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I recommend testing thyroid hormone levels every six to 12 weeks while using complementary therapies, including root cause medicine, diet, or supplements that may optimize your thyroid function, improve the absorption of thyroid medications, and/or reduce your requirement for thyroid medications (you know, all the stuff I recommend on my website!), as well as when incorporating new lifestyle changes, to ensure your thyroid medication dosage is optimized or sooner, if you are showing any of the above-mentioned symptoms

There are many other lifestyle factors that contribute as well: Lack of sleep Exposure to harmful chemicals Lack of exercise (or too much exercise) High stress levels Certain medications or supplements Myo Inositol plays a key role in follicular development, improves oocyte (egg) quality and helps in the restoration of ovulation in women NAC improves menstrual cyclicity Folic acid is helpful in regulating homocysteine levels, promoting ovarian and smooth functioning and improves PCOS symptoms Vitamin E improves glucose metabolism and insulin activity for PCOS and diabetes L-Carnitine improves pregnancy rates and ovulation induction in clomiphene resistant PCOS L-Arginine helpful for PCOS as they can improve your insulin sensitivity and also can have an effect on weight loss Selenium improves insulin sensitivity and lipids in women with PCOS So, the rational use of nutritional supplements, combined with a healthy diet, will contribute substantially to health promotion and work in balance and synergism on protection and integration of the physiological functions of the body