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Another way to create the antigen reaction is to use GM-CSF instead of G-CSF during chemotherapy. You can do this in hope to create a self vacinnation system so that later, Herceptin can work even better. I had a huge fight on my hands over this but won the battle, prior to beginning chemo to receive CM-CSF (brand name Leukine) vs Neulasta. I felt it could give me an edge since adjuvant Herceptin was not available to me then (began receiving 4 months after my last chemo therapy and about 2 months after completion of rads - of which I paid for 5 doses of Leukine on my own starting with my last boost).
I am hoping that Herceptin has cleared any bc stem cells from my bone marrow (if there were any there) or that the dendritic effect of the Leukine helped me.
Kindest regards
Becky
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