Besremi -Six Week Update : I had another CMP and... - MPN Voice

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Besremi -Six Week Update

Elizka profile image
12 Replies

I had another CMP and CBC yesterday. Background: I got my first Besremi shot on January 28. I asked to start at 50 mcg. Second shot was 60 mcg and third was 70mcg.

After six weeks, I'm thrilled to see changes in my counts:

My WBC went from 15 to 10.8 (while it can fluctuate, it doesn't have a drop like this unless I've done a ProLon fasting mimic 5-day fast). And, it hasn't been 10 or lower for over two years.

My HCT was 40.8 a few days after starting Besremi as I had just had a PB. Yesterday, it was 38! Of course, with PV it doesn't go down it just keeps moving up unless I've had a PB.

PLT was 499 down from 717. I assume that will continue to drop if I don't need to have phlebotomies.

It is believed Besremi, like most Inteferons, might take a while to have an impact but that hasn't been true for me.

I'm lucky that I've had no symptoms or issues so far taking the drug.

There was a note from my hematologist in my chart with the test results:

"Your sodium and chloride are both a bit low. Often that can indicate a need to increase fluids intake. Please try to hydrate well. "

I drink a lot of water, but I'll figure out how to drink more without camping near the bathroom.

I'm celebrating...maybe no more more phlebotomies? I could have a "normal" ferritin count after 5 years.

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Elizka profile image
Elizka
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12 Replies
hunter5582 profile image
hunter5582

Great news! Glad to hear you are responding so well.

Hope the trend continues.

Hopetohelp profile image
Hopetohelp

Great to hear and very encouraging. Thanks for sharing

Cja1956 profile image
Cja1956

This Besremi seems to be a miracle drug. It seems to be helping a lot of people. I’m glad you’re one of them.

FG251 profile image
FG251

Always nice to read good news, especially about ‘quick responders’!

marlenablue profile image
marlenablue

Great news for you and hopefully I experience the same! I just took my second dose and see my doctor this week.

Threelions profile image
Threelions

Brilliant news. I’m chuffed to bits for you & thanks for the insightful updates👍

Meatloaf9 profile image
Meatloaf9

Very good news, so happy for you. Please continue to keep us all informed as things progress in the future. Best always.

EPguy profile image
EPguy

Interesting that you're getting such clear response not only so quickly, but on relative low doses. I'm on the 50mcg HU transition dose, 2 so far. I tend to respond strongly to any drugs (alcohol included) and suspect I'm ready to cut the HU. I will have blood numbers in a week or so.

Do you also have history of strong drug responses?

I think my 2nd dose may have been closer to 60mcg, it's really hard to control the fat syringe at these doses. But my Dr says not to worry.

Elizka profile image
Elizka in reply toEPguy

Hi EPguy,

I don't think I have a history of strong drug responses. I haven't taken that many drugs in my my lifetime so hard to know. If anything, I would lean more to the side where I have a high tolerance. Zero impact with all 4 covid shots, Shingles, etc. My doctor used to ask

"what are you made of" as I could take a Xanax and have a drink (hate flying) and attend a meeting upon arrival all the while being in good shape.

I think you are okay with slightly uneven doses. I've been moving it up every two weeks.

I hope you stop HU.

Mustang50 profile image
Mustang50

Fab news!

Bigcheat profile image
Bigcheat

This is awesome! I am happy for you. Thanks for giving us hope too.

Br,

Bigcheat

yarrowleaf profile image
yarrowleaf

Sounds great. I have a tip acc. to sufficient drinking: Oranges and melons. No calories (almost) and it doesn't go through your body as fast as water 😁Plus : vitamins and calcium "for free".

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