Weight gain

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Just been to see my doctor hoping there might be other options to help with the weight gain since being on tamoxifen and letrozole. I have at least another 5 years on it. Im a personal trainer and have nutrition knowledge, but stats show im clinical obse which they tell us is another risk for recurrence. Nothing to help but could send me to a healthy advice clinic which the doctor said im already doing so no point. I can control my food so dont need jabs but wondered if anyone had found a better way of approaching this issue or taken a supplement that's safe for estrogen positive and her2 previous breast cancer x