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Firstly, hello to Jeff, I guess we have both been hibernating.
To AA,
It is a proven truth that herceptin + chemo is more effective than herceptin alone but; you pose an interesting argument.
Again, we all know that once you have mets your disease is systemic so............. the question is that if you are NED, should you still take chemo.
Off hand I would think the answer is no because of 2 important reasons: I think almost all chemos are dose limiting either by (1) side effects or by (2) building up an immunity to the drug. The problem that many of our members have over time is that they are "using up their available chemo arsenal". That refers to the cancer cells changing physically and becoming resistant to a particular drug.
I wish it was so easy as once you have discovered a chemo that works, you can stay on it forever.
I hope that answered your question,
Al
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