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My primary focus will be to try and keep all my gains after my previous cycle buy cialis 10mg These include 1 the importance of amenorrhea as a determinant for premenopausal women with early stage breast cancer; 2 the optimal duration of ovarian function suppression with LHRH analogs; 3 the value of ovarian function suppression ablation after chemotherapy, particularly for women who remain premenopausal after adjuvant chemotherapy; 4 the role of combination endocrine therapies in premenopausal women ovarian function suppression plus tamoxifen or AIs; 5 the definitive role and best use of AIs in premenopausal patients; 6 careful delineation of the long term side effects of AIs; 7 the worth of chemotherapy for patients at low risk for recurrence who receive optimal endocrine therapy; 8 the combination of new targeted therapies and endocrine treatments; and 9 specific issues related to child bearing and endocrine therapies