January 2013 chemo group

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    I am on taxotere and swear by the lglutamine. I start the day before chemo and take it three times a day (10 grams each time) for 6 days. I take it like a shot in about an ounce or two of juice. Taxotere wreaks havoc on your muscles too. My mo told me the single best thing I can do is workout at least 1/2 hour a day. I know that is asking a lot (trust me..some days it takes everything in me to hop on my elliptical machine)...but I truly believe it has helped me in so many ways. Advil helps with the muscle aches too. I take 600mg 3 times a days during the "sick" weekend.



    One other fun side effect is dry eyes that strangely won't stop watering. You can use systane gel at nighttime and systane drops during the day. These have helped me quite a bit.



    And if you start to see a rash...Allegra, Claritin and Benedryl should help. If it doesn't, call your mo and get some roids. Those cleared my hives right up!



    Some say b6 and b12 help with the nueoropathy. My dr poo-poo'd those but I'm planning on adding those to my arsenal as well :)

  • SherylB
    SherylB Member Posts: 450
    edited February 2013

    LeeA,

    I found out about the Claritin research study here on these boards. I saw the MOs PA today who has worked oncology as a PA for >15 years and said they just heard about the study 2 months ago. Wow we knew about it here on this website before that. These boards have saved my bacon and helped with my insanity some, I too am a type A, OCD, PITA. One of the challenging things is the chemo brain because I was alway hypervigilant and a quick thinker, Not so much anymore and it's kinda nice to be relaxed. I do have more notes in my phone but that is cool too.

    Hugs, Sheryl

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    Thanks skigirl! I will start the b6/12 with the normal recommended dosage unless you hear something better. And I forgot...the systane gel drops recommendation are thanks to hope.



    I get the lglutamine at gnc as a

    Powder formula. My mo said 10 grams 3 times a day.



    Good luck to those ladies on the final stretch! While I was a little down because the every three week schedule seems never ending....I am surprisingly happy today that I am officially 1/2 way done!!

  • teacherjulief
    teacherjulief Member Posts: 16
    edited February 2013

    I had my second TC treatment today. My onc nurse didn't know about the Claritin for the Neulesta shot either. So thank you to this board for that. Hope everyone is feeling well and staying warm and dry. I am in St. Louis where it is snowing and sleeting and raining of the freezing type.

  • LeeA
    LeeA Member Posts: 1,660
    edited February 2013

    SherylB, 

    Same here - I read about Claritin on the Triple Positive thread and then elsewhere on the threads.  I'm so grateful for this knowledge exchange here and can't imagine going through this without it. Of course, I'm also grateful for the camaraderie!  My husband and I are basically on our own out here (we're hermits) so the interaction with others who are going through this so helpful. 

    I hope the rest of your day goes well and hoping the adjusted cocktail is a winner!

  • LeeA
    LeeA Member Posts: 1,660
    edited February 2013

    julesDenver - congratulations on being halfway to the finish line! 

  • martha323
    martha323 Member Posts: 79
    edited February 2013

    Many thanks for the feedback Lee, Sheryl, and others, about my descent into late afternoon/early evening gloom. I hope that with the time change  and warmer weather it will subside! I have great respect for the unconscious and I'm certain that the continuing process of coping with BC diagnosis, surgery, chemo, etc. is rumbling along despite my decision to focus on the present most of the time. Looking forward to sitting on the deck in the late afternoon/early evening light this spring and summer with my giant water bottle and my laptop ---> open to these posts!

    Always grateful for the inspiration, advice, progress reports, and laughs, Martha - who now has a Marine hairstyle courtesy of 2 rounds of AC - a salt and pepper colored buzz on the top and bald on the sides - but that could change tomorrow Surprised !! 

  • Nicole503
    Nicole503 Member Posts: 295
    edited February 2013

    SkiGirl and julesDenver  (and other AC +T sisters) ~

    First round of Taxol was a breeze for me.  A loooong breeze, but a breeze nonetheless.  They started the 3 hour infusion really slowly and worked up to the full speed,ticking up slowly every half hour.  My first infusion was much closer to 4 hours, almost 5 hours with the pre-meds.   They did this so that if I was going to have an allergic reaction, they could catch it when the dose was still low and easily managed.  I didn't have any reaction but the guy next to me did and it made me really appreciate their approach.  My oncology center doesn't treat with Benadryl unless you have an allergic reaction, so I left there feeling fine.  Much better than after my last two AC.  I am not struggling with nausea, and that is a blessing.

