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Study 5 of 7Efsubaglutide literatureToxicology reports · Observational2026

Comprehensive safety assessment of novel dicholine folate vitamin.

Dicholine L-5-MTHF appears to be safe based on negative genotoxicity results and tolerability in human studies, but further research is needed.

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Where it sits

this study against the rest of the efsubaglutide corpus
1
Preclinical
5
Observational · this one
0
Open-label
0
Randomised
1
Reviews

Summary and findings

This safety assessment evaluates dicholine (6S)-5-methyltetrahydrofolate (dicholine L-5-MTHF), focusing on its genotoxicity and oral toxicity. The study utilized a weight-of-evidence approach, integrating published data and in vitro assays. Findings indicated no adverse effects at the highest doses tested in rats and support tolerability in human clinical studies.

How much of this paper we could read: full text read (0.70). We had a clear abstract, so the summary below closely tracks the paper. What this means →
Not reported in abstract.2026

Abstract

The authors’ words, as Toxicology reports supplied them

Novel vitamin salt forms can offer formulation advantages while retaining the biological activity of the parent compound. This safety assessment evaluates dicholine (6S)-5-methyltetrahydrofolate (dicholine L-5-MTHF), a reduced folate source designed to deliver biologically active L-5-MTHF with improved water solubility and stability relative to existing reduced folate salts. As L-5-MTHF salts dissociate to yield L-5-MTHF and their respective counterions, the safety of dicholine L-5-MTHF was assessed using a weight-of-evidence approach that integrates published data for existing L-5-MTHF salts together with information on choline exposure. A standard in vitro genotoxicity battery conducted with dicholine L-5-MTHF, including bacterial reverse mutation, chromosome aberration, and mammalian micronucleus assays, was negative and consistent with the broader genotoxicity profile of other reduced folate sources. In addition, subchronic oral toxicity studies in rats with calcium and sodium L-5-MTHF salts identified no adverse effects at the highest doses tested, and human clinical studies with L-5-MTHF salts support tolerability, including at intakes above the adult UL established for folic acid. Collectively, these data support the safety of dicholine L-5-MTHF at the proposed use level.

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