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Two things...you might try some Lithium and see if that helps with your anxiety. Dr. Sandra Kaufmann thinks IIRC that 20-30mg per day is a reasonable dose, but you would obviously want to start low and adjust up to that only if needed. Also, when I was on clomid only, I could only tolerate a much lower dose ( around 35mg per week) so you might want to back off the dose and see if that helps. That will take a while to assess however since it takes clomid so long to clear. I found that when I lowered my dose I needed to stop completely for a few weeks and then restart, but since you are in a good place otherwise, perhaps you can just lower the dose a bit and see if you can maintain the benefits without the problems.