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Some clear triggers to stop and contact a clinician include: New or worsening hypothyroid symptoms or an unexpected rise in TSH Unexplained INR instability if you are on warfarin New seizures or increased seizure frequency Evidence gaps and how clinicians can manage uncertainty Large randomized trials of supplement-drug interactions are rare

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OK, so with HA we have to temper our excitement a little bit because clearly the mechanisms are different from PCOS but certainly this suggests no detriment to continuing to take ALC along with Clomid

Documentation: Keep a daily log of dose, injection site, and any observed effects to maintain protocol consistency and identify tolerance patterns