taxotere side effects

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  • MsW2012
    MsW2012 Member Posts: 226
    edited February 2013

    Good morning, from the west coast anyway! I have a news item and a question. I attended a cancer nutrition seminar at my cancer center and btw, I highly recommend an appointment with a dietician, which is often covered by insurance.

    The speaker mentioned the tastebuds thing and said sometimes it is a result of zinc depletion from the chemo drugs. I asked my MO and she said no harm in trying. So I googled it and found this info from WebMD very interesting! Zinc sounds perfect for chemo patients in many ways. Immune system, skin peeling, etc:

    http://www.webmd.com/vitamins-supplements/ingredientmono-982-ZINC.aspx?activeIngredientId=982&activeIngredientName=ZINC



    My question: has anyone experimented with disguising your chest port? My husband and I are celebrating our big 25 anniversary, which happens to coincide with the end of my chemo, in Hawaii. Dealing with the bald head is one thing. But how do you cover a big, prominent port? Mine is extra large and so close to the surface you can see it, indicator bumps and all, from across the room. My swim suit is very conservative, with big wide straps, but the darn thing still isn't covered. Too close to center of my chest.

    Band-aid, t-shirt? Any ideas? Thanks!

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    Nope no disguises with the port

    and yep slept 1am to 630am....hopefully will catch up tonight...if not oh well, someone told me something to take @ CVS....am going out, will check it out...

  • websister
    websister Member Posts: 1,092
    edited February 2013

    MsW2012 - thanks for sharing the information on zinc, very interesting

    Re: port - which I did have some disguises - I've had mine since August 2012 and it will continue to be there until at least September 2013; trying to disquise in the summer is the worst. Yours sounds like it is as prominent as mine. I do drape scarves around my neck a lot, however since starting Tamoxifen that is not working as well - hot flushes make anything on my neck seem too much.

  • MsW2012
    MsW2012 Member Posts: 226
    edited February 2013

    Thanks Websister. Part of the solution is probably to worry less about offending people. If I have to bare that thing for a few steps out to the water once in a while it's not the end of the world! And yes I find I am getting good use out of scarves that have spent most of their life in my drawer.

    Maybe waterproof makeup will tone it down a bit.

    It's good to know I may not be the only one with a super visible port! Is yours very sensitive too? I need a pillow for driving, as mine is on the left right where the shoulder strap hits.

  • websister
    websister Member Posts: 1,092
    edited February 2013

    Yes, MsW2012, my port is very sensitive, mine is on the right so if I am a passenger in a vehicle I need some padding to make it comfortable, I am very aware of it most of the time with bra straps, etc. It is also on the side that the mastectomy was on so nothing there to help disquise it, they had a hard time making a pocket for it, no reconstruction yet. I will be very happy on the day it is removed.

    Yes, worry less about offending people, nothing offensive about it - it is helping to save your life.

  • artpetals
    artpetals Member Posts: 6
    edited February 2013

    Hi Girls!

    I am three and a half weeks out from my fourth and last Taxotere/Cytoxan infusion.  On February 13 I go in for a radiation-planning meeting and will start 28 days of radiation a few days later.

    I have had a very positive attitude through my mastectomy, recovery from that, and through most of my chemo, although physically I have suffered with many SEs.  

    The fourth dose was the most difficult... I could barely walk from my bed to my sofa in my tiny condo due to the hand/foot syndrome, neuropathy, and swelling and pain in my legs. The pain from the hand/foot syndrome has gone away, leaving me with feet that shed skin everywhere I go (but I can live with that). But I am very weak and I still have difficulty walking and standing with pain in my legs, especially in the calves.  I gauge my day by whether or not I can stand in the kitchen to make breakfast.  Last week I was thrilled to be able to stand to cook breakfast for two days, but then it was followed by four days when I had to sit from my chair. (Thankfully I have a small kitchen!) 

    I realized that I cannot get up from my sofa without pushing with both hands.  When I first stand up, my calves are so tight, it feels kind of painful like after having one of those really bad calf cramps in the middle of the night, except I didn't just have a calf cramp. I cannot lift my feet as high to slip them into the legs of my pants or to wash them in the shower. So I find myself resting quietly, as I do not hurt when I am resting. And, I have to rest a lot with my feet elevated to help the swelling. (Oh, I was put on a diuretic to reduce the swelling but then I got constipated from the diuretic.)

