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The authors of the 2025 study from the University of Turin suggest that the combination of L-carnitine and selenium may have a synergistic effect, and that L-carnitine may also have an immunomodulatory role, and its actions are not limited to peripheral thyroid hormone antagonism

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Although further research is needed to confirm the findings, there is potential for functional foods, fermented foods, and probiotics or psychobiotics to serve as interventions for alleviating symptoms associated with stress, anxiety, and related disorders

For men, low testosterone is sometimes reported

doi: 10.1007/s00248-018-1177-1 97 GlasauerS