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Anyone taking Livial or hormone replacement therapy needs to weigh the risks versus the benefits. Since your sister had breast cancer, you are at slightly higher risk than a woman with no family history of breast cancer. If you have higher estrogen levels, you may want to discontinue it and see if the hot flushes have improved over the last couple of months, especially since you are having other side effects from the medication.
Your doctor also needs to check thyroid levels if that hasn't been done recently. Higher than normal thyroid levels can also cause hot flushes.
Please reply with any additional questions.