fish is one of the richest sources of TMAO, yet it consistently protects against heart disease.63 Individual microbiomes, kidney function, and the type of choline all affect how much TMAO you make.6 27 64 65 66 67
For most healthy adults consuming choline within typical ranges — about 425-550mg/day from diet or supplements — the TMAO story is more of a caution than a clear danger.68 Higher blood TMAO has been linked with cardiovascular risk, but cause and effect remain unproven, and the biggest concerns show up in people with kidney or metabolic disease.69 At these common intake levels, the benefits of choline for brain and liver health generally outweigh the theoretical risks.70
Alpha-GPC has been used clinically for memory and stroke recovery, with short-term safety well established.71 But a large 2021 Korean cohort study tied long-term, high-dose use (around 1,200mg/day) to an increased risk of stroke.18 More recent research has pointed the opposite way, suggesting potential protective effects in some groups.19 That inconsistency means we can’t draw firm conclusions yet.
The practical takeaway: Alpha-GPC looks safe in the studied ranges (250-600)mg/day for weeks to months, but routine megadosing (1g/day or more, long term) should be approached cautiously, especially for people with vascular risk factors.
Certain groups may particularly benefit from choline supplementation:
Choline deficiency contributes to fat buildup in the liver.11 In a controlled feeding study, adults deprived of choline developed liver dysfunction that resolved once choline was restored, highlighting supplementation’s role in liver health.33
Additionally, clinical research demonstrates that PPC supplementation can reduce elevated liver enzyme levels and enhance ultrasound findings in patients with fatty liver disease.12
Choline is generally safe, but it’s not universally helpful — and sometimes expectations exceed the evidence.
Eggs, meat, and legumes provide plenty of choline for most adults. If your intake already averages 425-550mg/day, tacking on a supplement may offer little added benefit.70
Elevated TMAO from excess choline is most concerning in people with reduced kidney function or metabolic disorders, where clearance is impaired.69 In these groups, some choline supplements may amplify cardiovascular risk markers. Among the available options, PPC may be preferable, since studies suggest it raises TMAO less than other choline forms.27 65
Best cognitive support blend with choline
Photo by Innerbody Research
Many nootropic blends on the market fall into one of two traps: too few ingredients to justify their price, or too many at underdosed levels. Innerbody Labs created Focus Support to sidestep both issues, building a formula with clinically supported doses of every ingredient while avoiding the unproven “kitchen sink” approach.
Part of its foundation is 500mg of Cognizin, a branded form of citicoline, which has been researched in multiple studies for enhancing cognitive function. In one study, a 500mg daily dose led to better performance on various memory tests compared to a placebo.14 In another, doses of 500mg and 2,000mg of Cognizin boosted brain ATP levels and accelerated brain membrane formation.78
Focus Support also adds in:
The result is a cognitive formula that addresses focus, memory, mood, and long-term brain health in a single daily serving. While the other complex formulas in this guide target prenatal health (Needed) and athletic performance (Transparent Labs), Focus Support stands out as the most comprehensive option for brain health.
Focus Support is available as a one-time purchase or via subscription. The savings increase with longer subscription intervals:
Price | Cost per bottle | Cost per dose | You save | |
---|---|---|---|---|
One-time purchase | $115.00 | $115.00 | $3.83 | N/A |
Monthly subscription | $87.40 | $87.40 | $2.91 | 24% |
Quarterly subscription | $234.60 | $78.20 | $2.61 | 32% |
Semi-annual subscription | $414.00 | $69.00 | $2.30 | 40% |
You’ll get the best value at the six-month subscription level, with the lowest cost per month and per dose, but it does mean putting down $414 upfront. Additionally, every bottle ships free in the U.S. We should note that Focus Support is currently available to U.S. customers only. If you’re shopping from outside the U.S., consider Revive Brain+ — a comparable nootropic that also provides 500mg of Cognizin per serving. You can check out our nootropics guide to learn more, as well as find other options.
Finally, Innerbody Labs backs Focus Support with a 30-day money-back guarantee. It isn’t as long as Life Extension’s full year, but it’s still more flexible than policies from Needed or Nootropics Depot, which only cover unopened bottles.
