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The relationship between thyroid function and metabolic health is bidirectional and complexthyroid hormones influence glucose metabolism and insulin sensitivity, while metabolic dysfunction can affect thyroid hormone conversion and action at the cellular level
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The effect of acylcarnitine on insulin sensitivity is also related to the saturation of acylcarnitine, with myotubes incubated with C16-carnitine exhibiting reduced insulin sensitization, whereas the accumulation of oleoylcarnitine (C18:1-carnitine) and linoleoylcarnitine (C18:2-carnitine) increases insulin sensitization [77]
As described in Statement 1, a key goal of the evaluation is to identify and exclude other disorders that may be causing symptoms
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