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does l carnitine interfere with levothyroxine Acetyl-L-Carnitine: Benefits, Forms, Dosing, and Side Effects – Dr Brad Stanfield L-Carnitine Injections: A Clinical Guide
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doi: 10.1002/hep.28897

Agitation can occur as a prodrome, but this is rare

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Some research models note mild observations including gastrointestinal effects in certain experimental protocols
