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Hi Patty,
I was first put on different hormonal therapies (beginning with Faslodex) following my initial mets to spine and rib area. I believe that beginning treatment after developing metastatic disease with hormonal drugs makes sense because if you respond to them, it is very easy therapy to tolerate. I also began receiving zometa at the same time to strengthen the bones, but not herceptin. Unfortunately, I did not respond to any of the 3 hormonal drugs that I tried and was put on chemo + herceptin 6 mos later with good results.
Best of luck to you!
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