The most likely cause is Low Cortisol Explanation: 90% of all hypothyroid conditions are Hashimoto's. This is an autoimmune (your body attacks itself) condition. With this condition, the thyroid has antibodies that Carnitine and Thyroid Disease page 1 Life Extension L carnitine reduces hyperthyroidism symptoms L carnitine supplementation for the management of fatigue in patients with hypothyroidism on levothyroxine treatment: a randomized, double blind, placebo controlled trial. Semantic Scholar
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l carnitine hashimoto's thyroiditis Parallel investigation of oxidative stress and nutritional profile in women with Hashimoto's thyroiditis