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Alterations in the gut microbiome may influence the expression and activity of the sodium/iodine symporter (NIS), a protein essential for iodine transport into thyroid follicular cells (Nicola et al., 2009)

This endocrine imbalance precipitates premature follicular development and stagnation or even cessation of ovulation (Rosenfield and Ehrmann, 2016)

In summary - L-carnitine is an amino acid that is found in small amounts in foods such as meat, fish, milk, avocados and asparagus

doi:10.1111/jcmm.15514 176

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Fertil Steril 2017;108:45667.e1.Google Scholar Agarwal, A, Majzoub, A, Esteves, SC, Ko, E, Ramasamy, R, Zini, A