Hi all, I’m about a year on after surgery/radiotherapy for a grade 3 tumour. 3 lymph nodes removed and clear, onca score 20 so avoided chemo. On anastrozole plus bone strengthening meds plus citalopram to manage hot sweats and now cholesterol meds. Add blood thinners into the mix for a hole in the heart and I am shattered! Went back to work in January this year and managed 6 months before having to quit through fatigue. I really struggle to do anything on some days and of course am worried financially. Has anyone else felt similar who have any advice? Thanks 
Hi @pilotbex , I’m also on anastrozole for a Grade 3 ER+ tumour , a micrometastasis and Oncodx 12. My diagnosis was in Jan 22 so I’m a bit further on from you. I’ve only been taking the AI for six months though as I was switched from letrozole (UTIs) then tamoxifen, then anastrozole. I feel tired ( knackered) a lot too. I’ m taking sertraline which is like citalopram, I think.
My advice for what it’s worth is drink plenty of water ( I’m taking a bottle out with me now). Also get some outdoor exerice daily but also rest a lot. Eat as well as you can. I think fatigue really is a thing with the combo of AI and SSRI. We can only try to counter it with these sorts of things. The stress of a cancer diagnosis and an uncertain future is also tiring, I think. But we can’t do much to change that! Keep on keeping on!
M xx
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Thanks Margarita 
Yep, it’s hard to know what’s causing the fatigue isn’t it - probably a combo of side effects from meds and worry about the future. I definitely feel better after exercise and you’re right - just got to keep on keeping on. x
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