Anemia from TCH?
Has anyone continued to have some anemia after TCH treatment? I am eight months out but my red blood counts are still low. During my infusions I had to have two transfusions. My red blood counts have improved but now are "stable" but lower than normal. Will I always be anemic?
Jo Anne
Comments
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Hi JAP
My RBC's were normal but my WBC's suffered for over a year and are just starting to come back after Herceptin. One thing that many don't consider is that when you are triple positive you are on 2 chemo drugs for longer than a year. I know than many ONC's say Herceptin has no side effects but if you read the package insert it states may affect RBC/WBC (immunity etc).
Only 20% of BC is Her2 of that 20% only another 20% or so are also ER positive so only a few of us are on Herceptin and Hormone drugs at the same time and that can be hard on your bone marrow, RBC/WBC's as well.
Make sure you are getting enough protein, are you finished with Herceptin? I think you were dxed within days of me.
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Based on the HERA and BCIRG006 trials, approximately 50% of Her2+ are ER+ and receiving some sort of hormonal therapy.
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Thanks for correcting me, I meant to put 50%, just retyped the 20% from Her2, still a small number that gets the 2 drugs. My Chemo nurses used to say that the HER2 Herceptin gals that were always the one's with those issues and always had to be cleared by ONC after getting blood drawn.
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It think it affected my platelets too. Shortly after my I shaved my head I put some earings on and my ears started bleeding from the holes - enough to actually drip. It was the last time I wore earings throughout chemo, even though I would have looked so much better with them on.
Since I refused epo, I got pretty anemic. A year after stopping, I am close to normal.
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Jo Anne~ I am 7 weeks 4 days PFC and at my last blood draw I was still low in my RBC. I had 2 transfusions (both 2 units) one during chemo and one after I was finished with chemo. I am sure I will find out on the 20th if my counts are still low.
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Jo Anne, I was just complaining about anemia myself on the Stage III board yesterday.
I am hoping that things will normalize after the Herceptin is completed and I feel less lethargic and fatigued. I hope it's not the AI because I need to continue that one for another 5 years at least!
Best, Helena.
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Hi Helena and others,
I finished Herceptin the first week in June but still have low HGB levels. I was wondering if they ever recover. What does your oncologist say?
Thanks,
Jo Anne
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Hi,
I mentioned it to the nurse during the previous Herceptin treatment - that I felt fatigued and worn out. But she said that this is very common after all the chemo and radiation. I will ask my Onc specifically about the Hb next time I go there. I think it must be an after effect from all the treatment. I don't know how long it will take to really get better. Hopefully soon because I have small kids and it's a real struggle getting out of bed in the morning and getting going!
But I think everything can make you tired: the surgeries, the chemo, the radiation, the Herceptin, and hormone treatments, the stress, you name it.
I will try and exercise more....
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when I had my last cbc a month ago, I was expecting to have no "flags"for abnormal numbers and I had four. Even though I am 6 months out of chemo. My onc said it can take up to two years to get back to normal. Good Luck!
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