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Treating the underlying cause: For secondary carnitine deficiency, addressing the underlying condition, managing kidney disease, treating intestinal disease, improving diet, is as important as supplementation

A small significant reduction in TSH and fT 4 was observed in patients with COVID-19 when compared with non-COVID-19 patients which might be compatible with a nonthyroidal illness syndrome and did not justify any treatment

Furthermore, commercially available formulas (such as Vivonex) contain a lot of artificial ingredients that people with Hashimotos may not tolerate

Nutritional risk profiles are therefore not equivalent