I finally spoke with my oncologist and she explained that my Tamoxifen metabolizer test came back fairly inconclusive. Hmmm...didn't that happen with my genetic BRCA testing? I have these variants that may make me metabolize them at an intermediate level. Basically, I am getting some benefits of a drug that I have to take for five years but I'm not getting all the benefits.
I have a handful of side effects from Tamoxifen. We discussed that I can get Lupron shots that will suppress my ovaries. I may stay with the Tamoxifen since I at least know what the side effects are. She did say that I can switch off and on between the two for the remaining three years. Lupron will probably start my hot flashes again. With Austin weather, I should probably hang tight until the winter at least! :)
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