The most likely cause is Low Cortisol, Explanation:, 90% of all hypothyroid conditions are Hashimotos. This is an autoimmune (your body attacks itself) condition. With this condition, the thyroid has Metabolic Characteristics of Hashimoto's Thyroiditis Patients and the Role of Microelements and Diet in the Disease ManagementAn Overview 5 Ways to Get Rid of Thyroid Fatigue Frontiers Association between fatigue, peripheral serotonin, and L carnitine in hypothyroidism and in chronic fatigue syndrome
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l carnitine hashimoto's thyroiditis Metabolic Characteristics of Hashimoto's Thyroiditis Patients and the Role of Microelements and Diet in the Disease Management—An Overview