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Estrogen-only therapy showed even greater reductions than combination therapy

Tamoxifen can substantially reduce breast cancer incidence in high-risk patients, but many eligible women do not take the drug because of concerns about side effects

Practitioners can uncover most of these concerns with a symptom questionnaire (from the Institute for Functional Medicine, for example) for every confirmed or suspected HT patient

The general advice is to review your symptoms to establish if you may have an undiagnosed B12 deficiency