Farah Dutson - Personal Trainer & Nutrition Coach

Farah Dutson - Personal Trainer & Nutrition Coach Personal Trainer, Nutrition Coach and Consultant Optometrist
Empowering you to live your best life through exercise and nutrition.

Strengthen microbiome and anti inflammatory profile, regulate hormones, lose weight and gain muscle

Does tamoxifen cause bone loss? It depends entirely on your menopausal status, premenopausal, perimenopausal, or postmen...
02/10/2026

Does tamoxifen cause bone loss? It depends entirely on your menopausal status, premenopausal, perimenopausal, or postmenopausal and that’s the part most warnings leave out.

In postmenopausal women, tamoxifen protects bone density.
In premenopausal women, tamoxifen is linked to measurable bone loss, mainly in the spine.
Perimenopausal women fall into a grey zone current guidelines don’t fully address.

⭐️ACS/ASCO bone density screening guidelines recommend a DEXA scan every 2 years for premenopausal women on tamoxifen, based on real bone loss seen in trials.

⭐️But real-world fracture data doesn’t fully agree, which is exactly why advice on tamoxifen and bone health can feel inconsistent.

⭐️Part 2 covers who needs a baseline bone scan and when the risk goes up. Follow Farah Dutson | Breast Cancer | Osteoporosis | Menopause so you don’t miss it.

Did anyone actually explain this to you, or did you find out by yourself? Tell me in the comments⬇️

At the recent Global Menopause & cancer conference, one of the oncologists spoke about turmeric and gut health. I didn’t...
25/09/2026

At the recent Global Menopause & cancer conference, one of the oncologists spoke about turmeric and gut health. I didn’t recognise him at first, then it clicked. Professor Robert Thomas.

I read his book, How to Live, back in 2020, right around the time I realised personal training and nutrition coaching had to actually look at inflammation and the microbiome, not just calories and reps.

Hearing him talk about using turmeric for joint pain in breast cancer and reducing other symptoms sent me down a rabbit hole.

Turmeric has been reduced to one warning almost everywhere: avoid it if you’re on tamoxifen. But curcumin, the compound behind that concern, makes up only 2 to 5% of turmeric itself, and the study driving the warning used a concentrated extract, 1,200mg of curcumin three times a day with piperine added to boost absorption. That’s nothing like the turmeric in your cooking.

The study found a 6 to 7% drop in tamoxifen blood levels. It did not find that cancer outcomes got worse, that tamoxifen stopped working, or that turmeric in food caused the same effect. Piperine is very likely doing more of the work here than turmeric itself, since it affects the enzyme that helps convert tamoxifen into its active form.

Turmeric is poorly absorbed, so some of it travels on to the colon and interacts directly with the gut microbiome, a completely different mechanism from the one most of the tamoxifen conversation focuses on.

If you’re on tamoxifen, be especially careful with high-dose curcumin and piperine products and always share the exact label with your oncology pharmacist before starting anything new.

Does this now change your mind about taking turmeric for joint pain in breast cancer?

Follow me Farah Dutson | Breast Cancer | Osteoporosis | Menopause for up to date information about breast cancer recovery & osteoporosis.

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