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tmoews profile image
43 Replies

I've been taking Ibrance and letrozol since 2016. I started at 125 and now I'm taking 75, I'm still having trouble with my absolute neutrafils. Any suggestions?

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tmoews profile image
tmoews
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43 Replies
theresac1 profile image
theresac1

Hi All, I have been on Ibrance 125mg, and Femera for 18 months . I have tolerated Ibrance very well. My WBC is typically Mild Neutropenia. The most significant side effect from both medications is joint pain in my hands. My grip has really reduced. I think this is from the Femera though. By the end of the week ( I work full time, teaching, and get up at 5:30- get to bed around 10:30pm) I am tired. I also have tingling in my feet. My hair has been thinning. If I put my hair in a pony tail, it looks pathetic. The thickness of my hair is sad. One of my students asked me recently "Mrs. C., Why is your hair so thin?" I was sad, even tough my family tells me that my hair looks fine. I can't see my scalp (thank God), but my hair has really thinned out. I take Biotin every night to help strengthen hair and nails. I juice (greens/veggies/fuits/ginger), eat a whole food plant based diet, don't drink alcohol, and avoid dairy. I take calcium, tumeric( cucumin), Vitamin D and K, Greens with probiotics, and vegan protein shakes. I have not given up my coffee. I have to have that! I hope many of you will find that Ibrance will work for you and keep your cancer from progressing. So far, thank God, I have had no growth since May 2017 and feel pretty good. Love and prayers to you.

Barbteeth profile image
Barbteeth in reply totheresac1

Hi Theresa

I have awful joint pain and live on painkillers

As for the hair thinning..I’ve had extensions put in mine..looks amazing..worth doing if you’re vain like me!!

I take supplements but have been told not to take biotin as it can interfere with tumour markers so I stopped it and my nails are atrocious

I’m on 100mg Ibrance with letrozole..hate it all but no choice is there?

I do drink coffee and alcohol and eat a mainly vegetarian diet..I’ve recently bought a juicer and experimenting with it

Also seriously considering an infrared sauna..they’re on amazon for about £300 and are portable..sick of bone pain

All the best to you

Barb xx

mariootsi profile image
mariootsi in reply toBarbteeth

Barb, let us know how the spa works for you.

Barbteeth profile image
Barbteeth in reply tomariootsi

I will..it should arrive on 6th February..my birthday pressie to me!!

Barb xx

theresac1 profile image
theresac1 in reply toBarbteeth

Isn't it strange how many different answers we get from our doctors? My doc, said that Biotin was okay. :-( ??

Barbteeth profile image
Barbteeth in reply totheresac1

I did google it and it can affect markers..as you say there’s so many conflicting information..confusing

Barb xx

Mimigram profile image
Mimigram in reply toBarbteeth

Which infrared sauna on amazon are you thinking about? There are lots of choices.

Barbteeth profile image
Barbteeth in reply toMimigram

Hi Mimi

It’s the Firzone one with tourmaline..it’s the bright blue one in the photo..it’s amazons choice so I just went for that one and allegedly the tourmaline increases the effects of the infrared..if you believe everything you read!!!

It seemed a good make though..no point in getting a cheap version as can end up disappointing

Barb xx

Mimigram profile image
Mimigram in reply toBarbteeth

Thank you, I will check it out.

PLASEM profile image
PLASEM in reply toBarbteeth

Yes shows us what kind and it works my pain is getting worse and I can not sleep take care

Barbteeth profile image
Barbteeth in reply toPLASEM

I sleep ok but pain kicks off after an hour or so if getting up and any exercise just makes it worse

What a way to live

Barb xx

in reply toPLASEM

Do you take a prescription pain med? I couldn’t survive without mine. I was iffy on using it but my doctor said it makes no sense to be in pain

PLASEM profile image
PLASEM in reply to

I take it sometimes it make me feel too sleepy, I applied local creams

Benoahmom profile image
Benoahmom in reply toBarbteeth

I start Ibrance tomorrow. Currently on Letrozol. I do not want to quit drinking alcohol! You still drink then? What does your doc say?

Barbteeth profile image
Barbteeth in reply toBenoahmom

Yes I drink..mainly wine or gin..not every night!!

My oncologist said that’s fine

Barb xx

Rbabak profile image
Rbabak in reply totheresac1

Hi Theresa,

I was newly diagnosed about 3 weeks ago. I want to do everything you are doing in this email. Can you recommend the probiotic you are using and or vegan shakes? I start ibrance this week. Also, why do they start you on a high dose?

I wish I could help. After one year I still have to wait three weeks for my neutrophils to get back to a safe level before starting my Ibrance for the next cycle. I am at 100 mg now but my doc doesn’t want to drop it down as he isn’t sure if that will make any difference. Good luck.