    I have a desk job and type all day long so I totally share Skigirl's worries.   Here is the supplement schedule my naturopath recommended.  I am happy to share but I do so with the caveat that this is NOT general medical advice.  I encourage all of you to talk with your MO because it may or may not be right for you. Having said that,  I googled "naturopath, taxol side effects, prevention" and found a few other sites recommending this same protocol. You might also want to review the Weekly Taxol thread, since some other women have posted their supplement strategy.

    l-gluatamine (15 g 2x/day). Other people recommend 10 g 3x/day. I think the point is that 30g are protective.  You will need to get the powder because the doses in the capsules are too low.  Easy to mix in yogurt or smoothie. I am doing this every day.

    Vitamin B-6 (100 mg 2x/day).  My naturopath recommended the formulation pyroxidal5 phosphate

    Vitamin B12 (1000 mcg 2x/day)

    She also encouraged me to consider Magnesium glycinate, but to wait to see if Taxol causes me to have diarrhea  Magnesium can cause loose stool, and I don't need that!

    I also take Co-Q-10 and L-carnitine to support heart function, since that was one of the risks of Adriamycin.  I don't take Co-Q-10 on treatment day.

    I finally broke down this morning and bought one of those big AM/PM pill organizers.  It's a crazy number of pills to take but I'm willing to try if it helps manage side effects.

    Be Well.

  • kingboo
    kingboo Member Posts: 28
    edited February 2013

    My hair started to shed today (exactly 14 days after my first TC), so I just got it shaved.

    Feeling depressed :(

  • chgogemini
    chgogemini Member Posts: 73
    edited February 2013

    King boo I'm sad too. My hair is shedding like crazy and Im going to have to shave by tomorrow. I've been crying for days.



    I don't know what number blade to shave it down too.



  • LisaMM
    LisaMM Member Posts: 120
    edited February 2013

    Just shaved what was left of mine tonight. I initially cut it really short with the scissors, then used the clippers to get it to 1 inch. That lasted for 2 days. It was so itchy & messy that i could not stand it anymore. I used the clippers to get it down to about 1/8 th inch & then shaved. It feels so much better now. I was a wreck on Tuesday when it started coming out but not tonight-i'm shocked at myself as I thought it would be a repeat of Tuesday. I think we are stronger than we give ourselves credit for sometimes. Positive thoughts your ways ladies!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    My heart goes out to you ladies! I still hold after all the crazy surgeries and even chemo itself...losing the hair was the hardest part for me. On the same note...once I shaved it I still had a few days of mourning, but it does get easier each day.



    My only advice is don't use a beard trimmer to do the job. It was so slow it tookat least a 1/2 hour to get the job done. I sobbed uncontrollably the entire time :))



    It gets easier. I promise.

  • Skigirl72
    Skigirl72 Member Posts: 478
    edited February 2013

    chgogemini- I'm so sorry you are having a hard time with your hair. I had my DH use his clippers at a #1. I left it like that for a bit then told him to go to a #0. It was really hard to stare at myself in the mirror at first. This was the hardest thing ever. Please remember that it will grow back. I knew I had to do something to take control of my hair fall out. That's why I had him buzz it. Hugs to you honey...

  • LeeA
    LeeA Member Posts: 1,660
    edited February 2013

    julesDenver - re: the beard trimmer - yes, this is probably why I grew weary of it and left it the way it was/is.  I got tired of holding my arms over my head for that length of time. 

    My husband insisted beard trimmers would do the trick but not if you want to get it done quickly.

    Mine doesn't bother me like this (other than how awful it looks) so I'm just going to leave it as is.  

  • Oliverhog
    Oliverhog Member Posts: 74
    edited February 2013

    Nicole503, I talked to my MO about Glutamine and she advised me that the jury was out on whether or not it does anything to protect against neuropathy.  That in itself is not sufficient reason not to take it.  However, single amino acids apparently can be tough on the liver when some of the liver enzymes are elevated.  Apparently the taxanes elevate liver enzymes quite commonly, those being AST and ALT.  So, I would talk to the MO about taking Glutamine.  It has a lot of positives for it, but if your chemo regimen messes with the your liver enzymes, that’s something to be aware of.

