Under-pressure Liverpool head coach Arne Slot would "consider everything" in an attempt to break their run of nine defeats in 12 matches.
The sequence is the club's worst since the 1953-54 season but, with key players injured or not fully fit, his options to make significant changes are limited.
That may sound ridiculous considering the club spent £450m in the summer but half of that went on two players and both Alexander Isak and Florian Wirtz have struggled with injuries and adapting to new surroundings.
Slot was not able to fill his full quota of 11 substitutes for the midweek Champions League defeat by PSV Eindhoven and of the nine who did make the bench a couple were goalkeepers and two were 18-year-old Trey Nyoni and Rio Ngumoha, who only turned 17 in August.
Of the others, Joe Gomez had a painkilling injection in a knee problem last week which has restricted his availability while Wataru Endo, a defensive midfielder but not one whom Slot appears to trust, has made just two Carabao Cup starts in his six appearances this season.
With no recognised right-back and central defender Ibrahima Konate a mistake waiting to happen every game, Slot would have benefited from having better availability.
"I think you consider everything. Until now, I have decided differently," said Slot when asked about those fringe players being given a chance at West Ham on Sunday.
"But they train with us every single day and they can prove themselves in those moments.
"It's always a balance between if you don't change people think 'Ah, you should change more' but there was a period of this season where we lost and I made a few changes and people complained I made a few changes too much and it was never at any time the same team.
"Of course, I consider (changes) but I cannot tell you what the end product of that consideration is for Sunday yet."
Gomez's unavailability has been felt more because new centre-half Giovanni Leoni was ruled out for the campaign with an ACL injury on his debut in September.
"For him to start was definitely a possibility but Konate didn't train two days before the (Eindhoven) game," said Slot.
"If you don't have that many defenders to start with, two players who maybe might not be able to play the whole 90 is kind of a risk.
"I decided to keep him there (on the bench) if Ibou was injured and not to have to make two substitutions as we'd have probably ended up with only one or two defenders."
