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They might also insert it into your rectum

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vitamin E oil *optional* Add 2 tsp

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Example: Someone stable on levothyroxine for years, TSH around 2, starts an over-the-counter supplement with L-carnitine and notices increasing tiredness and a later TSH of 5

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Carnitine in Neonatal and Pediatric Parenteral Nutrition Lower reserves in preterm infants Preterm infants are born with limited stores of carnitine, which plays a vital role in energy production through fatty acid oxidation

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This is where the magic happens

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Mild side effects like soreness at the injection site or temporary digestive changes may occur, but serious reactions are rare

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