Best budget choline supplement for cognition
Photo by Innerbody Research
Founded in 2006, Bestvite is a U.S.-based supplement company that has built its reputation around affordability and quality control. The brand manufactures in NSF-GMP certified facilities and uses ISO-certified third-party laboratories for its testing. This is a level of quality control not always seen in more budget-friendly supplement companies.
Bestvite’s Cognizin Citicoline 500mg stands out as one of the most cost-effective ways to access this branded form of citicoline. Citicoline is valued for its brain bioavailability and cytidine contribution, which supports phospholipid synthesis and has been shown to improve measures of memory, attention, and cognitive performance in clinical studies.6 Additionally, by using Bestvite, you're gaining access to Cognizin, which has specifically been used in many clinical trials for improving cognition.14 15 16 78
There are some downsides to using Bestvite’s Cognizin. While citicoline is generally well tolerated and side effects are rare, sensitive users who experience GI discomfort can’t practically reduce the dose below 500mg to test their tolerance.79 Additionally, since citicoline has a low elemental yield of 21%, you’d have to take about 3g of it to reach the AI for an adult male (550mg of choline). Using citicoline isn’t the most practical or advisable way to reach choline dietary needs.
At $32.99 for 60 capsules — a full two-month supply at the clinical 500mg dose — Bestvite is one of the most affordable ways to access Cognizin. Larger bottles (120 or 240 caps) are available, but the per-capsule savings are minor. Bestvite also offers a 5% subscription discount, though that pales in comparison to the deeper savings from some of our other budget picks, like Nutricost’s 20% discount subscription option.
Bestvite backs its Cognizin with a 60-day money-back guarantee. That may not match Life Extension’s year-long policy, but it’s long enough to cover the timeframes used in several clinical trials of citicoline, where benefits were observed within 4-12 weeks.78 Combined with free U.S. shipping, that makes trying Bestvite relatively low-risk for anyone curious about Cognizin’s cognitive effects.
Best prenatal with choline
Photo by Innerbody Research
Founded in 2017, Needed is a California-based brand focused on nutrition for women before, during, and after pregnancy. The company partners with nutritionists and healthcare practitioners to design formulas that cover nutrients often left out of mainstream prenatals — with choline as one of the biggest differentiators.
Most prenatal vitamins on the market contain little to no choline. In fact, fewer than half of U.S. products include it at all, and when they do, the amounts are usually minimal.50 Needed’s Prenatal Multi Capsules deliver 400mg of elemental choline per daily serving, bringing users close to the AI of 450mg required for pregnancy. For most people, the remaining gap can be easily covered through a balanced diet.1
In addition to choline, Needed also includes
Amount per 8 capsules | % of daily value for pregnancy & breastfeeding | |
---|---|---|
Vitamin A | 1500mcg | 115% |
Vitamin C | 300mg | 250% |
Vitamin D3 | 100mcg | 667% |
Vitamin E | 30mg | 158% |
Thiamin (B1) | 5mg | 357% |
Riboflavin (B2) | 20mg | 1,250% |
Niacin (B3) | 25mg | 139% |
Vitamin B6 | 40mg | 2,000% |
Folate | 918mcg | 153% |
Vitamin B12 | 200mcg | 7,143% |
Biotin | 350mcg | 1,000% |
Pantothenic acid | 150mg | 2,143% |
Calcium | 200mg | 15% |
Iodine | 290mcg | 100% |
Magnesium | 200mg | 50% |
Zinc | 25mg | 192% |
Selenium | 200 mcg | 286% |
Copper | 1mg | 77% |
Manganese | 5mg | 192% |
Chromium | 120mcg | 267% |
Molybdenum | 100mcg | 200% |
Potassium | 100mg | 2% |
Lutein | 6mg | N/A |
Zeaxanthin | 1.2mg | N/A |
Vitamin K2 | 90mcg | N/A |
Iron and omega-3s are the only key nutrients missing from Needed’s otherwise complete prenatal formula. The company’s rationale is that iron needs vary widely and high doses can cause digestive side effects, so it’s better tailored individually. Omega-3s are also omitted, as they require separate softgel delivery to reach effective doses. Needed sells both nutrients as add-ons, but it does mean the Prenatal Multi isn’t truly all-in-one, and costs rise if you want a complete supplement.
