Found this group about a month ago and you've all been very helpful so far. I'm a year since diagnosis with MBC after 16 years cancer free (or so I thought). I have ER+ PR+ lobular carcinoma, which is the same as first time. That seems to be less common type of breast cancer. Mine presented with GI symptoms - bloating, weight loss, nausea/vomiting. Found the spread is only in the peritoneum and not in bones, brain, lungs or liver. I've been on Ibrance 125mg and letrozole for over a year -- starting cycle 15. Scans thus far had been pretty good. Still feeling quite well, working full time and just started a PhD program. I do have joint pains that my oncologist said may be related to the letrozole. I also have thinning hair from the Ibrance. Overall, I'm blessed with a wonderful husband and a tremendous health plan to cover these crazy expensive meds. My work and class mates are super supportive too. Just wanted to say Hi!