I also had stage 1 IDC, Oncotype zero, osteoporosis and high cholesterol, so I wasn’t interested in AIs. I am on 5 mg of tamoxifen, which doesn’t affect bone loss or cholesterol.

It seems that if you’re post menopausal oncologists go straight to AIs, and don’t mention tamoxifen as an option - you may have to ask.

I started on 20 mg, developed severe leg cramps, so oncologist dropped dose to 5. I occasionally get some minor leg cramps and night sweats, not bad - more annoying than anything.