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Community sources describe this as a jurisdiction-specific variable with no universal rule

A systematic review of cytokines in chronic fatigue syndrome/myalgic encephalomyelitis/systemic exertion intolerance disease (Cfs/Me/Seid)

They're precautionary measures informed by the peptide's known mechanism and the gaps in safety data

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This study follows a previously published pilot study, which found that 500 mg of L-carnitine in combination with 83 mcg selenium (as selenomethionine) taken daily for one month could improve quality of life and symptoms associated with subclinical hyperthyroidism, defined as positive antibodies and a TSH between 0.1-0.4 mIU/L, without modifying thyroid hormone or antibody levels