    I just feel overwhelmed and completely unable to come up with a sort of "recovery" plan to get my life back.  (I used to work out at the gym three times a week, doing weights and 30 minutes on the treadmill or stairclimber.) I haven't always been so fit, but it was part of how I got myself through a very bitter three-year divorce process.  Since February of 2010, I have been to court several times for the divorce, had to sell the family home (lost money legally to the ex on that), reduced our possessions radically, moved to an apartment with my son, then found a fixer-upper condo, supervised renovation to make it livable for a month, moved again, and then had two plumbing leaks that resulted in my living in what was nicknamed "the construction zone."  Got everything fixed and repaired again, and a few months later, I found out I had BC!

    I had been on anti depressants during the marriage but made it through all of the above without anti depressants; the exercise was key, as was my involvement in a divorce recovery workshop, at first as a participant and later as a volunteer.

    I was able to visit the gym twice after chemo 1 and twice after chemo 2 and not at all since then.

    One day last week I climbed a set of stairs to a doctor's appointment and I was so excited I could do it! That day was followed by four days when I could only sit to cook in my kitchen.

    I just don't know how to approach getting better. I want to be more fit but my legs really hurt when I try to use them. And when I feel good it seems like I must be overdoing it since then it is followed by days of not feeling good. Or perhaps the recovery is completely non-linear or maybe I can only expect a few good days per week at this point?

    Oh, I am on a generic Neurontin (it does dull the pain a little and surprisingly, it has helped cut way back on the dramatic hot flashes, as I lost my period during round 4 of chemo).  I still take a Percocet at bedtime.  I try to drink three quarts of water every day. I have been feeling very discouraged having passed the three week mark and feeling pretty bad and fatigued and plain old sad about still feeling bad and thinking about starting radiation when I am still feeling so weak. It's like a gargantuan task just to get up and start my coffee in the morning.

    Is anyone else still having trouble getting your strength back? Pain in your legs? Still feeling weak?

    And everyone seems to think that since I've had my last chemo, that life is just grand now. But it's not! I am just so tired, physically, emotionally, mentally (yes, I have brain fog... I have lost two sweaters and a set of earphones since I started chemo!) I have cried a lot this week. Is some of this a result of going into chemo-pause just about a month ago?

    Thanks for listening, I hope someone out there had it rough like I am and can give me some encouragement or tell me your story. My oncologist just says, "every day will be better."  She says I am in a small percentage of taxotere patients who get a lot of muscle pain from it.

  • websister
    websister Member Posts: 1,092
    edited February 2013

    Hi Artpetals

    First of all - sending hugs - you've been through a lot



    I relate to so much of what you said.

    At three and a half weeks I was very much like you. My feet were peeling, I could not stand for long and my thighs and calves ached and cramped. I walked like an old lady and felt like one also. I was short of breath after doing very little in the way of moving around. I was retaining fluids. On top of that I was beginning to doubt that my hair would ever grow back and my fingernails and toenails were and are a mess.



    I am now at 8 and a half weeks and, while I can't say things are normal by any means yet, they have improved incredibly. My thighs rarely bother me now and I have been able to get on the treadmill almost daily for the past three weeks. I started at a pathetic walking speed of 2 and just did what I could, I am now up to 3.1 for 45 minutes. Not where I was at pre BC but I will take it. I still get short of breath when moving around the house doing housework (my oncologist said it would probably take three months or more to get the red blood cells/hemoglobin up to a normal level). When I first get up from sitting I am still stiff and walk funny but it works itself out and I am definitely getting around better and able to stand longer/do more in the kitchen.



    I guess what I am saying is that you are not alone and it does get better. I can't say I haven't been discouraged myself but when I read your post I realized just how much of a difference a few weeks has made for me.



    I haven't started radiation yet either so I can't speak to how energy will be once it gets going but what I hear is that it is more cumulative, with fatigue settling in later. Maybe by that time the fluid retention from the Taxotere will be gone, I understand that in addition to anemia causing the thigh and calf pain, the fluid retention can also do this.