    Kingboo and Melibt, I had the 6 mg dose of neulasta the day after chemo.  On day 11 or 12, I thought I had a fever.  I was feeling off all day.  Wasn’t eating or drinking enough.  Took my temp and I thought it was 100.8.  Called the MO and was to the ER.  Didn’t have a temp in the ER, but my heart rate was really elevated.  The ekg’ed me, put me on monitors, drew blood, then two sets of blood cultures and gave me 2 liters of IV fluids.  My white count was at 22,000.  My MO told me that when our white counts go high we feel sick even when we’re not.  The next time I had chemo, the MO cut the dose of Neulasta in half.  No problems with fevers or feeling disinterested in food and drink.

    Kiwikid, so nice to hear from you again.  We are both Holly’s.  I’m glad you’re back to work.  How’s it going?  If I recall you were a bit worried about heading back to work.  Thanks for hopping back in even if only for a moment or two here and there.  Every time I hear that "Fix You" song, I break down in tears because I just want my lungs fixed.  Love ya, Bella.

    Smethot, I lost almost all of my hair.  Some of it seems to be growing and it looks really weird.  I’ll try to take a shot of the pattern of growth as best I can.  I’m having TC x 4.  My hair started coming out in droves on day 12.  I pulled most of it out, but a patch of long straggly hair in the back.  The next morning I cut the long hair so I had a boy’s cut.  The next day I had my husband buzz my head.  Apparently, because I had chemo and radiation for Hodgkin’s in 1985 and then 1987-88, my Hodgkin’s MO and my current MO agreed that I should get 60 mg/m2 of Taxotere instead of the standard 75 mg/m2.  That might account for the residual hair and some regrowth.  Now, there’s another thing to worry about.  Will 60 mg be enough to kill whatever little bastards might be left behind?   You go, girl, on those minimal SEs!  My medical team is at University of Chicago.  My MO is also a molecular biologist and professor at the university.  I came to her with a list of supplements and vitamins and minerals I was taking.  She was fine with all of them.  However she is not a big fan of single amino acids.  Especially if liver enzymes are elevated.  So, I would advise talking to your MO about carnitine or glutamine before you take it and after you’ve had blood work to confirm no elevated enzymes.  Also, I’ve had no constipation or diarrhea since my chemo started. I’ve even taken Percocet during both previous cycles and still wasn’t constipated.  I’m taking a TruNature chewable probiotic.

    LeeA, I think taxotere and taxol are taxanes and come from Yew trees. And there's some older research that studied the benefits of giving taxotere and taxol in doses every three weeks and in doses weekly.  The risk of early recurrence seemed to be reduced for taxotere takers at the three week schedule while the overall survival seemed better for the weekly taxol takers. But that study was from 2005.  Who knows now.  I'm too tired to do any more research.  However, the bottom line is that taxanes seem to be far superior to the previous poisons of choice.  


  • LeeA
    LeeA Member Posts: 1,660
    edited February 2013

    Oliverhog, thanks for that excellent summary!  It works for me.

    Hope you're doing okay - thinking about you!

  • Jubby
    Jubby Member Posts: 85
    edited February 2013

    Hi everyone,

    I am going to be the first to post my transformation at Shannon’s suggestion from long blonde hair to mouse brown wig.   How do you post photos?  I need to provide a URL which is confusing me.

