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Unfortunately, I have found people with Hashimotos may have impairments in their bodys ability to synthesize carnitine due to: Multiple nutrient deficiencies (beyond carnitine) : Other cofactors (additional nutrients needed to support our body in making carnitine) can also be lacking in those with Hashimotos, including having adequate amounts of iron ( iron deficiency with or without anemia is a common issue for people with Hashimotos, and it is thought that low iron may contribute to the low levels of carnitine found in most pregnant women), vitamin B3 (niacin), vitamin B6, and vitamin C