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Your 52-year-old female patient with a history of hysterectomy is undergoing evaluation. Her risk for breast cancer during the next five years is >1.7% using the modified Gail model. She is mildly overweight. Current medications include paroxetine (Paxil) for depressive disorder. She has no personal or family history of a clotting disorder or osteoporosis. In addition to weight loss, which strategy is most appropriate for reduction of the risk for breast cancer in this patient?







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