@karenpow I have since switched all doctors. Just had first 6 month mammo and thankfully all is good. New doc did not think meds were the way to go at this time based on family/medical history and things I have implemented. Of course if anything changes we revise the plan. Since my ADH diagnosis I have lost almost 40 lbs, lowered my bmi, switched to a plant based diet, and exercise daily. I think there is still a lot they don't know about ADH. Previous oncologist prescribed meds for anyone with higher than normal risk, nothing was individualized. Seems like there could be a titre to do to monitor estrogen levels and determine dosage of AI, maybe every other day instead of daily or something like that. Every woman is different. Best of luck and sending positive thoughts your way for you and your family.