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Both medications belong to a class of drugs that mimic hormones your body naturally produces to regulate appetite and blood sugar

Rosenson, R

This would essentially result in the tamoxifen you took as being labelled ineffective as the body would not be able to process it 1

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For patients navigating the complex realities of Long COVID, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and dysautonomia, this fatigue is not simply a matter of needing more sleep