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I was post-hysterectomy, no ovaries when I was diagnosed. I had been on hormones for several years and had very few hot flashes. They immediately took me off hormones and started me on chemo. The hot flashes were really bad and continued after chemo and during herceptin. The onc put me on effexor about 4 months ago. It has really helped. I sleep very well now with only an occassional hot flash. BERTA
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