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Mechanism of Action Tamoxifen (SERM): Binds directly to estrogen receptors (ERs) , preventing estrogen from activating the receptor Acts as an estrogen antagonist in tissues like the breast and hypothalamus Acts as a partial agonist in tissues like bone and liver Does not lower estrogen production , but rather blocks its activity Aromatase Inhibitors (AIs): Inhibit the aromatase enzyme , which is responsible for converting androgens (testosterone, androstenedione) into estradiol (E2) Result in a systemic reduction of circulating estrogen levels No receptor bindingjust synthesis suppression Tamoxifen modulates the estrogen receptor, while aromatase inhibitors reduce estrogen synthesis at the enzymatic level. Smith & Dowsett, Endocrine-Related Cancer Clinical Use in Women Tamoxifen is preferred for premenopausal women with ER+ breast cancer , where the ovaries still produce significant estrogen

Exosomes deliver bioactive molecules that direct cell therapy where it's needed most, enhancing the healing of nerve cells and tissues compromised by chronic pain conditions

And acts as a neuroprotectant

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