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Yes, this is a reasonable first-line treatment for ERPR positive metastatic breast cancer. Did she take Tamoxifen with the initial diagnosis 15 years ago? That might cause some providers to try a different hormonal treatment choice first. But the thinking here is that it's not an emergency, and there are (right now) a limited number of tools (treatments) in the tool box. It's reasonable to begin with the most easily tolerated tool that can be expected to be effective. May your friend get many years of success from her first tool!
Debbie Laxague
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