Substituting “natural” sweeteners is no improvement. Noncaloric sweeteners are no better either. It all just keeps you addicted to the taste and constantly expecting everything to taste sweet. The only way to do this is to immediately, 100%, without exception, get rid of EVERY added sweetener– yes, including stevia and whatever other “natural” noncaloric sweetener is in fashion this month. Get rid of them all. Never eat or drink them again. Never means never. Not at Christmas, not on Thanksgiving, not on your birthday, not because the cake happens to be there– they all have to be 100% gone forever. If you’re adding a substance to a food or drink because it makes that food or drink taste sweeter, it has to disappear. This isn’t a popular point of view, which means that almost nobody does it. But it’s what you have to do– “reducing” sugar and any other sweetener accomplishes very little in the long run. Why do you think that over 96% of all diets fail within a few years??
Both tamoxifen and aromatase inhibitors can cause side effects. Tamoxifen may cause hot flashes and increase the risk of blood clots and stroke. Aromatase inhibitors may cause muscle and joint aches and pains. Less common but more severe side effects of aromatase inhibitors are heart problems, osteoporosis, and broken bones. Research has shown that about 25% of women who are prescribed hormonal therapy to reduce the risk of recurrence after breast cancer surgery either don’t start taking the medicine or stop taking it early. In many cases, this is because of side effects.