Taking the stimulants caffeine and ephedra with creatine can increase the risk of side effects
References Jin, Jonghwa, et al
Foods and supplements to avoid: grapefruit, turmeric, black cohosh, St Johns Wort, ginseng Foods to eat in moderation: chamomile, soya, flaxseed, tangerine Foods that may boost tamoxifen: green tea Medications to be aware of: antidepressants, antipsychotics, warfarin Questions to ask your care team How does tamoxifen work
This dual mechanism is why the SURPASS and SURMOUNT clinical trials showed unprecedented results
Your surgical team may have institution-specific protocols, so early communication is essential