    Take care, Artpetals



  • Jennie93
    Jennie93 Member Posts: 1,018
    edited February 2013

    artpetals, I can totally relate!  I'm less than a week out now from my 6th and last TC and feeling pretty bad, but so happy that this is the last time going through this.  I was strong and fit before all this too, and I have had the muscle pain too, it really is a drag.  It is funny how everyone seems to have the attitude that "oh, you are done with chemo now, you are fine again, right?"  Uh, no, it's going to take awhile!  I do have a feeling that it will take longer than we hope, but I'm looking forward to it.  Eventually the pain will subside, our strength will come back, and the hair will grow.  I just try to be patient and optimistic.  Hang in there, it will pass, and we will feel good and be able to taste food again some day!   :-)

  • MsW2012
    MsW2012 Member Posts: 226
    edited February 2013

    Artpetals, we feel you! Yes it seems agonizingly slow sometimes but there is relief ahead. You are not alone. I wish those folks were right, that our last chemo day were the end of the ordeal. If only!

    Jennie, the dietician at my cancer center says zinc can bring your tastebuds back. My onco says its worth a try. 50 mg three times a day with food for 3-4 weeks. This is only my third day but I will report back. Best wishes to all.

  • milkyway2
    milkyway2 Member Posts: 259
    edited February 2013

    Hi girlz i m on taxotere. I had my 4 chemo on 31 jan.i had sever neuropathic pain. I tried diff pain killers. My oncologist wants to reduce my chemo dose 20 % because she said sometimes it takes years n years to recover. I want my chemo plus i need good quality of life to

  • artpetals
    artpetals Member Posts: 6
    edited February 2013

    Thanks everyone for the encouragement! I was able to get up this morning, do lymphedema exercises, put on lymphedema sleeve and gauntlet, and meet my daughter for brunch and actually walk to my car this morning without pain. 

    Now, the tiredness/pain is back as I try to do my dishes, but I am feeling more hopeful!

    websister, it is good to hear from you since you are ahead of me... it is great you can get back on the treadmill! (do you still have fluid retention?)

    Jennie, MsW:  thanks so much for your kind words! I guess I got my taste back without realizing it! (I have had to restrict my salt intake because of the fluid retention, and I find I am enjoying the flavors of the foods themselves more now, like broccoli and cauliflower).

    milkyway: I read somewhere that the first chemo kills the most cancer cells, and each chemo kills less.of the cancer cells.  In fact, my oncologist told me that the research shows that four taxotere doses are as effective as six, with less side effects. (Although I understand every case is different). My fourth dose was reduced by 25% because of my liver enzymes. I just made a decision not to worry about it. And getting over the side effects including a lot of fatigue and just keeping up on life has kept me busy enough that I haven't worried about it!

    I am so glad to be here. You all really understand!

  • RainMaze1962
    RainMaze1962 Member Posts: 23
    edited February 2013

    I was feeling really desperate this morning due to my lack of energy. I wish I had seen these posts earlier and it would have saved me two crying jags-and I'm not a crier!  5 weeks post chemo. I'm ready to feel better now!! Does anyone else have intense groin and neck lymph node pain? What are some remedies? 

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    now acid reflux, really.....add that schitt to the list..oh and someone who just had chemo said she couldn't figure out why her nose kept running, realized that the nose hairs had falling out, OMG, never thought of that....lost my eyelashes but not eye brows....

    Sandy

  • Maddie57
    Maddie57 Member Posts: 296
    edited February 2013

    Hi artpetals and the rest of the ladies- hang in there!!! I promise you the SE's will slowly and surely get better. The problem with the last chemo is that you expect to get better quickly and your friends and family don't help in  this regard. They also think that it is over and you should be back to normal. This makes you feel depressed and weak- it is a common SE if I can call it that. 

    The burning in the thighs is the first SE to slowly fade. My calves still give me a bit of trouble but are getting better and better. A good exercise for this is to hold onto the wall and stand on one leg. Hook the other foot behind your calf and slowly raise yourself up onto your toes. Do this a few times, and it helps with the cramping. Do it only about 5 times at first, and then slowly build up. Swop over and work the other calf.

    The neuropathy will slowly get better. It will take a few months, but gets better all the time - you just don't notice it at first. I only get very slight neuropathy in my toes at night sometimes, and that very occasionally.

