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 can cause many different symptoms, such as: 1  Feeling tired, weak, or depressed. 2  Dry skin and brittle nails. 3  Not being able to stand the cold. 4  Constipation. Memory problems or having trouble thinking clearly.  Heavy or irregular menstrual periods.