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Re: Grapefruit a no-no with ER/PR positive Ca?
I use drugs.com too, but it's not comprehensive (although it is better than most other interaction checkers I've tried.) I also use the Natural Standard interaction checker, but the site requires a subscription, and again, it's not comprehensive.
Many ordinary foods, drugs and supplements affect both estrogen and tamoxifen (not to mention AIs and chemo drugs). For example, I recently wrote to the manufacturer of Ester-C to ask if tangeretin* (a citrus bioflavonoid that inhibits tamoxifen) is used in its product. I haven't heard back yet, but I'm pretty sure I know the answer, which means I have 3/4ths of the large-size bottle to discard.
It would be nice to have a definitive list.
(*It's okay to eat oranges as long as you don't eat the peels. See here for good info: http://foodforbreastcancer.com/foods/oranges)
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2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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Hybrid Mode
