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When aluminum is above about 1.2 mg% or manganese is greater than about 0.04 mg% in the hair tissue, iron toxicity with biounavailable iron is almost always present

The changes in the melanin index, moisture content of the stratum corneum, skin smoothness, skin elasticity and wrinkle formation were objectively assessed

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(And there would similarly be no reason not to take it with Femara, the mechanisms of Clomid and Femara are different but neither should involve anything ALC related.) Heres another study in PCOS of acetyl-l-cysteine (a different amino acid, but still an acetyl group donor) and Clomid with similar improvements in ovulation rate but not striking differences in the other measured outcomes

Terawaki Y, Nomiyama T, Takahashi H, Tsutsumi Y, Murase K, Nagaishi R, et al