  • smethot
    smethot Member Posts: 161
    edited February 2013

    Day 15 total and #2 AC yesterday and hair is still hanging on...weird.  Some of it tugs out no issue (why am i obsessed at pulling out individual hairs???  must be my fascination with plucking) but the majority of it just isn't ready to go anywhere yet.  I think the scalp pain i had was my new super-short do under a hat-i take the hat off and comb it out straight, pain goes away.  Same thing with my bed-head in the morning.  i know its gotta go...but everything about me is tenacious as hell (they call me the Pitbull at work) so why would my hair be any different???  I'm working from home until at least next wed so it'd be nice if THE SHED was over by then...i am prepared...short do, own clippers (husband is bald and i shave HIS head so turnaround is fair play...i wonder if i get the naked barber like HE does??? [tmi-sorry]) and i'm taking it down with no guard- not actually razoring it off...that should be short enough.  I have 4 cats and 2 dogs (and a lizard) so lint rollers i have...the anticipation is killing me. And i refuse to cry over hair...not gonna happen...and let me tell you ladies, i could enter a fricking CONTEST for world's weirdest shaped head...no beautiful Sinead O'Conner melon like Debbie and Nicole and Oliverhog sport...oh no.  I have a MASSIVE divot on the top of my head, ridges on the sides of my head (kinda like a cheese grater) and a big old scar on the side of my head from a car accident i was in as a teenager- i had hair past my butt and refused to let them shave it off to stitch so it healed in its own...ugly.  I won't look like chemo-victim...i'll look like "what the f***happened to her HEAD???" chemo victim.  But damn it, i grow really good hair and it'll be back in a flash...what's a few months in comparison to 40 years?  Someone here has a slogan/saying/insprational thought on the bottom of their signature that says, "chemo's a bitch...then you live."  I LOVE THAT.  Death to cellualr insurgents...keep your eye on the prize and focus on the shit you can change...not the shit you can't.  We're making a difference and hair is a (crappy) but small sacrifice to the ultimate goal...kill all those little lurking f***ers!!!

    Oh, no SE's so far.  Up yours, bitchy chemo consult nurse (who wouldn't even make eye contact with me yesterday- i told her co-worker on her, too.  Not by name...just told my nurse that the consult nurse yesterday had told me it would get worse...my nurse was shocked.  She said that wasn't true- some effects like fatigue could be cumulative but the first treatment was usually indicative of overall treatments and as long as i was doing my preventative measures, taking meds and watching the siutation, i COULD get through with minimal side effects.  Screw you, bitchy chemo consult nurse!!!) )

  • martha323
    martha323 Member Posts: 79
    edited February 2013

    7:30 a.m. Read chgogemini and kingboo post about losing hair and shaving heads. Sent big cyberhugs along with the hope that they feel more comfortable soon. Like today.

    7:45 a.m. Decided to shave away what remained of my Marine cut that, as I suspected, almost but not quite disappeared last night and then took a long shower.

    8:00 a.m. Read Shannon's post and doubled over laughing. New word for the day = divot.

  • LeeA
    LeeA Member Posts: 1,660
    edited February 2013

    Jubby - I like imgur for image posting.  No need to open an account and really easy to use. You can upload from your computer or the web.  

    Here's the link:

    http://imgur.com/

    --

    Good morning everyone.  Hope everyone has a good day free of side effects and other sundry nonsense!

  • SherylB
    SherylB Member Posts: 450
    edited February 2013

    LeeA,

    So far so good on the SEs just super tired. My hgb and hct are low down from 12.9 to 10.5 since I started so fatigue will come along with it. Going for my nuelasta in a couple of hours and really just want to sleep. The trip to the MO office is an hour each way and then I can hibernate for the rest of the day.

    Hugs, Sheryl

  • Nicole503
    Nicole503 Member Posts: 295
    edited February 2013

    Oliverhog ~

    Thanks so much for the caution:  << single amino acids apparently can be tough on the liver when some of the liver enzymes are elevated.  Apparently the taxanes elevate liver enzymes quite commonly, those being AST and ALT.  So, I would talk to the MO about taking Glutamine.>>

    I reviewed my naturopath's recommendation with both my MO and the Oncology pharmacist and neither of them raised any concern. Weird.  I appreciate your feedback because my naturopath gave me a range and I might take it back down to the lower end of the range, based on what you said.  I have found that with completmentary and alternative treatments it is wise to cast the net wide when seeking information and then using our best discernment to make a decision that is right for us.  Thank you for putting another something to consider in my net!

    Best,

    Nicole

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    I talked to my oncology nurse/practioner about the supplements to prepare for taxol. She told me to take vitamin B6 100 mg 2X daily, and to take L-glutomine powder 10 grams 3X daily on day of chemo only. I can take the B6 everyday. She said that l-Glutamine dose is based on me getting weekly taxol. It may be different for someone getting dose dense.



    She also said, most doctors don't recognize the benefits of Claritin for bone pain, but she herself has seen evidence of it working, and she does recommend it.



    Blessings

    Paula

  • hope49
    hope49 Member Posts: 370
    edited February 2013

    Wow, I missed a lot yesterday during my time in the chemo lounge...number 3 of 4!!!  With the cold caps its more like being at that Ice Bar they make in Scandinavia or someplace, minus the alcohol and good times.  

