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Description
This study employed liquid chromatographytandem mass spectrometry (LC-MS/MS) to profile carnitine and acylcarnitines in late-diagnosed congenital hypothyroid patients receiving levothyroxine (LT4) therapy, with the aim of identifying metabolic alterations that may be associated with fatigue symptoms

Persistent fatigue may indicate inadequate B-vitamin cofactor status

His neurological issue stems from arthritis in his neck at C7

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Leone, R

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