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Sima and colleagues carried out two RCTs with the same design

I recommend testing thyroid hormone levels every six to 12 weeks while using complementary therapies, including root cause medicine, diet, or supplements that may optimize your thyroid function, improve the absorption of thyroid medications, and/or reduce your requirement for thyroid medications (you know, all the stuff I recommend on my website!), as well as when incorporating new lifestyle changes, to ensure your thyroid medication dosage is optimized or sooner, if you are showing any of the above-mentioned symptoms

A diagnosis of primary carnitine deficiency requires that serum, red cell and/or tissue carnitine levels be low and that the patient does not have a primary defect in fatty acid or organic acid oxidation (see Clinical Pharmacology)

Learn more about the differences between L-carnitine and acetyl L-carnitine or take a deeper dive into the benefits of acetyl L-carnitine

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