When I saw my regular doctor last Wednesday, we had some time to sit and chat, which was nice. This doctor prescribes my diabetes meds and keeps track of my general health. Today he took some blood to check my A1c and to run a panel for cholesterol, liver, kidneys, etc., things that my oncologist doesn’t look at every month.
We discussed my fatigue and depression, and he suggested I get B12 shots. He told me to look it up online when I got home, and if it is something that I want to do, to call my oncologist and ask if I can have B12 shots while on iBrance and Faslodex. I have been suffering for months, so I am willing to try anything to feel better and not so disconnected from myself.
There is an overwhelming amount of information about B12 online. Some of the data is favorable, and some is not, depending on your general health and reason for taking B12. My doctor has had very positive results with his patients who are suffering from both fatigue and depression like I am. B12 shots will not interfere with iBrance or Faslodex, so I decided to go ahead and try them, hoping to improve my overall well-being. Today I had my first shot, and I will have four more over the next month.
A healthy intake of B-12, whether in a normal diet, through a supplement, or via injection, can help a cancer patient recover. It can also help reduce the risk of cancers in healthy people. In most cases, the body only absorbs the amount of B-12 it needs and naturally discards the rest.
I will keep you updated on my results over the next few weeks.
A quick disclaimer, please remember that the subject matter in this blog post is specific to my experience while taking iBrance for Stage 4 Metastatic Breast Cancer. If you are about to start or take the same medication, your experience may differ from mine, so please keep that in mind.
People using this medication may have serious side effects. However, you have been prescribed this drug because your doctor has judged that the benefit to you is greater than the risk of side effects. Careful monitoring by your doctor may decrease your risk.
Tell your doctor right away if you have any serious side effects, including: signs of anemia (such as unusual tiredness, pale skin, fast heartbeat), easy bruising/bleeding (such as nosebleed), signs of lung problems (such as chest pain, shortness of breath).
This medication may lower your ability to fight infections. This may make you more likely to get a serious infection or make any infection you have worse. Tell your doctor right away if you have any signs of infection (such as fever, chills, persistent sore throat, cough).
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
My first seven days, March 28th – April 3rd, on iBrance were fine; no significant changes in how I felt. Unfortunately, I am not a stranger to chemo treatments, so I knew that it was a matter of time before I began to deal with possible side effects as the medication builds up in my body.
On day 8, I started having waves of nausea all day with diarrhea after every meal, and that evening, I started having abdominal pain and cold sweats while in the bathroom. I made sure to keep my water intake up as suggested by my pharmacist, which is 2 to 3 quarts a day, but it didn’t help much.
Day 9 was about the same but with less abdominal pain. I began to get scared to eat because I would feel better initially, only to feel worse about 20 minutes after eating. I started to have other side effects combined with those I already had, like tingling in my hand and losing my appetite.
On day 10, I woke up with diarrhea, but it only happened once, and then I had the opposite problem the rest of the day, constipation. I am still nauseous on and off all day, and my appetite is non-existent, but I hope that I will improve in the coming days as my system continues to adjust to the medication. I am eating, but sometimes I need to force myself because I know I need to eat to stay healthy. I am losing weight but not so much that I am concerned since I am still about 20 lbs overweight.
On days 11 and 12, I have felt much better. The tingling in my hand has stopped, but I am still dealing with nausea on and off; it is nowhere near as severe as the past three days, so that is an improvement. My appetite is slightly better, so eating hasn’t been as much of a struggle. Hopefully, I am turning a corner, and next week, my third week on the drug will be much easier. I am worried about having a week off, starting on the 18th and then starting back up again, but I am trying to remain optimistic that it will be OK.
My upcoming appointment at my oncologist’s office is Monday, when I go in for round two of my Faslodex injections. I am not scheduled to see him so I will discuss the side effects with my nurse, and if she feels it’s necessary, I can ask to talk to my oncologist. Overall, I am doing OK, considering that I am dealing with more side effects with this medication than I ever did while going through infusion chemotherapy.
