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Hi Barb-
Are you receiving this treatment every two weeks, or how often? Will this be followed with treatment with the chemo drug Taxol? My wife (stage 3 Her 3+ Grade 2) received Adryiamycin/Cytoxin every three weeks. She did not need anything to boost her immune system, but would have needed the Neulasta shot had she received treatment every two weeks. (The two week interval is known as "dose dense". It was thought to have a better response rate in fighting the cancer than the standard protocol of receiving the drugs every three weeks since you receive more of the chemo to fight the cancer in a three month period.) However, it has been learned that the benefits of "dose dense" treatment with Adryiamycin/Cytoxin followed with Taxol was really in the Taxol and not in the other two drugs. Therefore, the treatment has been changed in a lot of cases to three week intervals with the A/C, followed with weekly reduced-dosage treatments of Taxol. This eliminates the need for the Neulasta shots for many of the patients who are being treated with the Adryiamycin/Cytoxin/Taxol regimen. This may be something to discuss with your oncologist (if you happen to be on this particular regimen.)
Best of luck,
Ray
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