Dear @KateA
As @kezmusc says, there’s no must about it. You can choose what treatment you will or won’t accept. As I am sure you know, there are no guarantees - you might have taken tamoxifen and still had a recurrence. But at very least you need to discuss your options with an oncologist - my lovely surgeon was very clear on where post-surgery responsibilities lay ..... but he also gave me some useful information on how to read stats. And to remember that even 1% of reduced risk makes a difference if you are in the 1%. I’m older and on Letrozole rather than tamoxifen. Increased weight is not good, but you may be able to take some proactive steps to counteract this. I’ve been much more active and kept my weight pretty constant. I’ve never had radiation but did have six months of chemo. It can be horrid but I had a pretty normal time, never nauseous, never fatigued, worked throughout. It’s very variable and no-one can really predict individual responses. Make a list of the things that most concern you and talk them through. Best wishes for whatever you decide.
