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    Includes Expert Content
    deedle posted:
    I ham almost 65 yrs old. Had breast cancer three years ago. On tamoxifen and have hot flashes at night that make my whole body sore. Is this normal? Drs cant seem to answer me. I am EXHAUSTED....Help!
    Mary Jane Minkin, MD responded:
    Dear Deedle,
    There are certain things that might help. Keep the house cool at night; and keep a dry nightgown next to your bed (so if you wake up soaked you can change without a big todo.) There are certain over the counter remedies that can help. Do check with your oncologist, but most folks do not have a problem (nor should they) with black cohosh (Remifemin) which is not estrogenic. Many oncologists will allow soy and soy products, so do speak with yours. And from a medication perspective, something like Effexor in low dosages (like 37.5 or 75 mg) can be very helpful.
    And do some good exercise early in the day; not in the evening as that tends to keep folks up more at night,
    good luck,
    Mary Jane

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