Today I had my three-month follow-up appointment with my oncologist. As usual, we spoke about how I am doing on Anastrozole. I am continuing to do well with no major side effects. I still have eight years and ten months to go, but all should continue to go well as time passes by.
He also wanted an update on how I am doing since my last surgery, which was a month ago today. I told him that I am very happy with my results and that I have healed well with very little pain. He said that he finds that surgeons often don’t prepare their patients concerning the pain they will experience after surgery and how long it can go on. I agreed that realistic expectations aren’t discussed, and for me, that was hard because in April 2019, when my cancer was removed was the first surgery I have ever had in my life. Yes, I knew there would be a pain, but I would have never guessed at just how long after surgery I would still have pain here and there.
My blood work was done today as well, and my red blood cell count is still a little low. We are thinking that moving forward; my count will be a little low; it’s where my system has settled after everything I have gone through, and I am OK with that as long as I continue to stay healthy.
I am just about to reach my second significant milestone with my oncologist. I will have one more follow-up appointment in three months, and then I am graduating to the six-month plan, which signifies my being two years out from when I started chemotherapy with no recurrence. Over the next three years, I will see him every six months until I get to the five-year goal of being cancer-free. He was happy to tell me that I am still cancer-free and doing well! I am beyond grateful and happy! 🙂 💕
Yesterday, I had my first follow-up appointment with my surgeon. Once the tech was done with my blood pressure check and updating my information, she removed my bandage. She apologized at one point because she was pulling on the bandage a little harder because the gauze was sticking to it. I assured her that she wasn’t hurting me because I was still numb under my arm from my first surgery almost two years ago. I asked her how the incision looked, and she said that everything looked good. She then told me that my surgeon would be in soon to see me and left the room.
A few minutes later, my surgeon walked in. I turned to look at him and noticed that he had a winter coat on. I had been sitting there with half of my paper top on burning up because the heat was on. I laughed and said, “You do know that it is 73 degrees outside, right?”; He smiled and said that for some reason, he is always cold when he is in the office.
I have a ton of steri-strips, about 30, and my incision is about 9 inches long. This is my most extended scar so far, but because of how my surgeon combines internal stitches with steri-strips for healing, my scar will be minimal, and it will become less noticeable with time. The scar on my chest’s right side from the first reconstruction surgery is barely noticeable 17 months later, so I am sure this scar will be the same.
Once we were done talking about this recent surgery, he said that this should be my last surgery. He is confident that I will be fine from here on out and that I will not require any further surgeries. The only way I would need surgery in the future would be if I develop Capsular Contracture. We are both aware from previous conversations that I could develop that particular complication because I went through many radiation treatments and I have implants. I will need to stay mindful of any changes that I am noticing and let him know. The only way to fix Capsular Contracture is to go back into surgery and have my breast implants replaced, so hopefully, I will never have to deal with that.
I asked him if I can start walking on my treadmill. I told him that I had finally fought off the fatigue plaguing me for over a year and that I was getting back to working out again before this last surgery. He said, “so you are itching to get back on,” to which I replied, “yes, I have been since the day of my surgery!” He said that I could walk on my treadmill, but I can’t swing my arms; I need to keep them at my sides, and I can’t do anything too strenuous. I need to keep resting and healing over the next two weeks, and then I should be released from any restrictions once the steri-strips are removed during my next appointment. I told him that my goal is to lose another 20 lbs or so, and he said that it would be ideal for me to do that as it is essential to keep my body mass low considering the type of cancer I had. Estrogen-fed breast cancer thrives when a patient’s BMI is too high, and mine is too high because I am about 20 lbs overweight. So the best thing I can do for myself to keep from having a recurrence of my cancer is to continue exercising, watch my portions, and what I am eating to get to an ideal weight and BMI.
To end my appointment, I thanked him for doing this last surgery. I let him know that I could feel the difference later on, on the day of my surgery, that the area was gone, my chest looks much better, and that I felt much better. I said, “First, you saved my life, and now you are helping me improve my life. I will never be able to thank you enough.” He looked down and away from me when I said that to him, with an almost bashful look. His reaction at first surprised me, but then it didn’t because his genuine reaction reminded me of why I am so grateful that he is my doctor and how lucky I am that he has been by my side from the beginning. He does not have a big ego like some surgeons; he is passionate about his work, humble and caring, and it shows.
