Letrozole and Abemaciclib

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Hi.

My friend has been on Letrozole 2.5mg daily for breast cancer with mets. Letrozole has become less effective and the consultant wants her to go on Fulvestrant + Abemaciclib. She won't take the Fulvestrant injections and asked for Abemaciclib + Letrozole.

The consultant said due to funding she can only have Abemaciclib with the Fulvestrant injections.

Has anyone else been told this?

Many thanks.