At $62.99 for a one-month supply, Needed is one of the most expensive prenatals on the market. Subscriptions bring the price down modestly: $6 off monthly, $28 off quarterly, and $76 off with a six-month plan. That means to maximize savings, you incur an upfront cost of $302.35
Only orders over $80 ship free, which means single bottles tack on a $7 shipping fee.
For context, Ritual’s Essential Prenatal is a common competitor that sells for $44 as a one-time purchase or $31.20/month with a subscription (plus free shipping). But it contains only 55mg of elemental choline — barely over 10% of the AI for pregnancy. That makes Needed the pricier option, but also the far more comprehensive one for choline and overall prenatal nutrition.
Regarding Needed’s return policy, it’s more restrictive than most. Only unopened bottles are eligible for a refund within 30 days, and shipping charges are non-refundable.
Best pre-workout blend with choline
Photo by Innerbody Research
Founded in 2015, Transparent Labs aims to make its processes and ingredient quality visible. To do so, each formula is independently tested, and customers can access batch-specific COAs directly on the company’s website.
The Bulk Pre-Workout formula is built to enhance training performance by combining well-studied endurance and strength ingredients with nootropic support. Choline plays a secondary role here, with 300mg of AlphaSize providing about 150mg of alpha-GPC. Research suggests alpha-GPC may boost power output at higher doses (around 600mg/day), so at the level included here, it’s more likely to support focus and mental clarity during workouts rather than serve as a primary performance driver.80
The real strength of the blend comes from its heavy clinical doses of:
This amino acid supports nitric oxide production, which improves blood flow and oxygen delivery to muscles. In clinical trials, doses of 6-8g have been shown to increase reps to failure in resistance training and reduce post-exercise soreness.81
Beta-alanine raises muscle carnosine levels, helping buffer acid buildup during high-intensity exercise. Studies show it can improve muscular endurance, particularly in efforts lasting 1-4 minutes, such as repeated sprints or heavy lifting.82
The formula also balances stimulation with calm focus: 200mg of caffeine is paired with 200mg of L-theanine, an amino acid known to counter some of caffeine’s jitters. Clinical studies have shown that theanine and caffeine can work synergistically to improve attention and reduce mental fatigue, though most trials used slightly different ratios (for example, 250mg theanine with 150mg caffeine).85
Transparent Labs also makes a caffeine-free option called Stim-Free Pre-Workout for those who prefer to avoid stimulants. However, that version leaves out alpha-GPC.
Bulk Pre-Workout comes as a powder that you mix with water and is available in the following flavors:
Our testers tried the Blue Raspberry and Strawberry Lemonade flavors, which dissolved quickly in water and went down easily. They weren't as sweet or refreshing as something like Gatorade, but they were still easy to drink.
At $49.99 for 30 servings, Bulk Pre-Workout comes out to $1.67 per serving. You can also subscribe, which brings the cost down to $44.99 with free shipping.
For context, a comparable option is JYM’s Pre JYM High-Performance Pre-Workout, which is also priced at $49.99. Like Transparent Labs, it includes alpha-GPC and adds 2g of creatine, but its doses of citrulline malate, beta-alanine, and betaine anhydrous are lower. Both products cost the same, but they take slightly different approaches to supporting athletic performance.
When it comes to refunds, Transparent Labs backs its products with a 45-day satisfaction guarantee when purchased through its website or authorized U.S. sellers. This is more generous than Needed or Nootropic Depot, which will only accept returns on unopened products within 30 days.
Best budget choline supplement for athletic performance
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What sets Nootropics Depot apart is its commitment to quality control. Every batch undergoes both in-house testing and third-party analysis through Omnient Labs, with COAs posted directly on product pages. That level of transparency is still uncommon in the supplement industry, and it’s a big part of why Nootropics Depot has earned such trust in the nootropic community.
