Successive thyroid storms treated with L carnitine and low doses of Methimazole The American Journal of Medicine Frontiers Thyroid hormones and carnitine in the second trimester negatively affect neonate birth weight: A prospective cohort study The Interplay Between Thyroid Dysfunction and Kidney Disease Seminars in Nephrology Levothyroxine Impacts: Mood, Fatigue, and Thyroid Health Mitochondrial control of fuel switching via carnitine biosynthesis Science levothyroxine & orlistat? Orlistat can reduce the absorption of levothyroxine. This happens because orlistat blocks fat absorption, and levothyroxine may get trapped and eliminated with undigested