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You should not stop tamoxifen without consulting your oncology team, as it significantly reduces the risk of breast cancer recurrence and abrupt discontinuation can have serious clinical consequences

Also review whether other factors might be causing breakouts

Much of the purported clinical utility is derived from anecdotal accounts or small, uncontrolled series, rather than from robust randomized trials

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Regarding memory performance, patients with previous CP have shown deficits in immediate and/or delayed memory retrieval