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[4] Research has found that carnitine supplementation supports a reduction in fatigue in hypothyroid patients, as well as improves muscle weakness for both hypo- and hyperthyroid patients

If fatigue and cognitive slowing dominate, ALCAR may be worth considering

The surplus fatty acids, if left unprocessed, divert to alternative metabolic pathways, yielding highly reactive lipid peroxides

European Journal of Applied Physiology, 95, 431-435

1 It is a debilitating chronic condition, with studies suggesting a lower average quality of life than that seen in people with heart failure, renal failure, multiple sclerosis, stroke, and many forms of cancer