@SallyS I think all you can do is try it and see if you can manage as it seems everybody’s reaction is different.
I too was terrified by hormone therapy- because I am postmenopausal I was put on an Aromatase Inhibitor called Letrozole. Yes there have been side effects - hot flushes , joint pain and more worrying a big jumpin my cholesterol plus bone thinning.I also think it can bring on the blues.I have been on it 10 months nearly and been managing ok.
I walk for an hour daily which helps with my joints - I can walk thru pain I started with within 15 minutes and the release of endorphins helps with how I feel. On the odd occasion I miss a walk I really notice the difference.My oncologist recommended I take Krill Oil tablets which are much stronger source of Omega 3 than fish oil for my joints and I think it also helps my cholesterol.
Bone thinning is a big worry asI started with osteoporosis and an osteoporotic fracture.I have 6 monthly Prolia injections to counter this as well as 2 Caltrate Bone and Muscle Health tablets.I also do a light weights exercise class twice weekly and hope it with the walking will help counter bonethinning.
To me Hormone Therapy is my best chance to avoid a recurrence and so I try to work around problems that occur. I did also hear at the outset that the body can adapt in many cases after a while and touch wood I think mine has.
Wishing all the best and doubtless others on Tamoxifen will give you their thoughts too. XO