    Catching up...

    Sheryl, I so appreciated your post about your days in the ICU and the insights you shared...I think we all wish you were one of our nurses through this madness!

    JulesDenver, 1/2 way there, way to go!  Glad the eye gel is working for you...its great stuff.

    I love all the comments about not being 'sick'...you are all right on.  It was funny because I was talking to my sister this week and saying something about thankful I am to be so healthy.  Aside from a few bad days, I have felt well throughout this and it's hard to think I was battling a major illness...my cancer now lives in a tumor bank where they are free to do with it what they may!

    Shannon, way to stand up to your nurse and live your own experience!!! 

    Supplements...its funny and a bit concerning that there is so much discrepency around what's ok and not ok among the MOs. My feeling is they just don't know a lot outside their domain and err on the side of caution, so I come armed with study refernces and that usually helps them at least admit that they don't know.  This week my MO wanted to review my list and when I showed it to him he just put his head in his hands and laughed - he has a very good sense of humor - I reminded him these are all things he approved. Anyway, he had just gotten done marveling at my lack of many SEs and how well I was doing, so I told him since my regimen is the same he prescribes to others it must be what I'm doing that's making the difference!  He had to admit I may be on to something and we had a good laugh.  I followed up with telling him about my lack of taste issue and that I'm eating mostly spicy and Mexican food to fill the gap - he told me 'get out of my office' laughing...he's really great, and while I once again acknowledge that I feel VERY lucky to have made it this far with no major issues, we have to believe in the best and not let anyone else dictate what our experience will be.

    So I am about to head out for my Neulasta shot (aka from Shannon, my wierd-ass bone growing medicine) so it's time for me to put on what I call one of my F*Cancer ensembles...I like to look my best when I strut into the MO office to ward off any naysayers so out come the heels and jewelry and some makeup.  

    Have a great Friday, my friends!

  • Zorina
    Zorina Member Posts: 103
    edited February 2013

    I'm climbing out of the last A/C rabbit hole and starting to almost feel human.   I am really excited about returning to work on Monday.  I will work from home due to the immune system, but man, I am so looking forward to the insanity, absurdity and chaos known as 'work' and I swear that I am going to remember to feel grateful everytime something stupid happens because it means I am surviving!

    Nicole - So glad the first date with Taxol went smoothly.  They plan to load me up with Benedryl and steroids the first time, so I suspect I won't be as clear-headed as you were.  My MO prefers to go in prepared for the worst, I guess.  If I don't have a problem, they will lighten up on the pre-meds in the future.

    Oliverhog - If I continue to have fevers with high white cell counts,  I may suggest they reduce my Neulasta dosage.  I am glad you mentioned it.  Sometimes,  it just feels like my immune system is in overdrive.  It is good that we can share these experiences and help each other out.  Hope you are feeling better soon.

    Hope everyone is able to have wonderfully good moments this weekend.

  • forest
    forest Member Posts: 25
    edited February 2013

    JUST WANT TO SHARE THIS .......... TAKE YOUR HAIR OUTSIDE AND PUT IN BUSHES AND BIRDS WILL USE FOR NEST BUILDING.

  • macyhen111
    macyhen111 Member Posts: 754
    edited February 2013

    Forest, that's a great idea, but is chemo hair safe for the little bird babies? Ijs

  • Shasha10
    Shasha10 Member Posts: 297
    edited February 2013

    Thank you for Yoda

    Having a bad day as we all do from time to time.  this helped.

  • Jubby
    Jubby Member Posts: 85
    edited February 2013

    Hi everyone,

    Being brave and posting my transformation! Thanks for the image tip Lee.  No idea if it's going to show up.  It might take me a few goes!

    Hre's the link too:  http://i.imgur.com/VFT9EWO.jpg

    I have had long hair for the past 10 years which has gotten blonder and blonder to hide the greys (my profile pic is a sentimental one of me breastfeeding my first child 4.5 years ago when it was still brown). I went from long blonde to pixie, then to # 2 buzz (with a wholelotta grey), and now to patchy mish-mash.  I think I look like a hard-core lesbian with the buzz cut and a few family members also kindly brought this to my attention.  My head fortunately is an OK shape and my ears snug to my head. My Mum pointed out a birth mark on my head she hasn’t seen since I was a baby! My kids don’t bat an eyelid as I transform from nude nut to brown blow-wave.  Bless their cotton socks….

