l carnitine and fishy body odor L-Carnitine: Benefits, Uses, Side Effects Does Carnitine Cause Body Odor?
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In other words, it's when the thyroid is underactive. For many women, the root cause of hypothyroidism is Hashimoto's thyroiditis, an autoimmune condition where the body attacks its own thyroid tissue

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10.3390/ijms22031156 212 ZhangC.MaC.YaoH.ZhangL.YuX.LiuY.et al (2018)
The methodological quality of the included studies was evaluated using established tools tailored to study design, and employing the Newcastle-Ottawa Scale for cohort studies [14]
