In big hospitals, they talk about tamoxifen blocking receptors and aromatase inhibitors stopping production. But here, the difference that matters is in our genes. For many of us in the hills, the enzymes that activate tamoxifen, the CYP2D6, can be different. So the radio in my porch might pick up the same Shillong station, but my old transistor hears it a little fainter, a little changed—ase. The medicine must listen to the body it lives in.
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