Going back on Abraxane
 

I just had another one of my "mixed" scans. We were hoping that increasing my Xeloda dose would do the trick, but it didn't. My scan showed less glucose uptake in my lower lungs, but the size didn't change, and I've got more uptake in other places, including a couple of newly active lymph nodes.

Monday I will go back on Abraxane every three weeks, staying on Herceptin and Perjeta. The hope is that the chemo will knock back the cancer, after which H&P can keep it at bay.

I won't have to have steroids, which greatly contributed to my discomfort the last time around. But Abraxane causes hair loss, and I'm kind of bummed about that. Fortunately, I still have all my scarves, caps, hats, and wigs from before.

I'm going to be proactive about boosting my immune system and heading off neuropathy, by getting lots of protein, taking L-Glutamine, and doing more walking and biking. I just ordered a juicer, too. I am not one who thinks juice is a panacea, but I figure it can't hurt to get more vitamins, minerals, anti-oxidants, enzymes, etc. Plus it'll give me something to mix my protein powder into.

Last time around I was told I needed to get "more protein," which I found frustratingly vague. How do you know how much I get now? How much is "more"? Eventually I figured out the number is 1.5 grams of protein per kilogram of body weight, about double the usual amount. For me that's about 115 grams per day. To put that in perspective, an egg has 9 grams of protein.

It's been almost 5 years since I've had "heavy" chemo. I'm grateful for the break. Does anyone have additional hints for me?

Re: Going back on Abraxane
 

MNTGRL, In my prayers that all works out.

Mary

Re: Going back on Abraxane
 

I can help with the protein requirements. 3oz of canned tuna has 25g, 4oz of chicken breast has 36g, 1/2 cup walnuts has 9g, and a cup of oatmeal has 6g. Avocado - one cup is 9g and a cup of chickpeas is 12g. I cant remember if you are vegetarian but having chicken really can get you there as 4 oz is only the size of a deck of cards. Putting on salad with chickpeas and sunflower seeds could get you at least halfway there for lunch alone. Let me know if you are vegetarian though and I will research more for you. A cup of oatmeal has 6g and if you make it with milk it adds another 4g for half a cup of fat free. You can get 19 with that kind of breakfast and a banana has some. 5oz of greek yogurt has 11g. You have to be pretty diligent but if you do eat chicken and fish, you could do it.

I think about you often and will help you anyway I can so this treatment kicks cancer-butt.

Re: Going back on Abraxane
 

Amy,

I'm sorry to hear that your scan results were "mixed". Lets hope that Abraxane does the trick for you and has your next scan showing everything looking better. I'm sure it must be tough mentally to face going back on chemo. However, as you pointed out, at least you were able to have a 5 year break from "heavy" chemo.

I've never taken Abraxane so I cant offer any specific tips for you. However, as far as being proactive in keeping your immune system strong I'd like to pass on a few suggestions that I read about in Andrew Weil, M.D.'s book: 8 Weeks to Optimal Health - A proven program for taking full advantage of your body's natural healing power.

1)garlic -eat more fresh garlic in your food. Garlic boosts activity of the immune system, stimulating natural-killer cells which are our main defense against cancer.

2) astragalus - this herb enhances immune function by increasing activity of several kinds of white blood cells and boosting production of antibodies and interferon, the body's own antiviral agent.

3)maitake - these mushrooms have significant anticancer, antiviral, and immune-enhancing properties.

4)reishi - these mushrooms improve immune function and inhibits the growth of some malignant tumors. Additionally, it shows significant anti-inflammatory effects, reduces allergic responsiveness, and protects the liver.

Amy, I keep you in my prayers every day. I'm inspired by your attitude and the guidance that you provide to all of us on this site.

Take Care,
Brenda

Re: Going back on Abraxane
 

Thanks everyone!

Becky, those are helpful numbers to memorize. I do occasionally eat meat and I often eat eggs and dairy. I make my own Greek yogurt.

Whole grains, beans, and leafy green vegetables actually have a respectable amount of protein in them. And I like smoothies made with yogurt and protein powder.

Brenda, I appreciate you too! I have Dr. Weil's "Antioxidant Food Pyramid" on my fridge. I don't always have all the veggies and fruits that I should, and I don't walk every day (though I do walk most days). I'll work on those habits.

Onward!

