From day 52 onwards, healthy eating is encouraged as the new way forward for the rest of your life. The arrive phase, or cycle 4, is all about fusing the first three cycles together with the added luxury of weekend treats. Your goal weight is maintained by following a week long healthy eating plan with treats allowed over the weekend. Although indulgence in your favourite foods is permitted on Saturday and Sunday, you must return to cycle 2 if you begin to start gaining weight. This cycle will give you the focus and stamina to continue eating this way forever. It is important to weigh yourself once a week to ensure that you are staying on track.
Drug therapy and prevention
Tamoxifen and other drugs used to help prevent breast cancer in women at high risk for the disease carry their own potential health risks. For women with a close family history of the disease, doctors sometimes prescribe tamoxifen , raloxifene or tibolone to help reduce their risk of getting the condition. These drugs are effective in reducing the risk of breast cancer. Relative to placebo, tamoxifen, raloxifene , and tibolone reduce the risk by 30 percent, 56 percent, and 68 percent, respectively. This equates to 7 to 10 fewer cases of breast cancer per 1,000 women per year. However, tamoxifen and raloxifene increase the risk of blood clots, tamoxifen ups the risk of endometrial cancer, and tibolone raises the risk of stroke.
The popular antidepressant drug Paxil may interfere with breast cancer treatments, making patients more likely to relapse and die. Women who took GlaxoSmithKline's Paxil while taking tamoxifen at the same time were more likely to die of their breast cancer.