    My wig I am told (but who knows if people are being truthful) is convincing.  I am doing FEC (similar to AC) and my hair started falling out in clumps on day 12 post treatment.  Losing it is depressing and terrible but I am getting used to it (and the wig).  I felt very self-conscious wearing the wig out for the first couple of weeks.  I am sure people thought me a terrorist or mentally ill– no eye contact and very brief conversations with people in shops etc.  I tell anyone if given the opportunity (except complete strangers) that it is a wig.  It makes me feel better.  I figure if I point it out first, they won’t feel awkward (because I assume they’ve noticed it), but my rationale is pretty dumb.   My wig is comfy (except for on these schtinkinly hot summer days and windy beach walks!) and the brand is Ellen Wille.  It can be parted on either side and you can see scalp through the front plate (it has been designed to be see-through at the part-line).  I chose a colour pretty close to my original hair colour as I wanted to be less conspicuous.  Today I wore it shopping all day and forgot it was on my head.  The people I feel weirdest about wearing it around are acquaintances – the people you don’t necessarily want to tell your whole breast cancer story to. Some of the mums at my son’s kinder have noticed that my hair is different, others haven’t said anything (too polite or completely haven’t registered).

    I don’t like not having hair but am getting used to it.  My features feel triple the size on my face.  I am thus far hanging on to eyelashes and eyebrows but suspect they will go too.  I will find these the hardest to lose.  My eyes have been my defining feature my whole life and without my lashes and dominant eyebrows, I worry I will feel disconnected.  Let’s see.  No point counting chickens.

    LeeA and SherylB, the Claratin seems to have helped this round.  No bone pains at all.  I took it one day prior to the shot and 6 post.  Thanks for the tip.  My onc also didn’t know about it.  News mustn’t have travelled via carrier pigeon to Australia yet Wink Yesterday I had a freakish amount of energy so made the most of exercising and getting housework done.  This time last round, I was doubled over with pelvic pain.

    Oliverhog, thanks for being the font of information.  Were your tests OK?  

    Nicole503, I also take a swathe of supplements and Co-Q-10 is one of them. Somewhat controversially I am taking anti-oxidants during my chemo. There are 2 schools of thought on them and I have decided to take them with my Onc’s approval.  She is OK with anything as long as it’s not intravenous!  Talk about a wide realm of possibilities!!  A bit scary.  Hope49, I  am with you on the discrepancy of info out there.  For me the supplements don’t help much with the post chemo 5 DAYS OF DARKNESS but they are helping with my overall energy levels.  I plan to take glutamine when I start Taxotere in a little over a month.

    Bryona, we miss you!!  Hope you are well enough to post again soon. 

    Martha323, I rollercoaster a lot at the moment.  When you think that most of us have gone from being healthy (well we thought we were) to boob removal, radiotherapy and chemo all in the space of a couple of months, I think we’re allowed to feel a bit bleak from time to time!  My problem at the moment is brutal honesty and knowing when to temper it.  I have ZERO tolerance for effers (pinched your word Mandy) and want to tell people exactly what I think of their bad form.  I am trying to moderate my desire to tell whingers about first world problems to STFU and for some reason I feel like a bit of a moral crusader right now. I have no tolerance for bullying or people being mean to others. My lips are sore from biting down on them Yell

    Ciao for now,

    Jubby xox 

  • forest
    forest Member Posts: 25
    edited February 2013

    THERE IS A CLINICAL TRAIL GOING ON COMPARING USE OF CLARITIN OR ALLEVE TO PREVENT BONE PAIN WITH NEULASTA.  THEY WILL COMPARE A CONTROL GROUP GETTING NOTHING........TO 10 MG CLARITIN START DAY OF NEULASTA AND CONTINUE FOR 5 DAYS TOTAL ........TO 500 MG NAPROXEN BID START DAY OF NEULASTA FOR 5 DAYS TOTAL.  RESULTS WILL NOT BE AVAILABLE TIL 2014.  I WILL ASK MY ONCO IF OKAY TO DO CLARITIN FOR 5 DAYS.

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