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High FT3 levels increase fetal weight directly through anabolic effects on fetal metabolism and stimulation of fetal oxygen consumption ( The mitochondrial matrix enzyme, carnitine acetyltransferase, catalyzes the conversion of A-CoA and C0 to acetyl-carnitine and free Co-A, which plays a vital role in the production of energy in skeletal muscle, whereas TH is known to regulate several enzymes in this pathway ( The present study has certain limitations

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L-Carnitine forms are usually higher-dose materials, and many are hygroscopic, which can reduce flowability, increase clumping risk, and create capsule-weight variation under poor humidity control