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5 Clinical evidence and limitations 5.1 Selenium in thyroid populations Selenium has been one of the most intensively studied micronutrients in thyroid disease, with multiple randomized controlled trials (RCTs) examining its effects in Hashimoto's thyroiditis and other autoimmune conditions

There are also reports of differing levels in mtDNA expression, possible mitochondrial depletion, and deletions/copy number variations in small cohorts (118, 119)

This indicates that oral carnitine provision is a safe choice of supplementation

Summary: Gastroparesis symptoms associated with Ozempic are typically reversible upon discontinuation, though recovery timeframes vary considerably between individuals

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