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.
Hypothyroidism and the Heart. As hypothyroidism progresses, symptoms become worse and more frequent. As the body struggles to adjust to the lower levels of thyroid hormones, additional symptoms and conditions begin to develop.