Dr. Vincent, love your thoughts on how to approach this situation, since this woman is unable to supplement estradiol, she is left with the worst of all aspects of menopause plus side effect of tamoxifen. Anxiety, probably adrenal fatigue, but her doctors are of no help since they are mostly concerned with managing her cancer risk. the only option given is a SSRI meds. Also, do you treat this type of patient? thanks so much!