Tamoxifen modified dose

Has anyone had any experience of their oncologist lowering their dose of Tamoxifen to control side effects? I’m petitie with a BMI about 18 and wondering if the standard dose is too much as it’s causing my ovaries to massively over stimulate. I saw the gynaecologist and he suggested a hysterectomy which seems EXTREME and I wondered if lowering the dose would still give some protection but less ovary stimulation.

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