Aromatase Inhibitor side effects...

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I am REALLY down right now.    Cry

I've been through a double mastectomy, chemo, tamoxifen, lupron / chemical menopause, lat-flap, (husband cheating on me and kicking him out of the house), expanders, removal of ovaries all with the best attitude I can manage... but now everyone is telling me the aromatase inhibitors will "be the worst step I face"...   REALLY?!

I LOVE to exercise, yet 2 of my friends are insisting once I start in on this med, I'll virtually become 80 years old overnight.  Paralyzing fatigue... crippling bone pain... mood swings that border on psychosis... inability to exercise... etc.

I had hoped to get back in shape within a few months... is this not possible?

UGH!  Need some cyber hugs and encouragement... feeling REALLY down right now...

Comments

  • flash
    flash Member Posts: 1,685
    edited October 2012

    your friends are probably wrong.  Many of the side effects are the effect of estrogen lack.  If you've already gone through the chemopause and ooph, you've already experienced the "worst."  The side effects reported are for ALL women not that a single woman gets all side effects.  Most women just get none or one or two. Often the "side effects" turn out to be problems that were already in the body, just more focus on the body and hence more side effects noticed.  Since you exercise, you will actually have fewer side effects than older women who don't exercise.  Sometimes it does take switching between the AI's to determine which one is best for your particular body chemistry.  For example, I had problems with the first AI but I had NO problems with the second AI.  I am now finishing up my 4th year of AI's and I can say it's been fine once I realized that I could change things and make the SE's zero.  You really have already gone over the peak of the worst hill and now you're free wheeling back to normal. (well, maybe a new normal but still a normal.)

    Good luck.

  • Shellies
    Shellies Member Posts: 55
    edited October 2012

    Oh wow, Flash!  YOu really know how to make a girl feel better!  (I'm gonna print this off and hang it above my desk!!!  THX!!!)  I feel SO much better!  I knew from earlier this year not to listen to these two, but they cornered me and made me listen to the "horrors of AIs"... thx for putting this back into perspective for me!!!  I SOOOOOOOOO needed that!  <hugs>

    (Next Thursday is exchange day!!!  I get these expanders out and silicone in!!!  YAY!!!  I do believe I see a light at the end of the tunnel and I'm PRAYING it is not an oncoming train!!!  lol)

  • SpecialK
    SpecialK Member Posts: 16,486
    edited October 2012

    shellies - congrats on that light at the end of the tunnel - exchange surgery is a good surgery and should be much easier than the other surgeries you have had to date.  I have been on two AIs - Femara and Arimidex.  I started on Femara and had some joint pain - nothing severe, just some stiffness, but as soon as I moved it dissipated.  My onc switched me to Arimidex to see if the joint pain was less, and it was.  I walk, work out, have not gained weight, no mood swings, my hot flashes are consistent with what they have always been (total hyst/ooph 11 years ago), I do not take any anti-depressants or anti-anxiety meds.  Aside from the minor joint pain - again, it goes away when I move around and I only notice it when I sit for an extended period - I am doing fine.  The best thing to do is to try them, change to another one if you have intolerable SEs.  Good luck! 

  • Claire_in_Seattle
    Claire_in_Seattle Member Posts: 4,570
    edited October 2012

    Hi Shellies.....

    I did the Chilly Hilly in February, skipped most of March and April because a bicycle, hail, and RR tracks aren't a good combo, did a cycling adventure in May where I also got to buy a new clutch for my Subaru in a strange town and a lot of extra cycling, two cycling events in June, the Seattle-to-Portland Bicycle Classic in July, the RSVP to Vancouver in August, and two other cycling events in September.

    As you can see, I am seriously debilitated from Arimidex.

    I bagged a ride last Saturday as my cycling buddies and I decided to go for breakfast as opposed to getting a major soaking, but did 45 miles on Sunday.  New trail and new people.  Great fun.

    I can't wait to ski this year as ankle injury is sufficiently healed so that I should be fine on downhills.  Can't wait.

    Good luck with your exchange.

    Now on to living.  I would drag your friends out on the hiking trail, bicycle trail, or slopes.

    Having said all of this, I do admit to some knee symptoms, but NOTHING like the ankle last year or my shoulder prior to being diagnosed.  That was from a fall backwards onto ice in the ski resort parking lot, and then re-injuring helping out two stranded ladies (chains were in the car, and not on their tires).  In NO WAY am I going to miss out on my life.

