New and very hesitant to start hormone therapy
Comments
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Thanks! I know, it's so hard, for every study I find about DIM that's positive, there's a negative, for every I3C, it's the same, lol. A lot of times I think they're by competing companies, so you really have to watch where it's all coming from. All the studies on Tamox are at least the same with little variation for the most part: "The benefits outweigh the risks". If I do end up taking it I just want to complement it as best I can. God, none of this seems very natural does it? lol
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Dear Sherbear and Hesitant Ladies,
I too have been very reluctant to start an AI. What made me decide to take the tamoxifen was a study I found about weight and tamoxifen (may be better for heavier women). My onc finally agreed to it (I'm post menopausal) but wants me to switch to Arimidex for the last 3 years. I have had very few SE's (hair thinning though), and I am just hoping my cyst prone gynycological issues don't flare up. My plan is to get as healthy as possible in the next 2 years so if I have to go on an AI at least I'll have better bone mass, less adipose tissue, and hopefully a better outlook on life.
P.S. Remember the latest studies are not boding well for AI's and people with any kind of heart issues or family history of heart problems - this site has that article under new research.
Remember that you can always stop taking it if you so choose - best of luck to all !
Val
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This is my personal experience with Arimidex. I bit the bullet and decided to try it. I was fearful that in myown way I was outsmarting myself by not taking what every medical professional told me I needed. One pill, that's all I took. I decided to try it at night, before I went to sleep. I was calm and actually thinking it would be a good thing. I took a bath and went to bed. I fell asleep shortly after. Then I woke up. And went back to sleep. This repeated itself through the night interspersed with bouts of explosive diarreah. I woke up (for tenth time) and got ready for work feeling like I was on the worst kind of speed. I skipped my vitamins as I did not want any extra enhancements adding to the mix. One pill, the night before. I got to work and was hyper and of course tired, from the lack of sleep. But felt like, ok, if this is the worst, I will just take the pill very very early in the morning and then I will be able to sleep. Maybe the diarreah was stress or something. That was fine until about 1pm in the afternoon, I was standing outside talking to a friend and my left arm went numb. Like I had just woken up after sleeping on it. I shook it and commented how odd it felt. Then she looked at me and said how glassy my eyes were and I said not much sleep last night. I sat down and then my left leg was tingling. I said this is ridiculous, it must be from me being scared or something, one pill could not do this that quick. So I got up and laughed it off and went back upstairs to the office. By the time i got back my eyes were watering and I felt my head was pounding,my eyes were burning and red.I shook it off, again, saying this is CRAZY, I must be getting sick. My brain was completely spinning. My sister came over and asked me what was wrong as my eyes were so red and glassy and I was holding my arm funny. I said I did not know. I hadnever felt this bad in my life...inclduing when I go the BMX...at least when I woke up from that I anticipated something would hurt. But this was weird. Like nothing before. I called my husband and said I didn't know if I could drive home so to hang in case I needed to call him. I made it home crying the whole way. By the time I got home I was convinced it was not the pill but that I had undergone a small stroke. My neck was was sore and the left side was weirding out. My husband got home and sat withme and got me to take a hot bath. Once I sat back in the tub I got really really MAD! I said I must be nuts honey...because one pill could not do this to a person. He corrected me and said I knew better than that. He reminded me of the two times in his life when he had violent side effects following the first or second dose of two different drugs. He reminded me of the drugs back in high school that people (him and his friends,not goody two shoes me:) took and how one little pill did an awful lot. I started crying harder. I sadi what if it doesn't get better? My arm and leg are numb and I have shooting spur type feelings in my foot. My neck hurts and I my stomach is rumbling loud enough for him to hear it. I turned on the jets in the tub to massage my hold body ...and kept crying. I was too scared to take a tylonel or an ativan because I did not know if it would make &it& worse...he told me to get mad so I would not be scared...