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The advantage is well documented by studies by The Nat. Cancer Institute. Most studies showed 69% less risk of recurrance with ER+ tumors. Every woman does not experience the same side effects from Tamoxifen but this is something you wouldn't know until you started therapy. It is the recommended "standard" but some women choose not to take Tamoxifen. You might seek another opinion from another Oncologist since you have opposing opinions now. Regards ....