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Alternative Approaches and Emerging Options Selective estrogen receptor modulators (SERMs) like tamoxifen or raloxifene offer alternatives to aromatase inhibitors for some patients

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As emphasized in one study, protection from degradation alone does not guarantee trans-epithelial transport or meaningful systemic exposure

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Focus on tracking your menstrual cycles to understand your new pattern, optimizing nutrition for pregnancy by increasing folate-rich foods and ensuring adequate protein, establishing an exercise routine if energy has returned, and addressing any nutrient deficiencies identified at your preconception visit