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There have been reported at least 15 syndromes in which carnitine deficiency seems to be secondary to genetic defects of intermediary metabolism or to other conditions [40]

[DOI] [PubMed] [Google Scholar] 70.Fielding R., Riede L., Lugo J.P., Bellamine A

If relapse occurs, radioactive iodine or surgery generally is recommended, although antithyroid drug therapy can be restarted

Inhibiting carnitine metabolism would need to be evaluated with caution, as carnitine deficiency can cause severe phenotypes including muscle wasting, heart failure, liver damage, and cognitive delays 42

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