acetyl l carnitine hashimoto's Exploring the potential anti-thyroid activity of Acetyl-L-carnitine: Lactoperoxidase inhibition profile, iodine complexation and scavenging power against H2O2. Experimental and theoretical studies Momentous Acetyl L-Carnitine - Brain

Warmly Dr Jill I appreciate the response, and perhaps you are the exception to my view of functional/integrative/alternative medicine doctors, but even with a fairly straightforward situation (homozygous a1298c but none of the other problematic methylation SNPs one reads about), I cant seem to get a coherent recommendation

Lambert, R

Recent research has shown that hyperglycemia induced cellular stress, such as ERS (120) and oxidative stress (119), which stimulate the pyroptotic process in renal cells, and various signaling pathways, such as TLRs/NF-B/NLRP3 inflammasome signalling pathway, TXNIP/NLRP3 inflammasome pathway, ATP/P2X purinergic signalling pathway, and MAPKs/NLRP3 inflammasome signalling pathway (119, 121)

The difference is a modification to the molecule that extends how long it stays active in the body, giving a longer and more sustained growth-hormone pulse per injection