(he knows me well) so i did. I went on to say not only would I not ever take a FRIGGIN AI of any kind again but I damn well would quit smoking without adding more drugs to the mix. Somehow I had slowly started to buy intoit all...the big name hospitals and the big name docs telling me I NEEDED THIS STUFF. Now don't get me wrong...i am not a fool and if I had a more agressive cancer I damn well would do what was neccessary. BUT...this is why I had a BMX, this is why I started a regimen to suppress the estrogen naturally based on clinical trials...this is why I changed my diet, this is why I decided to stop smoking...to battle the BC so I could live a good life. So I got good and mad. Mad atmyself for not trusting my gut which has led me right since all of this began. I was mad that there untold women suffering horrific side effects so they can make some magical 5year mark while their life is compromised in so many other ways along the path to get there. NO. My sister called as she was worried about me and said she had never been so scared in her life when she saw me that afternoon. And let me tell you my sister is no alarmist and in fact would be the first one to tell me it was inmy head. She said you know, maybe that is why so manypeople can't believe you have gone through all of this...as you are healing so well and have generally been getting stronger and healthier...maybe if you had taken the AIs right after surgery like they wanted you to you might have been sicker like everyone seemed to expect you to be. And maybe you would not haveknown the difference thinking it was all part of the process of breast cancer. That you were supposed to feel like &hit. And I thought about that and I have to agree. Don'tget me wrong, I have had some rough days since the BMX but not anything like what happened to me yesterday. But if I hadnot had eight weeks of healing before trying this poison how would I know how to feel? I had never had breast cancer andsurgery before...all of the symptoms would have gotten swept up in the general Bc aftermath....Let me say this, Ivcould never have dreamed it would hit me that hardvthat fast. I stayed home from work today and rested. As the day has gone on most feeling returned with just my upper arm and elbow and knee and heel tingling/feeling weird still. My stomach is racked. A little gross aside...I went to the restroom and after wiping...there was blood. Now I know where I wiped and have neverhad blood from my rear before in 54 years. I start screaming a bit ago for my husband and we looked it up...yep, one of the rare side effects...I missed that one in my reading..I am hoping that I had a hemi I did not know abotu suddenly decide to bleed (dont they do that? soemtimes) from all the diarreah....If it continues until tomorrow I will go to doc. But i am sick of docs rightnow. Pissed at docs right now. So here it is almost 24 hours following one dose of arimidex. My story, my experience. No wonder so many write of their pains, I will never glossover those plaintive writings again when reading them. I truly believe none of them are exagerrating and they must feel like theya re going nuts to have that stuff start popping off in their bodies. My case might be unique and the effects extreme. I can only liken it to a poison that my body is trying to get rid of. The bitch is the drug can linger in your system for 50-60 hours. I will stick with that and not pay attention to someone who called astrazeneca and was told each dose can actually remain active within for 10-11 days. Nope. In this case I will use mind over matter to get over this mini catastrophe. And be grateful that now I do not have to play the what if game. I don't care what brand or formulation, I will not put it in my body again. It scared me and I hope I don't have lingering anything from it. God bless all of you who can handle it. I cannot.
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Sherbear: I decided not to take the tamoxifin. I had a really bad feeling about it and every time I go against that I pay. I had bilaterals and removed ovaries. That's about all I can take at this point as I am finally through with reconstruction (had problems with infections) after two years of surgeries. I am now experiencing anxiety attacks and some depression but I WILL SURVIVE THAT TOO! I think everyone has to make their own decisions and not judge others. Please keep sharing everyone. It's good to reevaluate and keep thinking but not WORRYING too much.
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Annette, that's so brutal, I'm so sorry that you've had to go through that. Thanks for sharing (I actually saw your post on another thread first). Glad you're going to report your effects to the FDA (I hate using the word 'side' when it comes to effects, there are no 'side' effects, just effects, that a drug will have, good or bad). Good luck, hopefully you'll feel back to normal soon
Tabby: I know what you mean, I just can't shake the feeling that it's going agains't what I believe in and only treating a symptom of a larger problem. Am seeing my ND today to discuss options (DIM, I3C etc. with or without Tamox....). I also want hormone tests done before I take any drug, just can't believe they want us to go on years and years of meds without any tests. I at least want a baseline to measure against. We'll see what happens, but I hope your attacks and depression start to subside. I agree about always thinking and reevaluating, but not worrying too much as we all know what stress can do to a body.
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Annette: So sorry you had such a violent reaction to the meds. How are you now? I hope it's all out of your system now. Let us know.
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I decided not to take Tamoxifen. On the stats my onc gave me, my risk of recurrence after chemo and rads was 18% without Tamoxifen and 12% with Tamoxifen. So two thirds of the recurrence risk would remain. If I had already had my children and was focussed only on survival I think I would have taken the pills however small the benefit. But 5 years without being able to conceive would have effectively meant no children ever for me, and that felt like too high a price to pay for a 6% real reduction in risk.