    Example: did a 50 mile cycling event on a hot day 2.5 months ago, and stopped for a swim on my way back to Seattle.  Now THAT is living. - Claire

  • Shellies
    Shellies Member Posts: 55
    edited October 2012

    I LOVE you guys!!!  Panic seriously starting to abate now!!!  THANK YOU THANK YOU THANK YOU!!!  YOu all are the absolute BEST!!!  <huge cyber hugs!!!>

    I did boot camp throughout my chemo... the only thing that has held me back this year is a slipped expander after my lat flap surgery... (praying once the exchange occurs I'll be back at the gym full time!!!)

    Love you all!!!  Can't thank you enough!!!

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited October 2012

    Aw, Shellies, I'm so sorry you've been through so much. No wonder you're feeling vulnerable.

    HOWEVER, those two "friends" you mention sure don't seem very supportive at all.

    First, why would they even try to make you feel worse than you already feel, and second, who made them experts? Yell

    I was dx'd just over a year ago, had my BMX w/TEs in December 2011, went on an extensive diet and weight loss program and lost almost 60 pounds so far and more than 65 inches, got rid of my fibromyalgia pain, had my exchange surgery in August and got two beautiful New Girls, and started the Anastrozole on September 5th. No side effects that I can tell in almost two months.

    I feel better than I have in 20 years. I'll be 62 next month, and I am SO excited that I can have the strong, healthy body I've always wanted.

    This is your chance to make the rest of your life into something that you've always wanted. Never let the naysayers determine who or what you are.

    Rebuild your life, stay active, stay strong. You deserve every bit of happiness that comes your way. Big honkin' hugs to you!!!

  • Shellies
    Shellies Member Posts: 55
    edited November 2012

    Hey Blessings20!  WOw!!!  I am gonna wallpaper my classroom with all of your inspirational messages!  I FULLY believe that attitude is EVERYTHING!!!  Congrats on starting a *new* life!!!  I'm beginning to see the hints of good things to come!  (Praying my anxiety over every little ache or pain or bump will abate soon!)

    You guys are the absolute best!!!  Love you all!!!  Thank you!!!     Cool 

  • hbcheryl
    hbcheryl Member Posts: 5,113
    edited November 2012

    Shellies I have been on Femara/Letrozole for 4 years and at 62 I am far more active than I have ever been in my entire life, my surgeon and onc told me of the benefits of exercise so I took the ball and ran with it, yes I had belonged to a gym for 10 years and walked on a treadmill and did a bit of weight training but now I am a gym rat, 6 days a week - I am the person they lose money on cause I use my membership to the max.  Have I had twinges and twangs, absolutely but who's to say I wouldn't have had them, I am aging but the gym has become my second home, I love to spin and do Body Combat and Body Step.  I had read all the "terrible" side effects stories and was terrified when I put that first pill in my mouth, but nothing happened.  Glad you're seeing the light is at the end of the tunnel.

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited November 2012
  • lisa2012
    lisa2012 Member Posts: 652
    edited November 2012

    OK, I guess I am the downer. I have been on Arimedex for 3.5 month. Fine the first two mos. Then more and more hip and back pain. And I haven't had back pain in years!! Hmm, did my bed suddenly become bothersome? Am I a bad patient and not stretching enough? why do I ache? My doc told me yesterday to go off for 1-2 weeks and then let's see if you go back on this one or try another. I am mad!!! I just wanted to take the stupid pill for 5 yrs and be done with it. Not have ISSUES.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited November 2012

    Your friends are nuts! I completed my five years of arimidex in September. I did fine, and was thrilled to have that option available to me. Every day I could be doing something to REALLY reduce my chance of recurrence. Chemo gave me a 20% risk reduction, anti-hormonals 40%. That is HUGE.

    Come over to the 'Lets Post Our Daily Exercise' thread on the fitness forum (you will find Claire and Cheryl who chimed in here over there too). Ladies in all stages of treatment and beyond who are commited to exercise, not only because it is the biggest non-medical thing we can do to reduce recurrence risk even further, but because it is fun, makes us look better and lifts our spirits. We have a lot of fun over there, and would love if you would join us.

  • Shellies
    Shellies Member Posts: 55
    edited November 2012

    I'll be starting on femara next week (YIKES!)... I'm printing off your comments to read when I pop that first pill in my mouth!  LOVE your approach, ruthbru!  "Every day ... doing something to REALLY reduce my chance of recurrence."  LOVE that!

