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The effects were most likely attributable to the effects initiated through the oestrogen antagonist properties of enclomiphene citrate or its metabolite

[DOI] [PMC free article] [PubMed] [Google Scholar] 54.OConnor A.B., Dworkin R.H

Dangerous Reactions While die-off symptoms are generally manageable, certain signs indicate you should stop treatment and consult a practitioner: Persistent fever above 101F Severe abdominal pain or vomiting Neurological symptoms worsening (e.g., vertigo, severe headaches) Bloody or black stools Symptoms continuing beyond 7 days These may signal an adverse reaction or unrelated health issue that needs immediate attention

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