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This study follows a previously published pilot study, which found that 500 mg of L-carnitine in combination with 83 mcg selenium (as selenomethionine) taken daily for one month could improve quality of life and symptoms associated with subclinical hyperthyroidism, defined as positive antibodies and a TSH between 0.1-0.4 mIU/L, without modifying thyroid hormone or antibody levels

Loss of muscle mass: Evidence suggests most individuals experience lean mass loss with these therapies

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Current professional guidance recommends individual risk assessmentasymptomatic, low-risk patients often continue therapy, while those with significant GI symptoms or higher aspiration risk may hold doses pre-op per team instructions

And theyre quite often not covered by your health insurance