I also felt strongly that rather than artificially block excess estrogen I would prefer to balance my hormones naturally through diet and exercise (though if I am honest that good intention has waxed and waned, as have my hips and thighs as a result!). I am firmly convinced that estrogen dominence made the tumour I had grow. Dr John Lee's book really spoke to me - I recognised years and years of myself in his descriptions of estrogen dominance.
So I didn't take it - the onc argued with me for a while but accepted my decision.
For a while before I fell pregnant I took I3C - it made me a bit achy and creaky but otherwise was fine, and if I were not pregnant I would still be taking it and I intend to start again after breast feeding etc is done.
It is such a personal decision. I wish you well making yours.
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sakura- I remember reading a post of yours a while back. I think you have become pregnant since then. Congratulations! I find your decision very courageous and understandable. I wish you a lifetime of health with your baby! By the way, I also am declining AIs and choosing alternatives. I just couldn't reconcile the known (and possibly unknown) long term side effects.
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Sakura, I also applaud your decision. I've seen some young women who gave up their dreams of becoming pregnant by the treatment decisions they made, all out of fear of cancer coming back.
You are not letting the cancer control your life. You are living your life the way you want. I think that's the whole point of beating cancer, to be able to do things to reduce recurrence risk, but also to be able to live your life and do the things that are important to you.
And there are studies out there showing that pregnancy and breastfeeding can reduce risk as well.
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Thank you designermom and rgiuff - I appreciate your comments.
It makes me so sad when I read of women who feel they have no right to challenge or disagree with their oncologist's recommendations; I was horrified when my onco told me I was the only one he had had decide not to take his advice and who had done their own research. We have a responsibility to our own lives. Of course, Tamoxifen is the right choice for many women, but it is our body and our choice. Sometimes I think we get on one end of a production line with surgery and it just carries us through chemo and radiation and then the hormonals and it is very hard to say "actually, I am getting off the line here."
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Thanks for your story Sakura, as someone who would like children (we froze embryo's), I find it difficult to make the choice to take Tam as they want me on it for at least 3 years and then I'll want to detox it out, so by the time we would even begin to try having a baby, I would be 41. There's absolutely nothing wrong with having children at that age, but I would personally just like to start sooner. Just finished with rads and am now detoxing so I haven't made up my mind yet about the Tam. We're going to be discussing everything with our fertility doctor before I start any drugs anyway. I totally agree with you about living your life and not having cancer rule it and I think I'm like you in that I have shocked my onc when it comes to questioning, researching, and hesitating regarding certain treatments. I don't think she has ever experienced that before, but I figure it's good for her lol.
Do you mind my asking, did you do fertility treatments?
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I also was hesitant about Tamoxifen - I questioned my oncologist alot about it, but he stood firm on recommending it. I started taking it primarily because chemo wasn't recommended for me (Stage 1, ER+, no node involvement, Oncoytpe score 7) and I felt I needed to be doing something. I have not experienced any side effects (my oncologist says most women have very few side effects), and have been on it for 10 months. My wholistic health MD even recommended I take it, saying the drug has been used for a long time with very few side effects. Recently I had my first vaginial ultrasound to monitor my uterine lining and plan to get one annually.
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That's what I'll be doing once I'm finished detoxing in a few weeks. My ND has me on DIM as well. I'm sure my onc wouldn't be happy that I haven't started Tam yet, but I figured (as did my ND) why bother when I'm trying to detox after chemo and rads. Not looking forward to starting drugs, sigh, but I'll at least give it a try and I'm sure it won't be that bad. Ultrasounds will also be a priority.
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Annette so sorry about your reaction. It does happen to some women.
I'm now 2 weeks on Anastrozole (generic Arimidex). So far no SE. I swear my hot flashes I got at night have gone away or so minor I sleep through them. I occasionally have one in the evening but it is so light and fast that by the time I take my sweater off it's gone. I get a little warm that's it.
Hope it's working. Certainly hope I'm staying in chemopause. I do have blood tests every 3 weeks to check. I also hope I'm not getting bad meds from India. I do hear the generic is made in India.
http://www.cbsnews.com/stories/2011/03/10/60minutes/main20040693.shtml
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Annette - So sorry for all that!!! Hear hear though and thanks for telling your story!!!
