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While the online testimonials can be compelling, its crucial to look at what the science actually says

L-Carnitine--Metabolic Functions and Meaning in Humans Life

Archives of Dermatology (2004) 6

August 2024 Semaglutide GLP-1 Drugs Linked to Blood Clots and Dangerous Side Effects A data analysis found a sharp increase in deep vein thrombosis (DVT) in patients taking semaglutide drugs for type 2 diabetes

The initial evaluation of these molecules by the big pharma companies impressed some of the key GLP-1 veterans

So, the potential issue here is that taking ashwagandha with levothyroxine could increase your thyroid hormone levels too much (as you are already correcting a deficiency with levothyroxine)