Anyone having Abemaciclib and Fulvestrant injections?

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I have to decide whether to accept the recommendation of my oncologist to change from Letrozole to Abemamaciclib and Fulvestrant injections or move to Tamoxifen but he tells me the efficacy of Tamoxifen is less. I have to way up the side effects against quality of life. A difficult decision when you have terminal metastasised breast cancer. If I thought the side effects of Letrozole were bad I have a heap more which ever I choose. Can anyone share their experience?