l carnitine and levothyroxine L-carnitine supplementation at doses of 2–4 g/day has been shown in a randomized, double-blind, placebo-controlled trial by Salvatore Benvenga to reverse prevent symptoms of iatrogenic hyperthyroidism in women receiving TSH-suppressive l-carnitine and levothyroxine interaction Carnitine

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Cleaning the injection site with an alcohol swab is standard practice