The Flourish After Cancer Podcast

19: Are Hormone-Blocking Medications Protecting You—Or Hurting You? Let’s Assess.

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Don't forget to check out The Breast Cancer Freedom Workshop, happening November 18-20. Learn more here: The Breast Cancer Freedom Workshop: https://flourishaftercancer.com/breastcancerfreedom

 

You beat breast cancer — but then you’re handed another decision that can feel just as heavy: Should I take hormone-blocking therapy?

Or, you’re currently taking hormone blocking therapy and you’re wondering if you’ve made the right choice or thinking about the long term risks and side effects. 

Tamoxifen. Letrozole. Anastrozole. Exemestane.

These medications are designed to stop estrogen from fueling new cancer growth — but for many women, they also bring side effects that affect sleep, mood, intimacy, and quality of life. Not to mention your risk of heart attack, stroke, bone fractures, and dementia. 

In this episode of The Flourish After Cancer Podcast, Dr Megan Bernard, ND, breaks down how these therapies work, the real numbers behind their benefits, and the questions every survivor should ask before deciding whether to stay on (or start) them.

⚠️ This is a must-listen if:

  • You’ve been prescribed Tamoxifen, Letrozole, Anastrozole, or Exemestane
  • You’re wondering how much these drugs actually reduce recurrence risk
  • You’re struggling with side effects like hot flashes, joint pain, or brain fog
  • You’re curious about whether natural options can replace or complement hormone therapy
  • You want a clear, balanced view—without fear-mongering or medical gaslighting

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    💊 In this episode, you’ll learn:

    • How hormone-blocking therapies work — and how they differ between pre- and post-menopause
    • The trade-offs of estrogen suppression: why it protects against cancer but can harm bones, heart, and brain health
    • What your Oncotype DX or MammaPrint results really mean and how to interpret relative vs. absolute risk
    • The role of genetics and epigenetics — including the CYP2D6 gene that determines how well your body activates Tamoxifen and APOE4 that can show a raised risk of developing dementia (estrogen = brain health).
    • Natural strategies that may help ease side effects like hot flashes, weight gain, and low mood
    • How to evaluate your personal risk of heart disease, fractures, and dementia so you can make an informed, individualized choice

      • 💡 You’ll leave this episode with:

      • A science-backed understanding of both the benefits and trade-offs of hormone-blocking therapy
      • Tools to discuss with your oncologist or integrative provider before making your decision
      • Confidence that whether you choose medication, natural support, or both—you can still take powerful steps to reduce recurrence risk and feel well

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        EPISODE RELEVANT RESOURCES:

        • The Breast Cancer Freedom Workshop: https://flourishaftercancer.com/breastcancerfreedom
        • S01 | E18 Don’t Let Weak Bones Haunt You: Building Bone Health After Menopause & Cancer Treatment 
        • S01 | E17 Sexual Health And Hormone Therapy After Cancer

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          ✨ BEST FREE RESOURCES:

          • The First 4 Steps To Staying Cancer-Free: HERE
          • The Blood Test Clarity Guide For Cancer Survivors: HERE
          • Breast Cancer Thrivers Recipe Book & Sexual Health Handout HERE

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            Let's Connect! 

            Book a free Roadmap Call and let’s chat about how we can help: Learn More

             

            Follow me:

            • Instagram: @MeganBernardND
            • Facebook:  @MeganBernardND
            • Website: https://flourishaftercancer.com/

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              Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

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              The Flourish After Cancer PodcastBy Flourish After Cancer