The advantage of studying music with a private teacher is that lessons can be tailored to each student as an individual. There are many variables, such as personality, learning style, age, gender, attention span, short and long term memory, reading ability, executive function skills, and strengths and weaknesses peculiar to learning the language of music. But often overlooked in assessments of student learning is leadership style. Some students thrive only if they can self-direct the order of their lesson. So if such a student comes in with a piece of music they discovered, but you already had a plan for that lesson, you would be better off shelving the plan momentarily and take up what the student has brought with curiosity and pride in their independence. There will be time, with the student’s help, to make a connection between this “new discovery” and the lesson at hand. Just as often, there will be students who are so eager to follow a known curriculum that they will likely want to keep working in a series of graded lesson books, because they are given concrete information about their progress. In 2006, the large STAR clinical study concluded that raloxifene is equally effective in reducing the incidence of breast cancer, but after an average 4-year follow-up, although the difference was not statistically significant, there were 36% fewer uterine cancers and 29% fewer blood clots in women taking raloxifene than in women taking tamoxifen. Tamoxifen improves fertility in males with infertility by disinhibiting the hypothalamic–pituitary–gonadal axis (HPG axis) via ER antagonism and thereby increasing the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) and increasing testicular testosterone production. 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