PLASEM profile image
PLASEM in reply to

That is really good that with 100 mg your scan still stable, my oncologist has another approach, my dosage was 125 mg my neutrophils are going down till 0.5 I usually get two shots of Neupogen on my week off then the neutrophils goes up and start again my oncologist said that even our neutrophils are low He does not see his patients getting infections he said but if you want to wait for your neutrophils to go up on its own probably you will at least three weeks because it is worrisome

in reply toPLASEM

My oncologist makes me wait. I will mention this Neupogen. I’m in Canada but assume it is here also. I asked him about injections to help them and he didn’t know what there was and told me to ask you folks.

Nannymop profile image
Nannymop

Hi have you asked if you could have neupogen shot my white cells were low Every month but I just have one shot now and been good to go every month since, been on treatment for 13 months x

theresac1 profile image
theresac1 in reply toNannymop

What type of shot for white blood cells?

Nannymop profile image
Nannymop in reply totheresac1

Hi on my week off I have one injection at home called neupogen it is a white cell booster my neutrophils were always to low and would have to take extra weeks off but since having injections last 3 months they have been good . Hope all goes well for you x

mariootsi profile image
mariootsi

My palliative care doc gave me wheatgrass powder to take in water or smoothies. Supposed to be great for blood. Ask your onc if that might help. I'm having low platelet counts but wheatgrass is just really good for us. Check it out. Good luck! Love Marianne. It's frustrating I know when low counts happen!

theresac1 profile image
theresac1

Really? Do you know in what way it affects the blood work? I wasn't told that.

theresac1 profile image
theresac1

Thank you! I just looked up on the internet too. I had no idea! Crazy!

blms profile image
blms

So my question is: if you are not having your tumor markers checked and have no cardiac issues, then what is the problem with high doses of biotin? I don't really take it on any kind of continual basis but curious now.

Mimigram profile image
Mimigram

My oncologist said to climb a flight of stairs right before getting your labs. Apparently it raises them.

Barbteeth profile image
Barbteeth in reply toMimigram

Raises what? Wbc rbc markers??

Sorry don’t understand this

Barb xx

Mimigram profile image
Mimigram in reply toBarbteeth

Both is what I am assuming. My WBC was low and she mentioned that to me.

Mimigram profile image
Mimigram

How much Biotin do you take? My multi vitamin has it listed at 1000 mg

Mimigram profile image
Mimigram in reply toMimigram

Mine is 1000 mcg. I read it wrong. I think I will stop 48 hrs before labs which is what I read.

Thank you for your response.

Mimi

blms profile image
blms in reply toMimigram

I had heard that 10,000 mcg. Was the dose for growing hair. But I rarely take it all now as I am taking a high quality vitamin b which has not even close

PLASEM profile image
PLASEM

I will do climb stairs I am going to have my labs on the 13 of February I did not know that Biotin affects the cancer markes

barbarac76 profile image
barbarac76

Hi. How low has your Abs Neu been? I've been on Ibrance (125mg) and Faslodex for two years. My Abs Neu has been consistently low - between .6 and 1.2 on the third day of my off cycle. More often, it's been below 1.0. My oncologist has not made me skip any days because she says that although the number is low (as is my wbc and platelets), I haven't had any infections. Maybe a minor cold once or twice.

hdhonda profile image
hdhonda in reply tobarbarac76

My onc says same thing. I don't skip a week even when they are very low. They come back up on their own and I haven't been getting sick. They are never normal. I doubt that I will ever be normal again. Blessings, Hannah

tmoews profile image
tmoews

My abs neutrafils seen to get low every month. Last week they were 0.8. I am only taking 75 mg of Ibrance. I am interested in the neupogen. Have

you tried vitamin c infusion?

klhowe profile image
klhowe in reply totmoews

I started on 125 mg Ibrance and Femara last June. After 2 weeks my ANC was 340, so I had to wait 3 weeks and start on 100mg.

I have passed ANC without problems for last 5 cycles. I eat a protein rich diet. I have quinoa cereal every morning and a vegan or bone broth protein shake every nite. And Immupower which is a supplement (you can find on Amazon) that helps people undergoing chemo.

tmoews profile image
tmoews in reply toklhowe

Do you have a recipe for the quinoa cereal?

klhowe profile image
klhowe in reply totmoews

Ancient Harvest Quinoa Flakes, I buy it on Amazon. I cook it. I like to add cheese, but you could add honey, brown sugar, fruit.

tmoews profile image
tmoews in reply totmoews

Immupower is from young living??? Do you diffuse it? Anything else with it?

klhowe profile image
klhowe in reply totmoews

American BioSciences

ImmPower 30 Capsules

Look it up on Amazon, I finally gave in and put it on subscribe and save to get it cheaper.

tmoews profile image
tmoews

Thank you so much!!!

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