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A combination therapy consisting of letrozole (an aromatase inhibitor) with leuprolide acetate and triptorelin acetate (both GnRH analogs). This combination is used for hormone receptor-positive breast cancer treatment in premenopausal women, where the GnRH analogs provide ovarian suppression while letrozole inhibits estrogen production. The combination creates a more intense estrogen suppression than using tamoxifen with either GnRH analog alone.
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