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I too am a strong triple positive and was 43 at diagnosis- Luckily it was stage 1 and I am neing treated at a major NY cancer center. With that said - my surgeon intitally put me on tamoxifen but when I saw the Onc who is the head of breast cancer trials , she said no way - Arimidex w/lupron. Tamoxifen is not even on the table for at least 5 years. The monthly lupron shots suck, for lack of a bettr way to describe it. You can also administer very 3 months but side effects are worse. I have opted for the 1x a month.
Hope this helps.
S
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