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It does not directly stimulate fibroblast proliferation under normal culture conditions, but substantially increases fibroblast survival under hydrogen peroxide-induced oxidative stress acting as a cytoprotective enhancer of the endogenous repair response rather than a direct mitogenic agent

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They can help manage metabolic complications associated with Hashimoto's, particularly weight management and insulin resistance, but thyroid hormone replacement therapy remains necessary

Even in this documented effect, the mechanisms of how L-carnitine regulates this inflammation are not well understood