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[38] The results of a recent study regarding L-carnitine supplementation for the management of fatigue in patients with hypothyroidism found that L-carnitine may be useful in alleviating fatigue symptoms in hypothyroid patients, especially in those younger than 50 and those who have hypothyroidism due to a thyroidectomy

With respect to the requirement for Mg 2+ in ATP functions, essentially all of the ATP in the cell has Mg 2+ bound to the phosphates