9 Natural Remedies for Hyperthyroidism and Graves' Disease Combination of selenium and L carnitine normalizes the overactive thyroid gland L carnitine supplementation for the management of fatigue in patients with hypothyroidism on levothyroxine treatment: a randomized, double blind, placebo controlled trial. Semantic Scholar The most common cause of hypothyroidism worldwide is insufficient intake of iodine, a mineral found in iodized salt and some foods (such as seafood and dairy) that is needed for production of