Cancer takes so much away from both patients and caregivers. A little over a month after my diagnosis, I had the first major surgery I have ever had in my life, and during that surgery, cancer took a portion of my left breast away from me. Once I started chemotherapy, little by little, the drugs and cancer began to take even more from me. Cancer took all of my hair, some of my toenails, it dried out my skin, it aged my face and body, it took my confidence, energy, health, and my overall well-being both mentally and physically.
When I heard from other cancer patients that it could take a year to two years to recover from fighting cancer, I didn’t believe them. Before cancer, I always thought that I was strong and doing reasonably well health-wise, other than having type two diabetes. I lost over 100 pounds a few years ago, and I had even discovered in October of 2018 that I was starting to enjoy running.
I am often asked if I had any signs that I had cancer before I found the first tumor during a self-exam in February 2019. Looking back, I did have symptoms, but I didn’t know it at the time. About one week before Christmas in 2018, I started a run, and five minutes in, I was out of breath and extremely fatigued. I was bothered that I couldn’t continue, but I just assumed that I was coming down with a bug or something, so I wrote it off and promised myself that I would get back to running as soon as I felt the energy to do so. When my husband and I went home to see my Dad for Christmas, I noticed that I felt even more exhausted than I had a few weeks earlier. It seemed like no matter how much sleep I got, it wasn’t enough, and the simplest task wore me out. Then a few weeks into January 2019, I woke up one day with my left shoulder blade, my shoulder, and the left side of my neck hurting. I thought that I had slept funny on that side and that it would work itself out in a few days; it didn’t stop hurting until I had my first surgery when all of the tumors were removed.
As I sit here two years after my breast cancer diagnosis, I am beyond thankful for so many things. Recently, I am most thankful for the fatigue I have been suffering from for so long, finally subsiding and helping me get back to me. I never really knew what real fatigue felt like until I had aggressive cancer and had to go through a rigorous schedule of scans, blood draws, surgeries, chemotherapy, and radiation treatments to save my life. But now, I am getting back to a regular schedule when it comes to working out, and with each workout, I feel better and better. Last night I ran 1.50 miles in 20 minutes, not bad for someone who has been through so much and hasn’t gone on a run in over 25 months! I am proud of myself and I am really enjoying working out again.
About ten days after starting my chemotherapy treatments, my hair started to fall out. I had eight inches of my hair cut off before I started my treatments, so my hair was much shorter, but it was still devastating to see handfuls of my hair fall out. My hair started to grow back around one month after my treatments were over. Fifteen months later, my hair is wavy and about six inches long, so it has been a little slow to grow back, and I have a few thin spots, so those spots are not growing as quickly as the rest of my hair. I have been taking Viviscal for the past seven weeks to help promote my hair growth. It is recommended that you take it for at least three to six months, so we will see if my growth improves with more time, as so far, I do not see much of a change. I do eat most of the foods that are listed below, and I am taking vitamins and supplements as well, so I feel like I am doing all I can to help my hair grow back healthy and strong.
Eggs are a great source of protein and biotin, two nutrients that may promote hair growth.
Eating adequate protein is important for hair growth because hair follicles are made of mostly protein. A lack of protein in the diet has been shown to promote hair loss (1Trusted Source).
Biotin is essential for the production of a hair protein called keratin, which is why biotin supplements are often marketed for hair growth. Research has also shown that consuming more biotin can help improve hair growth in people with a biotin deficiency (2).
However, biotin deficiencies are uncommon if you consume a balanced diet. There is little evidence to show healthy people benefit from consuming more biotin (3Trusted Source).
Eggs are also a great source of zinc, selenium and other hair-healthy nutrients. This makes them one of the best foods to consume for optimal hair health (4).
