One does need to increase the dosage slowly, titrating it, under monitoring TSH levels, and most importantly, monitoring the patients well-being We assume that in particular, those hypothyroid patients with impaired expression of Se-dependent deiodinases would respond favorably to the T3/T4 combinations, as their activation of T4 to T3 in the peripheral tissues is compromised. A test for selenium autoantibodies is available in Germany but not yet in other countries
However, B12 injections will likely be most beneficial in improving performance if you correct a deficiency
Cell Transplant
In addition, Stefanello et al
Usefulness of l-Carnitine, A Naturally Occurring Peripheral Antagonist of Thyroid Hormone Action, in Iatrogenic Hyperthyroidism: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Management: Increase fiber and water intake