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I consulted with thre oncologists when I was first diagnosised a little over a year ago and all said no to Tamoxifen - while it may not harm studies ( as your onc said the jury is still out) have indicated that the the AI's such as arimidex and femera offer more protection.
It also depends at what age your diagnosis was made. if you were in perimenapaus usually 40 anad over oncs tend to push to the AI's - if you are still in your 30's or younger it is tamoxifen with the thikig beig that yu are still to young to be pushed into menapaus. I was 43 at diagnosis and like you am a triple positive. I have opted to shut down my ovaries with lupron shots and am taking arimidex. This combo is no picnic either with th muscle aches stiffness etc.
As for takig herceptain three years out - Oncologists are now starting to give hecepta without chemo - I was one of those who receivd it this way. So how many years away from chemo is not the issue. The issue is need three years out from diagnosis. That is the question you ned to discuss with your oncologist.
Hope this helps,
Susanne
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