https://lowtoxinforum.com/threads/incomprehensive-ble-notes-on-choline.23228/
A Cancer Therapy By Max Gerson - Selected Parts
[..]effects of choline and methionine [in protecting the liver] can be reversed by excess fat supplements.
With the tremendous amount of experimental work done on lipotropic agents, and their effectiveness in dietary fatty liver in animals, it is only natural that clinicians should turn to these substances in the treatment of fatty liver; however, the only type of fatty liver that choline (the most important of the lipotropic substances) can cure is the one due to a choline deficiency. It is likely that at least some of the fatty livers in man are due to choline deficiency, but in fatty livers of prolonged infection or those due to toxins, no deficiency of choline in the diet can be postulated, and therefore, no beneficial effect from choline can be expected.
Mitchell A. Spellberg, Diseases of the Liver, p. 309.