Low WBC at 7 weeks after final chemo - anyone experience this?

[rsgdmd]

I'm on Lupron (since May, 2022) and finished my 6th round of chemo (docetaxel) about 7 weeks ago. Got Neulasta the day after each round and counts came back nicely, except after the last (6th). One week after last chemo, my WBC was 3.1. Since then it has been bouncing around between 1.7 and 2.8; yesterday was 2.0

Neutrophils have also been low - yesterday was 1.1

Anyone have issues with WBC taking a long time to come back after chemo? Doesn't seem to bode well for possible future chemo, nor anything that could affect bone marrow (radiation, Pluvicto)?

Thanks.

[ron_bucher]

My WBC has hovered between 4 and 5 for 5+ years after Taxotere. I would get an opinion from a hematologist.

Blood counts aside, my oncologist thinks a second round of Taxotere would not be worth it.

[rsgdmd in reply to ron_bucher]

I'd be very happy with a count of between 4 - 5, which is low end of normal. I do have an appointment with a hematologist in about 4 weeks. Thanks.

[Seasid in reply to ron_bucher]

Why the second round of Taxotere would not be worth it?

[ron_bucher]

I didn't quiz him too hard because I'm not yet ready for more treatments, but I think the theory (and perhaps medical evidence) is that the Taxotere has only once chance to be curative. I think Taxotere works only on the tiniest tumors (which may be anywhere in the body), whereas external beam radiation kills all size tumors in the area they radiate.

[Seasid in reply to ron_bucher]

Good point

[Burnett1948]

ron_bucher. I have only had 3 needles in the back of my legs. I missed a fouth when I had a stroke unintenionlly. I next see my radiation oncologist next week. My psa has been .008. I don't know how long it will stay it way.

[craterlake]

Yingsang , thanks for the info .. how much papaya extract do you take ? God bless ! james