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If symptoms or labs point to hypothyroidism after starting L-carnitine, pause the supplement and consult the prescriber about dose adjustments or further testing

Studies suggest that selenium supplementation, known for its antioxidant properties, may reduce thyroid autoantibody levels and improve thyroid function in women with autoimmune thyroid disease [101]

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All participants gave written consent prior blood donation and samples were anonymized

However, studies of hirudin are currently limited by small sample sizes and insufficient standardization of experimental design, resulting in an optimal therapeutic window and long-term safety of the drug that remain to be clarified

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