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A study of hypothyroid patients taking synthetic levothyroxine (Synthroid or others), combination levothyroxine and triiodothyronine (T4 and T3) or desiccated thyroid extract (Armour) found no additional cardiovascular risk from combination or natural therapy ( Southern Medical Journal , June 2018)

In addition, the study had to be closed prematurely due to slow accrual

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ALCAR is used as a dietary supplement