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Your patient is cold, bradycardic, hypotensive, and confused and it's not winter. What's your next move? This is the clinical picture that should make you reach for thyroid hormone fast. Anand The effects of L carnitine supplementation on lipid profiles in adults: A systematic review and dose response meta analysis ScienceDirect Vitamins to be taken away from thyroid medication Frontiers Association between fatigue, peripheral serotonin, and L carnitine in hypothyroidism and in chronic fatigue syndrome
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