Hypothyroidism
Conditions
Brief summary
L-carnitine and thyroid hormone tended to antagonize reciprocally in human body. Urinary excretion of L-carnitine decreased in hypothyroid patients, and levothyroxine supplementation increased excretion of L-carnitine. The investigators hypothesized that supplying L-carnitine to hypothyroid patients with fatigue symptom could improve the quality of life, and fatigue score in them. Therefore, the investigators planned to compare the efficacy of L-carnitine and placebo in hypothyroid patients who had taken levothyroxine.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of hypothyroidism with fatigue symptom * Currently use of the same amount of levothyroxine over at least six months * Normal serum free T4 level
Exclusion criteria
* Current smoker * Serum hemoglobin level of under 12mg/dL * Clinical diagnosis of diabetes mellitus or fasting serum glucose level ≥ 126mg/dL or HbA1c level ≥ 6.5% * History of significant heart failure * History of large amount of alcohol consumption * Uncontrolled hypertension (systolic blood pressure ≥ 160 millimeter of mercury (mmHg) or diastolic blood pressure ≥ 100 mmHg * pregnant, or planning to be pregnant, or breast feeding women * aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥ 2 times of normal limit * serum Cr level \> 2.0mg/dL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue Severity scale | baseline and 12 weeks | Change from Baseline in Fatigue severity scale at 12 weeks (scoring 'fatigue severity scale' at baseline and 12 weeks) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wessely and Powell score | baseline and 12 weeks | Change from Baseline in Wessely and Powell score at 12 weeks (scoring 'Wessely and Powell score' at baseline and 12 weeks) |
Other
| Measure | Time frame | Description |
|---|---|---|
| thyroid function test | baseline and 12 weeks | measure thyroid-stimulating hormone and free T4 at baseline and 12 weeks |
Countries
South Korea