Amy

Re: Going back on Abraxane
 

I really hope this next round of chemo knocks the cancer on its ass!!! Sorry you are having to deal with this. Sometimes it seems like a never ending story.Who knows maybe this round will send you to NED. I truly pray that it does. I don't post as much on here these days but think of you ladies often. You ladies really have seen me through some scary times with your remarkable journeys and great wealth of information. I have had a recent scare and I just think back to this group and it calms me. Thank you and always praying for us all.
Tamara

Re: Going back on Abraxane
 

Good luck Amy - I have a juicer and I love it. One tip - if you are juicing leafy greens, roll up larger leaves like kale and swiss chard around smaller ones like spinach and then put in the juicer. Also depending on what juicer you have, you can put the juiced greens/berries etc. through it 2 or three times. You will be amazed at how much more juice you get. I put fresh ginger in it too. I also put a few drops of pure vanilla extract or unsweetened cocoa and some stevia in too, if I'm not using fruit in that particular juice.

all the best
caya

Re: Going back on Abraxane
 

Good luck with the Abraxane, Amy!
Best wishes..... Pam

Re: Going back on Abraxane
 

Amy, I am so sorry you have to go back to harder chemo. I understand so well what you mean about your hair. For many oncs it is not important but we know here what it means. Hang on to the idea that it will only last a few months and that Abraxane already worked for you. It is going to work again. Hugs.

Re: Going back on Abraxane
 

Sorry about the tougher chemo. Of course you hate to lose your hair! I never had chemo, but I have a chronic gut infection that makes me look very pale. People kept commenting on that, and it made me feel worse than I needed to. Found a solution: fake tan. Now people tell me I no longer look sick... So I may feel like crap, at least I don't have to hear about it all the time. So I hope you have stunning hats, caps, wigs, shawls, etc. which will make you look so awesome that nobody notices your lack of hair... (by the way, they don't notice the fake tan stains on the inside of my hands either)

May the chemo kick those pesky cancer cells to where they belong (I'm trying to keep my language respectable here)

Love

Jacqueline

Re: Going back on Abraxane
 

I am so sorry, Amy, that you have to go back on Abraxane. This sucks. I am sorry about your hair, too. Another not so nice word I'd like to use here about all of this!

Here's hoping this will get you back to NED!

Carol Ann

Re: Going back on Abraxane
 

Just coming by to offer love and support. Keep the faith!

Re: Going back on Abraxane
 

I am sad that you must go back on the Abraxane, but may it be a med that hits those new nodes and uptake areas a powerful punch!

Re: Going back on Abraxane
 

Thanks, everybody!

I love you all.

Re: Going back on Abraxane
 

I just wanted to take a minute to tell you how much I have appreciated your support, encouragement, and shared knowledge as I have journeyed down the road of HER2. Thank you for always reaching out to those of us who started down the path after you.

Re: Going back on Abraxane
 

Pat94,

I couldn't agree with you more regarding Amy. So many reasons why we all love her.

Take care,
Brenda

Re: Going back on Abraxane
 

Amy, you're in my thoughts. Sorry to hear about the Abraxane, but hoping it does exactly what it's supposed to. You have received great suggestions regarding the protein and juicing. I will keep you in my thoughts... keep us updated!

Linda

Re: Going back on Abraxane
 

Amy, thinking about you and hoping that your treatment tomorrow goes smoothly and is successful.

Re: Going back on Abraxane
 

Well, that wasn't too bad.

The three-week dose of Abraxane took only 30 minutes to infuse, so my time in the chair was not a whole lot longer than usual.

I slept a lot last night. I feel a little woozy today, plus I have diarrhea, but other than that everything's OK. I have literally years of experience managing diarrhea, so I don't expect it to get out of hand.

I just want to say thank you to everyone who's offered me support, encouragement, information, and friendship. You make it so much better than it would be without you.

Love,
Amy

Re: Going back on Abraxane
 

Hi Amy!

I am so glad and relieved to hear it hasn't been too bad so far. Here's to that every day, and that it blasts you back to stable/NED!

YOU make my day better every day too, my friend!

Carol Ann

Re: Going back on Abraxane
 

Glad to hear it was not too miserable, Amy. Had to chuckle about the quip that you have literally years of managing diarrhea! On this site we all understand what you are talking about, but I wonder how many in the general public know that not only does cancer suck, but it also gives us the shits....literally!

Hang in there, Amy!

Re: Going back on Abraxane
 

That's funny, Laurel.

Yes, I've become obsessed with my bowels. I always carry Imodium around with me in a pill box, and in a pinch I can swallow one without water (though it's powdery and bitter--not my first choice!)

Day three and my biggest SE is achy knees and hips. It made it hard to sleep last night. Also neuropathy has already dialed up a notch. Not too thrilled about that, but what are ya gonna do?

