Thanks for the pubmed link, didn't see that.
As far as choline goes, I eat an egg every day, and get my vitamins and minerals from fresh fruits, veggies and legumes. Just as you can obtain Vitamin-C or choline from a supplement, so too can you obtain them from natural sources. From what I understand of nutrition, the natural sources deliver the same nutrients in ways that our bodies can metabolize better.
I'm open to trying piracetam again, but it just doesn't seem all that significant to justify even the extra cost of buying it (and the supplements) and becoming dependent on it. If someone here actually does think it's worth it, I'd be very interested in hearing from you, provided you don't own a nootropics business.