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.
The most common cause of hypothyroidism is an autoimmune process known as Hashimotoâs thyroiditis. Agents that have been shown to interfere with the action of thyroid hormone include cigarettes, as well as a range of environmental agents, especially polychlorinated biphenyls (PCBs).