that's l carnitine affect the thyroid Comprehensive review of expanding roles of the pool in metabolic physiology: beyond fatty acid oxidation L-Carnitine Benefits Patients with Hypothyroidism
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Future studies are exploring links between persistent inflammation and neuroendocrine changes for example, examining whether pro-inflammatory cytokine surges during treatment lead to long-term alterations in brain neurotransmitter systems or HPA axis function that sustain fatigue

doi: 10.1016/j.conb.2009.05.013

[DOI] [Google Scholar] 66.Phongmitr T, Liang Y, Srirattana K, Panyawai K, Sripunya N, Treetampinich C, Parnpai R
The critical role of AKT2 in hepatic steatosis induced by PTEN loss

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