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Thyroid Hormones : L-Carnitine could reduce the effectiveness of thyroid medications

Although the mortality rate has decreased significantly during the past several decades thanks to improvements in diagnostic and therapeutic modalities [9,10], it remains as high as 1222% [11-14]

Carnitine deficiency impairs a variety of metabolic processes in the liver, including lipid metabolism, gluconeogenesis, ketogenesis, albumin biosynthesis, and ammonia detoxification in the urea cycle [201], and carnitine/acetylcarnitine supplementation can ameliorate a variety of liver diseases [202, 203]

The efficacy of L-carnitine administration in the treatment of fatty liver has been reported in humans and mice

9 Importantly, PCOS is a diagnosis of exclusion, meaning that other causes of ovarian dysfunction and hormone imbalance must be excluded to confirm a diagnosis