Re: Going back on Abraxane
 

Cheese always binds me right up! :) Bananas, too ... :)

I recall a post around here somewhere from Karen about a glutathione supplement that really helped with neuropathy. I hadn't seen it while I was going through chemo, so I don't have any personal experience with it, though.

Epsom salts baths always helped me cope and still do ... you can get a big bag of salts at Walmart for about $6.

Hang in there, Amy ... we are all rooting for you!

Carol Ann

Re: Going back on Abraxane
 

Carol Ann,

I had a nice soak in the tub this afternoon. That helped a lot, even without epsom salts.

Then my yoga teacher came over. Here in the Boston area we have the incredible good fortune to receive bountiful and blessed yoga tailored to women with cancer by a group called Bodhi and Mind Yoga, Inc. (http://bodhiandmindyoga.org/) I get a weekly one-hour session, in my home, with my own personal yogi, at no cost to me. She tailors each session to how I'm feeling that day. Today we did some breath work and meditation, restorative poses, and yoga nidra. I feel much better!

There don't seem to be many complaints that can't be made less bothersome with some combination of breathing, relaxation, gentle movement, and tea, though I'm sure my relationship with my yogi contributes the most to my wellbeing.

Re: Going back on Abraxane
 

Hi Amy. Thanks for keeping us posted on your status. I love the idea of the yoga; seems like a really positive thing to do. Good to hear that you are battling through the side effects and continuing to fight this nasty disease. You are an inspiration to me and so many others.

Re: Going back on Abraxane
 

Amy,

Your yoga practice sounds wonderful! You've inspired me to get out some of my yoga dvds I haven't used in quite awhile.

Carol Ann

Re: Going back on Abraxane
 

Hey Amy, I am in your corner, too! xo Cathy Armos are tough!!!!!!!!!

Re: Going back on Abraxane
 

Cathy,

You still haven't explained how you know I'm part Armenian. A mystery.

As I wrote in another thread, I decided my "side effects" were/are actually a separate affliction. I'm extremely allergic to mold. A pipe burst in the apartment above mine on July 4, thoroughly soaking my ceiling and walls. The landlord did nothing to dry things out. And of course the worse I felt the more time I spent lying around in bed or in my recliner in the bedroom. Friday I figured out my symptoms were the same as two other times I've had mold exposure. I've slept in the living room the last two nights, and I'm feeling much, much better.

As for hair, the other day my favorite wig company, Paula Young, sent me a catalog with some nice wigs available at a special deeply discounted price if you used a code on the mailing label. I picked one that's styled a lot like the way my hair is now. They didn't have it in "salt & pepper" so I picked a light ash brown with "platinum frosting" called "sugar & spice." The "frosting" is actually closer to the white streaks I have. Pretty good for 30 bucks! I'm going to get my hair trimmed to match the wig, and have the wig styled to match my hair.

Amy

Re: Going back on Abraxane
 

hi amy,
wishing you well with the new regimen. hoping it does the trick and you can go on less agressive maintenance tx.
good plan abou the wig

Re: Going back on Abraxane
 

Amy, My apologies....I believe it was a few years back, I wrote that I took a Habitat trip to Armenia and visited France again. Dear Adriana told me she had a "best friend" who was Armenian in Cali and I think that is when you mentioned it....small world. I am in the achy world right now, too! Ugh! Cathy P. S. I was part of the jury for a civil case involving black mold a few years ago...be careful of that stuff...

Re: Going back on Abraxane
 

Cathy,

You have a better memory than I do!

I have switched to sleeping on the balcony at night. I wear a respirator that's rated for mold when I'm inside, especially when I'm in the bedroom. I have to be in there to pack. Movers are coming day after tomorrow (August 6). I'm leaving the night of August 7, and won't return until my next infusion, on August 24.

Yes, mold is nasty, especially for me. I'm trying to be prudent.

Amy

Re: Going back on Abraxane
 

Hi Amy,

I'm extremely sensitive to molds too. I found that drying out & spraying the afflicted area with a borax solution really helps. Glad you found a way to deal with it. Often these allergies are caused/aggravated by gut disbiosis and/or leaky gut. Probiotics and probiotics may give you some relief. But do discuss this with your docs, as I have no idea whether or not they are contra-indicated.

love

Jacqueline

Re: Going back on Abraxane
 

Thank you, Jacqueline. I take probiotics, and eat a lot of yogurt, fruits, vegetables, and whole grains. I disclosed every supplement to my doctors.