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Dose: If increasing dose this week, expect a minor two to three day energy dip that resolves faster than the initial adjustment

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In naturopathic medicine, Im not treating a disease

Options for managing tolerance include a brief dose reduction for 4 to 8 weeks ("drug holiday" at a lower dose, not complete cessation), lifestyle optimization to maximize the medication effect, evaluation for other contributing factors (thyroid function, cortisol, sleep quality, medication interactions), and consideration of adding a complementary compound to address specific aspects of the plateau

Furthermore, if misused or used at excessively high doses without medical supervision, there are risks of thyroid C-cell tumors, and in men, risks of erectile dysfunction and testosterone deciency

Participants in the intervention group received one 1000 mg L-Carnitine tablet daily along with a weight loss diet , while the control group received a placebo identical in color, shape, and weight, along with a weight loss diet for 12 weeks