â¢ Record Level Audit Trail provid es record of user, update, and when change was made â Does NOT record value of field before change Cannot purge or archive so rarely used System Access; Audit & Edit Trails Epic Overview My eHealth tools for better information, better collaboration, better care. â purge or archive so rarely
Stay on the safe side and avoid use. Underactive thyroid (hypothyroidism): There is a concern that propionyl-L-carnitine might make hypothyroidism worse or thyroid hormone treatment less effective. This is because a related chemical, L-carnitine, seems to interfere with thyroid hormone.
Signs and symptoms of hypothyroidism include: 1  Fatigue and sluggishness. 2  Increased sensitivity to cold. 3  Constipation. Pale, dry skin.  A puffy 1  face. Brittle nails.  Hair 1  loss. Enlargement of the 2  tongue. Unexplained weight  gain. Muscle aches, tenderness and 1  stiffness. Joint pain and 2  stiffness. Muscle  weakness.