    (@ lisa2012) GOOD NEWS:  Oncologist said up your vitamin D levels if you're having side effects!  He has me on 5000 units / day.  Latest research shows that reduces side effects!!!  (Check with your dr. first, of course!  My blood work showed my levels were fine!)    Cool

    LOVE YOU ALL!!!  Thank you SO much!!!  This has been quite a year!!!  <hugs>

  • ruthbru
    ruthbru Member Posts: 57,235
    edited November 2012

    I think if one uses a cancer diagnosis and the treatment challenges as a wakeup call to really get serious about doing all the things one should do anyway (eat better, keep a healthy weight, exercise, not sweat the small stuff, and do more of the things you enjoy etc,); then you can actually come out of it healthier and happier than you went in.

  • GrammyB7
    GrammyB7 Member Posts: 15
    edited November 2012

    Thanks for positive advice. I am just starting this journey. Having a small (1 cm.) tumor and no lymph or vascular involvement I was told by the surgeon I would only need radiation and hormone therapy. I am now waiting for chemo to start! I think because it was grade 3. (agressive little buggers) Advised by the onc. to be on the safe side. Trying to stay on the positive track. All of the stories I read here of women worse of and better off is very inspirational. Much better than any cancer book or website I have read. Thanks to all of you.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited November 2012

    It is an unwelcome detour, but you can get through it and can be really, really O.K. at the end!

  • SueBikesALot
    SueBikesALot Member Posts: 1
    edited November 2012

    Claire in Seattle! Thanks for all your upbeat answers to Shellies: tomorrow I'll find out my oncotype score to determine if I need chemo in addition to starting an aromatase inhibitor. A review online of possible side effects had me considering reducing my biking time, but your answer confirmed what I want/need to hear: keep up the regular exercise-and-healthy eating routines, build strength, and get back on the trails! Just what this 2-timer (first was 27 years ago, age 39) needed to hear. Thanks so very much.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited November 2012

    Come over to the 'Lets Post Our Daily Exercise' thread on the Fitness Forum if you want some exercise buddies (you will find Claire over there too).

  • Shellies
    Shellies Member Posts: 55
    edited November 2012

    I'm coming over to "Let's Post Our Daily Exercise"!!!

    Now my paranoia is settling on the *weight gain* prospects!!!  I'm praying that if I up the exercise and lower the caloric intake that weight gain will be negligible?!?!  (I have had problems with anorexia in the past... I am absolutely TERRIFIED of gaining weight... I met with 2 doctors last week and they both warned me of possible weight gain... this is sending me into mini-panic attacks again!  Going to reread your posts above and quite possibly tattoo them to my arm!  lol)

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited November 2012

    Nov 12, 2012 05:00 PM ruthbru wrote:

    I think if one uses a cancer diagnosis and the treatment challenges as a wakeup call to really get serious about doing all the things one should do anyway (eat better, keep a healthy weight, exercise, not sweat the small stuff, and do more of the things you enjoy etc,); then you can actually come out of it healthier and happier than you went in.

    Amen to that, ruthbru...that is exactly the way I feel now.

    Shellies - my DH and I just spent a week at the beach on vacation. While I generally watched what I ate (still doing a modified Optifast program), I did have my wild "What the heck, I'm on vacation" splurges.

    But I also was able to get out and walk on the beach and enjoy the beautiful, clean air and gorgeous scenery.

    I came home 2 pounds lighter.

    I think if I were sitting on the couch bemoaning my every ache and pain, I would definitely be gaining weight. I know that's exactly how I spent the previous ten years of my life.

    Now I have a reason to be making those changes.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited November 2012

    Shellies, I will be watching for you over on the exercise thread Wink. For what it is worth, I have 4 local friends who are on anti-hormonals (or were, a couple of us are done with our five years); the one who went naturally skinny, stayed skinny. The one who went in plump, stayed plump. The other three of us who were always watching and working on our weight before, stayed the same weight by watching and working on our weight during (and still have to watch and work on our weight after).

  • Shellies
    Shellies Member Posts: 55
    edited November 2012

    Taking my first pill this AM!  Thanks so much for your encouragement, you guys!  I cannot tell you how much better I feel!  THANK YOU!!!  I love you all!!!   <hugs> 

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