@nannybb It's good to be aware that, because some women have trouble with the standard dose of 20mg of Tamoxifen, some are decreasing to 5 mg (sometimes called "Baby Tam"); my Doc says "It's not approved by the FDA" but there is a new 5 year study in the US to see if it's as efficacious as the 20 . I understand it's been approved by European docs. I believe this is a European study here: https://pubmed.ncbi.nlm.nih.gov/36917758/