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Fulvestrant Alternatives?

Hi there! I want to discuss my wife’s condition with all of you here. She is 45 years old and she had her menopause last year. She was on estrogen hormone replacement therapy last year and now she has been diagnosed with positive metastatic breast cancer. She has been prescribed with fulvestrant but its has some serious side-effects. I want to know about fulvestrant alternatives which have lesser side-effects as compared to this fulvestrant? Thanks!

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