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For prolonged or repeated courses, clinicians sometimes check carnitine status and may consider supplementation under medical supervision

Free Thyroid Hormones (fT3 and fT4) A time-dependent reduction in thyroid function indices (fT3 and fT4) was observed in both the Control and Intervention Groups

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However, a small number of patients may experience: Mild digestive discomfort or nausea (especially when first starting) Changes in routine eating patterns, which could temporarily affect your sleep habits These side effects typically fade as your body adjusts to the medication