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hcg clomid and nolvadex pct In another trial, cardiac dysfunction occurred in 27 of patients receiving concomitant anthracycline, cyclophosphamide, and trastuzumab; in 8 receiving anthracycline and cyclophosphamide alone; in 13 of patients with earlier anthracycline exposure receiving paclitaxel and trastuzumab; and in 1 receiving paclitaxel alone 59