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Disease progression versus letrozole,ood cels which may cause serious infections that can lead to death. ibrance may cause severe inflammation of the lungs that can lead to death. tell your doctor right away if you have new or worsening symptoms, including trouble breathing, shortness of breath, cough, or chest pain. before taking ibrance, tell your doctor if you have fever, chills, or other signs of infection, liver or kidney problems, are pregnant, breastfeeding, or plan to become pregnant. co...