    Keep moisturising the hands and feet. They will continue for a while. Four and a half months from my last chemo, and my fingers are still a bit iffy, but they are also much improved.

    You will have a very short hair style by 14 weeks. The bald patches will have filled in by then. I finally ditched the wig and scarf last week.

    My eyelashes are almost back to normal - just a bit short. The eyebrows are a mystery as they continued to fall out post chemo then suddenly grew with a vengence. One is falling out again I think - go figure - but I can take that.

    The fatigue starts getting better slowly as well. I think it will take a year before we are all back to as normal as we are going to be!!!

    blondiex46 - your nose gets very dry because it runs all the time. Put vaseline on an earbud and gently wipe around the inside of the nostril. This also helps with the bleeding. For those of you who continue with herceptin the runny nose continues running with slight bleeding, but the vaseline helps a lot. The vaseline also forms a barrier against dust and pollen that your nose hairs would normally catch. Hayfever sufferers can use it with good results.

    As I said - hang in there - it is early days yet. Big hugs

  • Traii
    Traii Member Posts: 1,138
    edited February 2013

    Maddie, congrats on ditching that wig.....I can't wait for that to happen. I didn't loose all my hair on tax, though I still had to wear a wig...and now I'm off tax and began CMF ( which is suppose to 'thin' hair I am getting a few strands each day come out) never mind, this shall pass....kept all my eyebrows ( well thinned only) and lashes still there .

    Artpetals, I'm definetely not fatigued, if anything I've become an insomniac...lol..... true re neuropathy as Maddie mentioned, it does get better, my feet and hands all peeled and now they are all better, though neuropathy comes and goes at times.....but it is much much bareable, I went 1 week without being able to walk properly.

    Most people think oh you've finished the chemo you'll be fine...well I show them my nails and they think wow.....they came off AFTER I stopped Taxotere, they look hidious, absolutely disquasting to me as I've always had either acrylic nails or nice long nails always painted pretty colours, and now i can't do anything with them...even going to the shops and paying for things I try hiding my nails ( which is too hard at times...lol and I tend to forget that i've got ugly finger nails right now ) !

    It all does get better, it will take time but each and every one of us will get there, this shall pass, we just have to ride whatever it is at the moment and each day will get better.

    I still have muscle pains, neck pains neuropathy, and now battling lymphodema so doing my excercises, I'm more energetic and am still on chemo just a different regime and still go on daily walks around the lake here......

    Hope you have better days.

    Ladies, hope you have a lovely Monday, while my monday is ending and tuesday is and hour away

    take care , hugs to you all

  • PaEaglesFan
    PaEaglesFan Member Posts: 277
    edited February 2013

    Hang in there ladies.  Maddie is absolutely right, it DOES GET BETTER!  I keep stopping back here to offer encouragement to those going thru treatment.  I am 22 weeks pfc and have scheduled a hair cut for this week!  Granted it's just a teeny trim to get rid of the chemo ends, but I HAVE HAIR!  Get lots of compliments on my short cut too.  My co-workers have been the best during this garbage.
    The leg pains were unexpected to me and I can still remember how happy I was when I carried 2 bags of groceries upstairs w/out having to take a break halfway.  My MO later explained that's what they mean when they say you will be fatigued.  If any of you are heading into radiation treatments, you will be exhausted after about the 2nd week.  I could nap anyplace, anytime--That's what I always thought fatigue was.  There were times I would go home from work and lay down for a nap that would last until the next morning!!  God bless my DH and son for never complaining that I wasn't much into cooking thru it all.  Hubby and I stopped for take-out so often we couldn't stand it anymore lol.  
    Bless you all and may your SE's be minimal.

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    Thanks so much, vaseline it is....back and neck is hurting from the bone mets....and have recently been diagnosed with divertisulitis and it keeps flaring....

    Sandy

  • websister
    websister Member Posts: 1,092
    edited February 2013

    Quick check-in - have lots of errands to run today, limited energy -have to 'make hay while the sun shines' :)

    Artpetals - re: fluid retention - it is better than it was, especially in the thigh area however I am also on Herceptin until September and just started Tamoxifen - I notice my hands are a little more swollen since starting the Tamoxifen and for several days post Hercptin infusion I am up a few pounds - which gradually resolves so I believe that is due to fluid retention



    Thank you PAEagles and Maddy

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    Just wanted to let you know the petrolum jelly is working, nose is really running...