I decided not to take it. I was not IDC like most of you, DCIS here. The Onc backed me up completely though and said I could always try it if I wanted. One thing she said stuck in my head forever though - the mild side effects that most people get are reversable when you stop taking it. The rare major ones, like blood clots or cancer, you will have to treat and deal with forver. OUCH.
So its diet, exercise and screening for me. There was a lot more that went into my decision than I stated here, but most of the other posters touched on those.
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Someone posted where the generics come from a while back and only some come from India. Mine is made by Teva in Israel (where they apparently make a lot of generics).
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I'll ask next time I order. I would feel a bit better about Israel but knowing I'm getting them from Walgreens I bet they are getting the cheap stuff from India.
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I don't think it's matter if the meds are made in Israel/India or wherever. My son worked for AstraZenica in Sweden where he worked as a Quality Manager, he went to India a lot of time and India needs to follow the high quality as everyone else.
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InTwoPlaces check out the video on this page: link
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Dear Sherbear
Thank you for your comments; sorry I only now saw your post! In answer to your question, I did a round of egg freezing before chemo (not very successful because they gave me lower than usual doses of the hormones out of a misguided sense of reducing risk!) and also had part of one ovary removed and frozen. During chemo I had Zoladex shots to shut everything down. As it turned out I haven't used the frozen eggs or ovary as my periods returned and I conceived naturally. I am at 17 weeks now and keeping everything crossed.
My fertility doctor told me you only need 3 months off the Tamox before you can start trying to conceive; it is not a long detox. But it still depends on whether the benefit to you is worth the wait. After chemo Tamox's additional benefit is reduced. But everyone's stats are different.
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Lago,
I watched the video, but now we're talking about criminals. I guess we never can be sure if we getting the 'real" meds.
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Thanks for the info Sakura, Congratulations and good luck with everything! We'll be meeting with our fertility doc in the next few weeks to figure out what we want to do and what our timing will be. Nobody mentioned zolodex to shut down my ovaries during chemo, just afterward (which I'm not doing so far).
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Thank you! Regarding Zoladex, I had it during chemo as there is some evidence that having things already shut down reduces the risk of permanent infertility from chemo. My oncologist was scornful but the fertility doctor thought it worth doing so I did it. I stopped as soon as chemo stopped. Good luck with your fertility doctor.
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Thanks so much Sakura! Wow, will have to ask her about what you did (even though it's of no use to me now, just good to know).
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I am new here also, and am grateful to find that there are other women who are as hesitant as I to take these drugs. I got 3 opinions, and suprisingly, despite the fact that I have scoliosis, a history of spine surgery and osteopenia, all preferred that I take Arimidex. There is no way I that I am going to sacrifice the health of my bones and fragile spine by taking something that would could put me into osteoperosis at the age of 54. No way.
I was considering tamoxifen, and asked my med onc about the risk of recurrence (based on oncotype) with and without the drug. He quoted me a 3% increased risk without the drug. I am still on the fence about this, but quite frankly, I don't think that a 3% risk reduction is worth the potential side effects and risk of gyn cancer.
IMHO, if more of us early stagers refused these drugs, the powers that would be would be more inclined to develop therapies that did not turn us into old women before our time, or force us to live a not so great quality of life!
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Jerseytomato 3% is a very small reduction. In my case after chemo/herceptin/surgery my reduction is still double digit. I too have slight ostepenia and family history of osteoporosis (as well as small boned, white, thin etc.) but not scoliosis. My bone density will be retested in a year to see if I need a bisphosphonate. I just turned 49+1 last month.
I totally understand the issue. My mom has severe scoliosis (age 73). She is actually going to get back surgery for it. It's so bad that not only is it effecting her mobility but they think because she is so hunched over that it's affecting her breathing (crushing lungs). Mom reversed her osteoporosis with low dose of HRT but now her doctor is considering taking her off it because of my diagnosis.
I don't blame you one bit for refusing with your other health issues.
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jersey- Like you, I am very hesitant to start hormone therapy. Every one of our BC is unique and has different stats of recurrence. Given your medical history and apparently good BC prognosis, I totally understand your not wanting to put yourself at added risk for osteoporosis or bone issues. There are lots of ladies using DIM, a natural supplement that seems to function as an aromatase inhibitor. I believe it is even in trials now. Rather than do nothing, it might be something to consider. Lots of the ladies on the "natural girl" thread in the alternative forum are taking it. Best of luck.
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