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It can cause nausea, vomiting, stomach pain, weakness, and chest pain (angina)

[72] As a best practice with all interventions used for Hashimotos, I recommend tracking symptoms, testing thyroid hormone levels, and testing thyroid antibodies after starting new therapies

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You can explore options such as: L-carnitine can be taken with or without food, though some users prefer taking it alongside meals to minimize digestive discomfort

Apr 2013;29(4):341-7

This desire to transform physically while maintaining a sense of normalcy outside the gym creates conflict between the "extraordinary" and "ordinary" selves