    Sandy

  • ChemicalWorld
    ChemicalWorld Member Posts: 172
    edited February 2013

    @milkyway and those having pain from Taxotere.  I had three rounds of Tax and had a serious pain reaction and hand and foot syndrome, oncologist said they maybe gave me too much on my first round.  The pain was the worst I have ever felt and I have a very high tolerance, no pain killers even remotely touched it, and it started up on a friday, so I suffered through the weekend.  Mine was treated with steroids, and every treatment after the first one, I stayed on prednisone for a full week as opposed to just a couple of days, and found it really helped.  (that's probably already been brought up here).

    I also lost all my fingernails and toenails and it messed up my tear ducts (something I still have trouble with).  While probably not the healthiest thing, I used glue on nails for a couple of special occasions after they fell off and were growing in. 

    I saw someone mention vaseline, I was told by my onco nurse not to use anything like that (maybe it masks infection or something? I don't know).  The only thing approved for my nose problems during chemo was saline spray and a humidifier. 

    Big hugs to all going through this stuff right now.

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    thanks for the update and that is why my eyes are running (tearing) and my nose is still running...

  • Traii
    Traii Member Posts: 1,138
    edited February 2013

    Chemical war, thanks for your info...i too had 3 rounds of Tax and have had exact SE's as you have.

    My eyes are playing up a little, not too watery but like cloudy then I blink a few times and its ok. ! I will bring up with my onc in the next few weeks when I see him.

    I have one nail left and they are all off my fingers.....they are growing out though as they only broke half way!. I have a party on the weekend and they look terrible, was thinking fake nails but worried the glue will weaken them more.....did you put any nail hardener on the actual nail bit still on tact at all ??? wondering if this might help them grow too ? they just look horrible as you could imagine!

  • justjudie
    justjudie Member Posts: 3,397
    edited February 2013

    Hello Artpetals and anyone else with BAD neuropathy. I happened to see your post above about all the difficulty standing, walking etc for any length of time. I had both Taxol and later Taxotere and had a bad time with neuropathy from both of them. particularly the Taxotere. Could not walk or stand very long. I found Dansko shoes and I can't tell you how much better I suddenly was. They are really good shoes found at good shoe stores, like The walking Company and others like that. These shoes have European sizing so you really need to try them on at first to find out your size. The shoes are hand made. The highest I have seem them is about $140.00 and the cheapest about $79.00 when they are on sale or close out. But they are worth every penny. They are just a clog like shoe but once you step into one you will tell such a difference. I don't wear any other type of shoes anymore. I have had a couple of women doctors tell me that's all they wear too because anyone who is on their feet all day wears them! You can find them online but you need to try them on somewhere the first time you buy them so you find out your size. ust thought I would let you all know about them because bad neuropathy is terrible. Other than the shoes, I have found the only other thing that helps is time. Over time your hands and feet do get better. not perfect but better.

  • Maddie57
    Maddie57 Member Posts: 296
    edited February 2013

    Hi Blondiex46 - I am so glad to vaseline is working for the dry bleeding nose. I see Chemicalworld was advised against vaseline, but this was suggested by the oncologist, so I think it is safe to use it. Your nose will still run - there is no getting away from it, but it does slow it down and make it feel more comfortable. If your eyes are running, I found the corners of my eye got very sore. My Gp gave me a simple eye ointment, and this has helped, as thye also seem to have a vaseline type base, and it stops the skin there getting so wet.

    Hi Traii - sorry can't help you with advise on the nails. I used an oil formula on mine, and they were fine -only a little brittle. This formula is also great for the hair when it grows. If you would like it PM me and I will send you a copy of the recipe. 

  • Momine
    Momine Member Posts: 7,859
    edited February 2013

    Artpetals, I felt approximately like that a year ago after my last taxotere. It was mostly imflammation in the muscles, according to my onc. try to eat anti-inflammatory food as much as possible. I would eat sardines with raw onion and fresh chilis, for example. But even cutting back on white carbs ought to help some.

