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The vitamins are cofactors, not primary mechanisms

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TSH secretion in Cushings syndrome: relation to glucocorticoid excess, diabetes, goitre, and the sick euthyroid syndrome. Clin Endocrinol (Oxf)

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Common L-Carnitine Side Effects (Rare & Mild) Some users may experience: Mild nausea Stomach discomfort Diarrhea Fishy body odor (at high doses) Headache These effects typically occur when dosage exceeds 3,0004,000 mg per day

While both compounds work through different mechanisms that theoretically could complement each other, the safety, efficacy, and optimal dosing of this combination remain completely unknown