Alongside its broad catalog of single-ingredient supplements, the company offers alpha-GPC 150mg capsules, one of the most affordable entry points into brain-penetrant choline supplementation. While this is below the 300-600mg/day range tested in most athletic performance studies, the smaller dose makes it easy to titrate upward by taking multiple capsules — a practical option for users who want flexibility in dosing without committing to higher amounts right away.
That combination of affordability, dosing flexibility, and rigorous testing makes Nootropics Depot a strong budget choice for alpha-GPC.
Nootropics Depot offers a discount for its alpha-GPC as the bottle size increases:
60 caps | 180 caps | 365 caps | |
---|---|---|---|
Price | $27.95 | $44.99 | $59.99 |
Supply length at 150mg/day | 2 months | 6 months | 12 months |
Cost per dose | $0.47 | $0.25 | $0.16 |
Notes | Price includes shipping cost | Price includes shipping cost | Meets free shipping threshold |
Even factoring in shipping, the 60-count bottle comes out to about $13.98/month, while the 180- and 365-count bottles significantly reduce per-serving cost. However, there’s no subscription program — a drawback compared to brands like Nutricost or Innerbody Labs, which offer deeper discounts for autoship.
Nootropics Depot does offer a 30-day return policy, but only for unopened products. That puts it behind competitors like Life Extension, which allows returns for up to a year, or Bestvite, which honors a 60-day money-back guarantee even on opened bottles.
Best for liver health
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Founded in 1980 and headquartered in Fort Lauderdale, Florida, Life Extension is among the most established supplement companies operating in the United States. All Life Extension products undergo third-party testing for purity and potency, and its facilities carry NSF and GMP certifications. Additionally, the company will share COAs on request.
Life Extension’s HepatoPro supplement provides 900mg of polyunsaturated phosphatidylcholine (PPC) per softgel. PPC, a major component of cell membranes, is noted for its enhanced absorption due to its unsaturated fatty acid content and has been studied for decades as a therapy for liver disorders:95
HepatoPro’s dosing aligns closely with studied amounts, allowing consumers to take one or two capsules to achieve effective levels.
HepatoPro runs $37.50 for 60 softgels, or 60 servings. Subscribing drops the bottle price to $34.50 (8% off) with free shipping. That ends up looking like:
Bottle price (with shipping) | Per-serving cost | Notes | |
---|---|---|---|
One-time | $43.00 | $0.72 | Includes $5.50 shipping fee |
Subscription | $34.50 | $0.58 | Free shipping with subscription |
Additionally, you can set delivery for every 1-12 months, so it’s easy to match shipments to your dosing schedule.
If your goal is maximizing elemental choline per dollar, simple salts like choline bitartrate will be cheaper. A single serving of Doctor’s Best delivers about 550mg of elemental choline, compared to roughly 117mg from one softgel of HepatoPro. HepatoPro’s value is less about raw choline content and more about the form and its evidence base — using a clinically referenced phosphatidylcholine dose targeted for liver support.17
For a refund policy, Life Extension provides the most extended guarantee among the brands in our guide, offering a full year for returns. The next longest is Bestvite’s 60-day guarantee.
Best for meeting daily choline needs
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Founded in 1990, Doctor’s Best is a Tustin, California-based company that offers a broad selection of dietary supplements. Its choline bitartrate provides 550mg of elemental choline per daily serving (2 capsules) — the AI for adult men and pregnant women.
Since each capsule covers about half of the daily AI, it’s easy to take one and make up the rest through food sources. That could look like any one of the following:1
Adding a single capsule to any one of these daily food combinations typically brings you to the AI. Taking both capsules, on the other hand, ensures you meet the AI outright without planning your diet around high-choline foods. Since fewer than 10% of U.S. adults consistently reach the AI through diet alone — this makes Doctor’s Best a practical and flexible option.1
Doctor’s Best is priced competitively. A typical bottle (60 capsules) costs $10.32, which works out to about $0.17 per serving. However, single bottles do not qualify for free shipping; you’ll need to spend $30 or more, or bundle with other products, to unlock it.
Unlike some competitors, Doctor’s Best doesn’t offer subscription savings on its website. Customers looking for autoship will need to purchase through a third party like iHerb (which offers a 20% subscription discount) or Amazon.
