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Its an autoimmune disease in which the immune system produces antibodies that attack the thyroid, causing fibrosis or scarring of the thyroid tissue ( Hashimotos disease is associated with a variety of symptoms, including weight gain, fatigue, hair loss, anemia, constipation, cold intolerance, joint pain, dry skin, mood changes, difficulty concentrating, and more ( In addition to medication, diet and lifestyle modification can help reduce thyroid damage and improve symptoms and overall quality of life in people with Hashimotos

Additionally, refrain from eating too close to bedtime, as this can disrupt sleep quality

There is no limit on the number of uses

Carnitine, L- 30

and published in Cell (2017)

Plasmapheresis is known to be effective at removing thyroid antibodies, but it is expensive and carries other risks with it