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It's certainly possible that you could work out the appropriate doses of levothyroxine you need to take so your thyroid levels are still in a normal range while supplementing with O Positiv Meno, as there doesn't appear to be any notable interaction between the two aside from ashwagandha's potential effect on thyroid levels

You should also avoid it if you have a known allergy to its key ingredient, tranexamic acid

Dec 2020;75(4):477-486

Fixed-effects models were used for initial analyses, and random-effects models were used for validation analyses if significant heterogeneity existed