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Is there a way to work with it, without exactly modifying it as such?
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The #37 adapter did not allow Left/Right adjustment that my friend needed. This is all dependent on the placement of your eyes inside your skull and the size/shape of your head. It works for some people without any issues.
The #37 lets you adapt to USGI mounts without modification. If you go this route then I recommend the newer RHNO II (Norotos Titanium Lowering Arm) because it has vertical adjustment that the old RHNO Lowering Arm lacks. Depending on the shape of your head you may be able to rotate the helmet to get some Left/Right adjustment. My friend is of solid German ancestry and he has flat sides to his head so we could not get much rotational adjustment from the helmet. If you have a rounder head this may work better for you.
I have seen THIS done without modification to the MNVD (Monocular Night Vision Device - Sirius, PVS-14, etc.) though I have not done it myself: MNVD rail to Picatinny weapon mount adapter, Picatinny adapter to Picatinny rail, Picatinny rail to offset bracket, offset bracket to Wilcox Dovetail - at which point the Wilcox Dovetail will mate to any Wilcox Lowering Arm. This sounds like a lot of work and Wilcox Arms do not come cheap.
If I really needed to do this without violating the warranty then I would get one of the $25 aftermarket weapon mounts off of eBay and get the USGI J-Arm mounted to a piece of Pic rail. I think that would be less work.
Tapping the proprietary rail was easy and, if you are out of warranty anyways, that is definitely what I would recommend. Cheap, easy, decent results.
EDIT: Post edited for clarity on request through PM.