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Previously, Modanloo et al

however, advise the patients or their caregiver to contact their physician if any unusual symptoms occur during therapy

A note on thyroid hormones: Carnitine has traditionally been used by individuals with hyperthyroidism to help with symptoms resulting from hyperthyroid-induced carnitine depletion (such as muscle wasting), so scientists initially believed that carnitine acted like an antagonist or a thyroid hormone receptor blocker, and cautioned against using carnitine in hypothyroidism