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Appetite changes can happen on tamoxifen, although they do not look the same for everyone You might notice feeling less hungry, getting full more quickly, or feeling less interested in food than usual These changes can be easy to miss at first, especially if they build up gradually Eating smaller amounts more regularly may feel easier than trying to manage bigger meals Keeping simple, easy foods around can help on days when eating feels more effortful It can be useful to notice whether appetite changes seem worse alongside nausea, fatigue, stress, or poor sleep If changes in appetite are ongoing, affecting your energy, or leading to noticeable weight changes, it is worth mentioning them to your care team Tracking changes over time can help you spot patterns and explain what has been happening more clearly at appointments Save this for later and download OWise to track symptoms, side effects and questions for your care team | OWise Breast Cancer

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During this visit you can also discuss vitamin B12 injections

Medical supervision ensures appropriate dosing protocols, monitoring for cognitive improvements, assessment of safety parameters, and integration with comprehensive brain health strategies including proper nutrition, sleep optimization, cognitive training, and lifestyle modifications that support long-term neurological wellness and cognitive performance enhancement