Lastly, Doctor’s Best offers a 60-day refund policy on direct purchases. Requests are submitted through the website, though the language is a little vague on whether products must be returned.
Best budget option for daily choline intake
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Nutricost has a reputation for offering straightforward supplements at some of the lowest costs per serving in the industry, and its Choline Bitartrate Powder is no exception. Each 1g scoop provides about 400mg of elemental choline, making it one of the most affordable ways to cover daily choline needs.
Unlike capsules, the powder format gives you flexibility. One scoop gets you close to the AI (550mg for men and pregnant women), while a scoop and a half easily covers it. If your diet already contains some choline-rich foods — like eggs, salmon, or quinoa — you may only need a partial scoop.
Nutricost’s Choline Bitartrate Powder is unflavored and unsweetened, which means you’re consuming choline bitartrate in its raw form. The flavor is mildly acidic, a little like lemon, and can be masked easily in juice or smoothies. It dissolves quickly in water without much grit, so most people won’t find it unpleasant. On its own, the taste is noticeable but not harsh, making it an easy powder to work into a daily routine.
By comparison, Transparent Labs’ pre-workout powders also have an acidic edge and a bit more grit than Nutricost, but the added flavoring generally makes them easier to drink.
Nutricost’s 500g tub costs $21.97, which translates to 500 servings. That works out to about $0.04 per serving — the lowest per-serving cost of any supplement in this guide.
Compared to Doctor’s Best, Nutricost powder is more than five times cheaper.
Nutricost Choline Bitartrate Powder | Doctor’s Best Choline L-Bitartrate | |
---|---|---|
Price | $21.97 | $10.32 |
Grams per container | 200 | 16.5 |
Cost per gram | $0.11 | $0.63 |
The trade-off is convenience: capsules are quicker and more portable, while the powder requires measuring and mixing.
When it comes to subscribing, the only option is every 30 days, which is impractical for a tub that has 500 servings in it. That makes the 20% subscription discount unlikely to be achieved.
For refunds, Nutricost stands out with a 60-day money-back guarantee, even if the tub has been opened. Customers who purchase a $2.98 “free returns” add-on at checkout can also receive a prepaid label for store credit or exchange. Without it, return shipping is the customer’s responsibility.
You might be exploring choline supplements for sharper cognition, better exercise performance, or liver health support. While nothing replaces choline as an essential nutrient, other supplements can help target specific areas of brain, body, and liver health.
Omega-3 fatty acids, particularly DHA and EPA, support brain cell structure and signaling. Meta-analyses show DHA supplementation can improve memory and learning, especially in individuals with low baseline intake.88
Another option is Bacopa monnieri, an herbal extract tested in double-blind trials that has been shown to improve attention and recall with consistent use over several weeks.89
Creatine monohydrate remains one of the most studied sports supplements, improving strength and muscular power, while also showing potential to enhance cognitive resilience under stress.90
Beta-alanine is another well-supported option: by buffering lactic acid in muscles, it reliably increases endurance capacity across a wide range of sports.91
Milk thistle, standardized for silymarin, has been studied for its antioxidant and hepatoprotective effects, with clinical trials showing improvements in liver enzymes among patients with fatty liver and other conditions.92 We have a dedicated guide to milk thistle supplements if you’d like to learn more.
Another promising option is TUDCA (tauroursodeoxycholic acid), a bile acid used in clinical settings that has demonstrated benefits for bile flow and reductions in markers of liver stress.93 For a deeper dive, see our full TUDCA supplements guide, where we review the current research and top products.
These alternatives don’t replace choline directly, but if your primary concern is brain health, athletic output, or liver function, they may provide comparable or complementary benefits.
Supplements can help people with higher needs or restrictive diets, but for most, food remains the best and most reliable source of choline. Research shows that dietary choline is often better utilized by the body than supplemental forms, likely because it comes packaged with other nutrients that aid absorption and metabolism.86
Here are some rich food sources of choline:
Including a variety of these foods in your diet can help you meet your daily needs — particularly if you prefer to avoid or limit supplementation. However, for people with increased needs or dietary restrictions, choline supplements remain a practical and effective option.
Sources
Innerbody uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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