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It's your choice about how fast you want to add attempts. Some people are ok with going on a long time not conceiving but at 41 time is not on your side. I would consider e4d possibly for next month but after that go to e4d plus one more attempt at positive OPK. Or for better chance of conception go to e4d plus one NOW.
The diet can start helping immediately though it's believed you'll see best results once you've been on it at least 6 weeks, and more like 12 is likely more effective.
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Thankyou so much I will try this x