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Re: Gyn: Gail Model 1.9 From: Efrain Ramirez (eramirez@icepr.com) Wed Apr 26 22:07:09 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Gyn: Gail Model 1.9" Previous message: Efrain Ramirez: "Re: Gyn: Gail Model 1.9" In reply to: Garry Siegel: "Re: Gyn: Gail Model 1.9" Next in thread: Joanne Bulley, MD: "Re: Gail Model 1.9" Exactly what I told her. At Wed, 26 Apr 2000, Garry Siegel wrote: > >At Tue, 25 Apr 2000, Efrain Ramirez wrote: >> >>55 year old female patient, on Prempro 2.5 x 5-6 years, excellent >>results; good lubrication, no symptoms, Bones Densitometry Ok, lipid >>profile Ok, Gail Model,1.9 (no mistake on that) Yearly mammograms ok, >>endometrial stripe ok. >>What next? >> >Great case to discuss. One one hand, if it ain't broke, don't fix it. >On the other, she clearly is a candidate for Tamoxifen. For all we know >(pending the STAR trial), she might benefit from Raloxifen or Tamoxifen. >Our "horse sense" tells us that their likely is cross-over, ie that >Tamoxifen is good for the bones, and Raloxifen is good for the breasts, >but we've not proven that yet. > >I would lay this all out for her, especially the fact that we don't have >the long term stuff in yet, and let her decided. Me? I would leave her >on Prempro for now, until more data (ie longer observational trials) are >in. > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- "The things you learn after you know everything are the important ones" Next message: Efrain Ramirez: "Re: Gyn: Gail Model 1.9" Previous message: Efrain Ramirez: "Re: Gyn: Gail Model 1.9" In reply to: Garry Siegel: "Re: Gyn: Gail Model 1.9" Next in thread: Joanne Bulley, MD: "Re: Gail Model 1.9"

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