Summary Eggs are a great source of protein and biotin, which are important for hair health and growth. A deficiency in either of these nutrients has been linked to hair loss.
Berries are loaded with beneficial compounds and vitamins that may promote hair growth.
This includes vitamin C, which has strong antioxidant properties.
Antioxidants can help protect hair follicles against damage from harmful molecules called free radicals. These molecules exist naturally in the body and the environment (5Trusted Source, 6Trusted Source).
For example, 1 cup (144 grams) of strawberries provides an impressive 141% of your daily vitamin C needs (7).
Also, the body uses vitamin C to produce collagen, a protein that helps strengthen hair to prevent it from becoming brittle and breaking (8Trusted Source, 9Trusted Source).
What’s more, vitamin C helps the body absorb iron from the diet. Low iron levels may cause anemia, which has been linked to hair loss (10Trusted Source).
Summary Berries are loaded with compounds like antioxidants and vitamins that may promote hair growth. For example, strawberries are rich in vitamin C, which aids collagen production and iron absorption, two factors that may promote hair growth.
A cup (30 grams) of spinach provides up to 54% of your daily vitamin A needs (11).
Spinach is also a great plant-based source of iron, which is essential for hair growth. Iron helps red blood cells carry oxygen throughout the body to fuel your metabolism and aid growth and repair (14Trusted Source).
What’s more, iron deficiencies have been linked to hair loss (10Trusted Source).
Summary Spinach is loaded with folate, iron, and vitamins A and C, which may promote hair growth. A deficiency in these nutrients may result in hair loss.
Summary Fatty fish like salmon, herring and mackerel are great sources of omega-3 fatty acids, which have been linked to improved hair growth and density. However, there are only a few studies in this area, so more are needed.
Avocados are delicious, nutritious and a great source of healthy fats.
They are also an excellent source of vitamin E, which may promote hair growth. One medium avocado (about 200 grams) provides 21% of your daily vitamin E needs (21).
Like vitamin C, vitamin E is an antioxidant that helps combat oxidative stress by neutralizing free radicals.
In one study, people with hair loss experienced 34.5% more hair growth after taking a vitamin E supplement for eight months (22Trusted Source).
Vitamin E also protects areas of the skin, like the scalp, from oxidative stress and damage. Damaged skin on the scalp can result in poor hair quality and fewer hair follicles (23Trusted Source, 24Trusted Source).
What’s more, avocados are a great source of essential fatty acids. These fats cannot be produced by the body, but are essential building blocks of your cells. A deficiency in essential fatty acids has been linked to hair loss (25Trusted Source).
Summary Avocados are rich in vitamin E, an antioxidant that may promote hair growth. Additionally, they are a great source of essential fatty acids, which appear to be crucial for hair growth.
Oysters are one of the best food sources of zinc (31).
Zinc is a mineral that helps support the hair growth and repair cycle (32Trusted Source).
A lack of zinc in the diet may promote telogen effluvium, a common but reversible form of hair loss caused by a lack of nutrients in the diet (33Trusted Source).
Studies have shown that taking a zinc supplement can reverse the effects of hair loss caused by a zinc deficiency (34Trusted Source, 35).
However, taking too much zinc could also promote hair loss. That’s why getting zinc from foods like oysters may be better than taking supplements, since foods provide zinc in small but healthy doses (36Trusted Source).
Summary Oysters are one of the best sources of zinc in the diet. This mineral helps support the hair growth and repair cycle.
Studies have shown that compounds in soybeans may promote hair growth. One of these compounds is spermidine, which is abundant in soybeans (42Trusted Source).
For example, a study of 100 healthy people found that a spermidine-based nutritional supplement prolonged a phase of active hair growth called the anagen phase. The longer a hair follicle stays in the anagen phase, the longer it will grow (43Trusted Source).
Test-tube studies have also shown that spermidine promotes human hair growth (44Trusted Source).
However, the research on spermidine and hair growth is fairly new, so more studies are needed before health experts can make recommendations on spermidine intake.
Summary Soybeans are one of the best sources of spermidine, a compound that may prolong the active phase of hair growth.