Has anyone else's chemo been put on hold? Liver issues.

I didn't experience this but I do know a bit about liver enzymes. Are they giving you the herceptin and perjeta with the taxol? Is this weekly taxol?what is the chemo schedule?

I have read that perjeta can cause quite a bit of diarrhea. So maybe provide a bit of reference to how you are handling that. Also how are your white blood cells and such?

Well I can share my story and maybe you can glean something from it that will help. Ofcourse the gut in Chemo is really tricky so don't be too hard on yourself if this isn't doable. After Chemo my gut was just a mess and a year later my liver markers shot through the roof and would not come down. Finally I met with a dietician and she put me on yogurt and a probiotic ( something I didn't take during Chemo) but after that she suggested I try to lower my liver markers by following an easy protocol getting up in the morning a few times a week not on consecutive days. I will just cut and paste what she suggested I do.

Here are the instructions for the Liver Flush:

The best time to do this is first thing in the morning, however it can be done in the mid-afternoon or evening (on an empty stomach). Whisk together 2 tablespoons of extra virgin olive oil and the juice of ½ of a fresh lemon. Be aware that is mixture has a very strong olive oil smell, however it tastes like lemons. It will not cause diarrhea. It will flush bile and toxins out of the liver and gallbladder into the intestines where is will be excreted. Eating a high fiber snack or meal about 15-30 minutes after flushwill help insure that toxins are excreted because the fiber binds to the bile. Metamucil, a bowl of oatmeal or a high fiber food. This should be done every other day for 10 days for a total of 5 times.

I am not sure that with Chemo your gut could handle this but in hindsight I think I would have tried it while I was on chemo because I have cumulative problems from Chemo that are effecting my liver markers now. Its not a horrible crazy wierd idea so maybe it might help get those liver markers back down and clean all that chemo out .

I know this is a very emotional time. I remember being overwhelmed and I had a lot of issues during chemo. Just keep doing what you can Hopefully the markers will come down so you can resume chemo.

There is another protocol for healing the gut. They use it a lot with cancer patients who can't keep weight on during Chemo. I had to use it during chemo because I had a wound from my port that would not heal it is Glutamine and arganine. The cancer dietician gave me packets of it then I had to buy them on my own and they were crazy expensive. Its a product called Juven you can click on that to see if it might be helpful. I bet after AC your gut is shot. My dietician did say there is contraversy about glutamine because ofcourse they want to kill the cancer but its worth asking your MO about. I got a prescription for it but my insurance was still jerks and wouldn't cover it so I ordered it off of Amazon.

Here is what my dietician wrote about Glutamine

L-glutamine is an amino acid found in food and the most abundant amino acid in our bodies. It is the preferred source of fuel for the cells that line the small intestine - called enterocytes. I recommend taking at least 10 grams a day. It comes in powdered form that you can mix with food or a smoothie. Taking 5 grams (5000 mg) twice a day would be most beneficial.

https://smile.amazon.com/Nutricost-L-Glutamine-Powder-500-Glutamine/dp/B00SHXE7VK/ref=sr_1_7_a_it?ie=UTF8&qid=1527692728&sr=8-7&keywords=l-glutamine+powder

I found this article but I haven't read it it yet. Its on my list because I have had so many issues post Chemo

The Role of Nutritional Supplements in the Treatment of Cachexia in Cancer Patients—The Registered Dietician's Perpective

Sorry I can't be more help with that because I just met with the dietician last week and they won't check my liver markers for 3 months. I am going to do this cleanse with coconut oil because I hate the taste of olive oil. My dietician said that would work as well. My ultrasound on my liver was normal so they really believe that it is just toxicity in there that I need to clean out. I have a higher BMI so probably some of the fat in my liver is trapping junk that needs to get out.

Also she is a clinical dietician I was referred to by my Gastroentologist so I have some confidence she won't steer me wrong