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It has been estimated that by the time of delivery, plasma carnitine concentrations may decrease to about half of that of non-pregnant women

Regul Pept 53: 47-59, 1994

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Mechanisms of Primary and Central (Secondary) Hypothyroidism (McCance & Huether, 2014, Chapter 22) Physical exam Hypothyroidism generally affects all body systems and occurs insidiously over months or years (McCance & Huether, 2014, Chapter 22)