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Many people take L-carnitine with no noticeable thyroid effects
If nausea is severe, hold at 4 mg for an additional 2-4 weeks before escalating
Hesse, F.L
Hidden cost: Once a gap appears, the behavioral pattern shifts, skip a week because you cannot measure a dose, then reduce intake to avoid nausea, then lose track of when to resume escalation, resulting in the loss of weeks or months of progress
When a patient ceases taking the medication, the weight can be regained
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