    Try to move, even though it feels crappy. I remember having to go up 3 flights of stairs to get to my daily rads appointment and having to pause twice on each flight. But I made it and each day the inflammation receded a little. My onc also let me do a week of a low dose of anti-inflammatories and that helped a little too.

    It all faded after a few months of getting better slowly and with some back and forth. I finished rads in february last year, and continued to use mostly walking for exercise through April, because  that really was all I could manage. By May I started going to a gym, and by about September I started feeling genuinely stronger again.

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    thanks so much for your advice, wonder if petroeulm jelly on the corners of my eyes would help, it does hurt.....yep nose does still run and blowing it AND of course it is bleeding, although not alot...

    SE's suck as much as Cancer does, lol

    Sandy

  • ChemicalWorld
    ChemicalWorld Member Posts: 172
    edited February 2013

    @Traii when I started my Taxotere, I was given a bag of info and also some stuff like hand cream, a mouth rinse and also an OPI extra strength nail hardener.  I remember being really surprised by the whole "you may lose your nails" thing, figured it was rare.  Certainly not something I'd thought chemo would ever do. 

    Anyway, I did use the OPI stuff throughout my treatment, but also a Sally Hansen nail recovery set, which is supposed to be for helping your nails get back to normal after you've been having LCN or gel nails for a while.  I had LCN nails pre-chemo and had them removed before I started my FEC, so maybe my nails were a little weak to begin with.  But once they fell off, I tried to use the hardeners and that system as much as I could, I like to think it helped.  B vitamins also helped a lot. 

    My fingernails grew back before my toenails because oddly enough, those waited until I was finished chemo to pop off.  I used the fake nails really just once after they came off, the toenails were easier to hide (plus I painted them where the nails would have been - at a distance no one could tell, and I figured it was no worse than the nail hardeners they gave me)

    @blondie, if your onco tells you to use the vaseline, go for it !  I would've stuck anything up my nose while it was like that, lol.  One thing that I did find helpful for loads of things was witch hazel.  I put it on a cotton swab and would dab it on where my nose was sore.  It was also an ingredient in my mouth rinse (Tom's), and I used it on a swab on sore spots the time I ran out of the Tom's (which coincidentally was the only time I got mouth sores).  I swore by the stuff during chemo as it also helped with sore stuff in other areas.

    My eyes got sore too with the constant dabbing.  I had to carry tissues everywhere and always had them stuck in my eyes.  I'm sure people thought I was crying all the time.  Even now in the mornings my eyes water a lot or if I yawn or something, they pour.  Makes make-up a PITA. 

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2013

    I used Aquaphor or A&D on the nose, in my nose with a q-tip, and corners of the eye.

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited February 2013

    thanks...am about to get up out of the bed and get the a & d....you guys are the best...i also have cold sores on the corner of my mouth.....OMG, how annoying is this...

    thanks again

    Sandy

  • Linda-n3
    Linda-n3 Member Posts: 2,439
    edited February 2013

    Artpetals and others who have neuropathy: I am over 2.5 years out from last chemo, still have severe fatigue and painful neuropathy.  It is better, but not good enough for me to be able to return to work. For those who have been offered reduced dose, take it!!!! It can potentially save you from permanent neuropathy.  I have tried multiple meds for symptom relief, which gave me worse SEs and have had to discontinue them.  I am trying to force myself to move every day, walk every day, do strengthening every day.  Yoga helps some. Each time I succeed in being active, I am grateful.  I used to be very physicially active, cross-country skiing, backpacking, etc., worked 16 hours/day in a satisfying career.  Now I am up about 6-8 hours a day, find joy in surrounding myself with beauty, and when I am walking I have to remind myself to "slow down" so I don't hurt myself - have had achilles tendinitis from walking too fast, i.e. back to my more normal pace.  Some days have been filled with despair, and it has taken a long time to recover from that as well, but using mindfulness-based approach, one minute at a time, being present in the moment - all these help to get through each day with a few moments of joy and peace and hope.  I hope all of you who have early neuropathy do not progress and recover quickly.  If it takes a LONG time, remember that no one knows exactly what causes CIPN and how it resolves, just that some heal more quickly than others, so don't beat yourself up if you do not make rapid progress in the healing process.  Sorry about the long-winded ramble... past my afternoon nap time....

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