Issues with chemo options for 2nd primary tumor

I haven’t been on this forum for over 13 years. I had ER+ invasive BC to left breast in 2004 and was treated with lumpectomy, 4 cycles of dose dense A/C, 35 radiation treatments and 5 years of Tamoxifen. I was 41 then.  Now 13 years later I get diagnosed with new primary tumor in the right breast. Same kind of cancer. Did another lumpectomy last month. did the Oncotype DX test.  Got results yesterday and I’m stuck in the middle on what to do..... literally. My score is 27. With chemo and hormone therapy, my recurrence chance would be 5%. With hormone therapy only it would be 12%. Here’s the part I’m struggling with..... the ONLY chemo option my MO says will work for me is Taxotere and Cytoxan. Can’t repeat Adriamycin because I had the lifetime dose limit. I don’t want to take Taxotere because of ALL the lawsuits over people having permanent hair loss. That’s a really big deal for me. I suggested Taxol and he told me that it can only be administered alone weekly and that would not benefit me. The benefit comes by pairing it with cytoxan. I can’t believe there is no other beneficial drug combination I can have and not have the fear of permanent hair loss. Has anyone dealt with this issue before. I feel backed into a corner and I’m seriously considering taking a pass on chemo and going straight to radiation and hormone therapy. Has anyone ever dealt with this before?