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Tamoxifen blocks estrogen receptors in breast tissue, preventing gynecomastia without reducing estrogen's beneficial effects on bone, brain, and cardiovascular health

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Contact your prescriber sooner if you notice these changes Do not wait for the next routine follow-up if you develop: Chest pain, marked palpitations, or shortness of breath A sharp rise in anxiety, agitation, or irritability Insomnia that starts impairing daytime function Meaningful appetite suppression with weight loss or skipped meals Feeling emotionally flat, unlike yourself, or unusually driven in a way that feels unhealthy Those reports help guide treatment

For body composition or visceral fat, she looks at analogs like tesamorelin, sermorelin, or epithalon when appropriate and when regulated options are available

On a regular schedule