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However, subsequent research has shown that carnitine acts to modulate thyroid hormones within our cells, so it can act like an agonist (a substance that initiates a response when combined with a receptor) helping thyroid hormone action in cases of hypothyroidism, and as an antagonist (blocker) in cases of hyperthyroidism

This increases the risk of developing type 2 diabetes

In some cases, neurologic assessment or advanced imaging may be more important than supplementation

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Recently, OS has been reported to have an important role in the normal functioning of the female reproductive system and in the pathogenesis of female infertility [33, 74]