TRIPLE POSITIVE GROUP
Comments
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annie - best of luck on your tests, I hope this turns out to be a non issue
SpecialK - Thanks for your insight. You are a fountain of knowledge
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morrigan - aw, thanks! Using any experience I have had to provide info to someone else is a silver lining for me. How are you doing - you had surgery recently, right?
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I'm doing surprisingly well. I had surgery a week ago Friday (6/19) and I feel really good. They took my drains out this morning and, I have been doing something well post surgery that I cut my PTO in half and went back to work today.
Granted back to work is sitting on a couch with a laptop, instead of sitting on a couch with a remote control 😁
I had residual disease so I will most likely go to Kadcyla, I'll find out this week when I meet with my BS and MO. They also found micromets in the Setinel node but (if I read the Pathology report right) the 2 auxiliary nodes were clear. I'm guessing I will need radiation as well but, I won't know until Thursday.
All in all, it's not what I hoped but, the worst TCHP is over, and the Kadcyla support group i joined on Facebook seems to be mostly "this is a breeze compared it TCHP" so that's promising.
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morrigan - glad you're feeling well, that is great! Conserving PTO is good too, be careful not to overdo though. A good mantra to follow is "just because you can, doesn't mean you should" so be gentle with yourself. You are not alone with having residual disease, getting a pcr is of course what everyone wants with neoadjuvent treatment, but it is certainly not universal. The good news is that there are mop up drugs like Kadcyla available. Keep us posted, and behave!
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Morrigan - glad you are doing well! Gives me hope for my BMX in August. Why would they switch to Kadcyla from Herceptin/Perjeta? Wondering that - I already know I had one positive lymph node from by diagnosis biopsy, but I'm on TCPH.
Kris
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i had residual disease (10%) in the breast post neoadjuvant treatment. As of March 2019 the new standard is to switch from HP to Kadcyla if you have Residual Disease.
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The test, CA 27.29 was 15 in October, 2019, 34.5 in May, 2020 and 41 last week. I finished HP on January 21, 2020.
SpecialK - Thanks for the information. I feel somewhat better.
Morrigan - I am so glad you are doing well.
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Morrigan - gotcha. My MO hasn't mentioned that. So far, my tumor is definitely shrinking, but I have two more rounds to go (Thursday, and July 24th). My surgery is scheduled for August 27th.
Kris
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Good Luck!
Yeah, mine shrunk, according to my Dr there was 10% left 😕. So it got most but, not all.
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There's definitely still some residual - but that was after Round 3 of 6. It had shrunk by over 50% after 3, but we shall see. I can still feel something in there, and I'm heading into Round 5 this week, so I'm not holding my breath that it's completely gone by surgery. If it's out of the lymph nodes completely, I'll be happy.
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What is the general consensus on soy? I LOVE sushi and Chinese food, which comes with it's fair share of soy sauce and edamame. I also bought some Kind protein bars and saw that they contain soy as well. Is soy a no go for life with triple positive?
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According to a bunch of articles eating Soy is fine and even beneficial to some women (mostly asian). However, the verdict isnout on Soy Supplements (so maybe avoid those)
https://www.cancer.org/latest-news/soy-and-cancer-...
https://ww5.komen.org/BreastCancer/Soy.html
https://www.dana-farber.org/for-patients-and-famil...
Looks like 2016 was the switch over from Soy = Bad to Soy = Good. I found a 2014 article saying Soy was bad for BC but everything from 2016 on disputes that stance.
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During chemo, I just ate whatever tasted good, with an emphasis on proteins. (Chemo can temporarily affect your sense of taste.) I also drank non-caffeinated drinks all day.
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Soy consumption has no clear cut instructions - you can find as much written for as against. Some oncologists will weigh in with an opinion, most won’t. I believe the general consensus is soy in whole form like tofu, edamame is fine, but soy protein isolate not so much. I personally do consume soy sauce and the odd whole soy food here and there, but not a ton of it. I make sure it is organic though, most of the soy grown in the US is GMO and sprayed with herbicides and pesticides, which are potentially more hazardous than any estrogenic effect.
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Is the soy protein isolate what is found in protein bars? The whey protein powder I bought is soy free, thankfully. But I am looking for ways to increase my protein intake.
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I don't think I could have made it through TCHP without Chinese Food. Soy Sauce, lemons/lemon juice and BBQ Sauce were about the only things that tasted good.
I'm not a big Soy person, pretty much Soy Sauce (I buy the good stuff from the Chinese Market) and Edamame. TCHP Cycles 1-3 I was cooking up a storm of Chinese Food (homemade egg rolls, egg rolls in a bowl, shrimp/chicken stir-fry, shrimp/chicken/veggie fried rice scallion pancakes (so good). I never got got around to making dumplings that's still on the To Do List 😁
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smichaels - yes, soy protein isolate is in many protein bars. I like the vegan protein powder made by Plantfusion, it's pea protein. I make a shake with frozen strawberries, ice, the powder (1 scoop) and almond or coconut milk. During chemo I ate more red meat than usual, but also ate Greek yogurt, almond butter, quinoa, scrambled eggs, and fortified cereals to try to increase my protein intake.
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Thank you for clearing that up for me! Another silly question, since I rarely eat meat outside of chicken, shrimp, and salmon. When you mention red meat, do mean steaks? Or ground beef? Just curious how I can incorporate into my diet.
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Smichaels11 - I just had an appointment with my nutritionist a couple of weeks ago and asked her some of the same questions. She said that I would need to try and eat between 90-110 grams of protein per day. She said if I didn't think I could get that much, she told me to use protein powder. Her choice was "Orgain" Plant Based Protein Powder which is Organic Pea, brown rice and chia seed protein. I had already purchased the Plantfusion from an earlier post by SpecialK that I found when I searched for protein powder this site a while ago. She said that I should not eat more than 1 serving of red meat once per week. I can't remember why now, but that doesn't bother me because I mostly eat salmon and shrimp for protein and now some chicken breast. She said that soy is ok in food form, but not supplements. She sent me an article, Soy and Breast Cancer. Copyright is 2013.
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Interesting about the 1 serving of red meat. Other posts I've read have indicated oncologists have suggested more during chemo. Its bizarre how different their opinions can be! Next chemo round for me I was ask the dietitian who flats around on the infusion floor for her opinion. I'm glad to hear that soy is not this awful beast that I have myself worked up about. Although I had a bit of a craving for something sweet and checked my sons snack cabinet and everything had soy isolate in it so I decided on ice water with mio instead. Sigh.
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smichaels - I struggled a bit with steak, mainly because rather than things tasting bad, they just didn't have taste. The texture of steak when I couldn't taste it made it harder to eat - kind of cardboardy (not a real word), but I did have it on occasion with sauce of some kind. I did eat more ground beef - in the form of cheeseburgers, lol! This was mostly an effort to keep my RBC and hemoglobin up. Normally I'm a salad girl, but I did eat a lot of cheeseburgers in the last week before the next infusion. I tended to eat what I could tolerate in the first two weeks, which was usually smoothies, scrambled eggs, Greek yogurt, melon, and potatoes in any and every form.
Edited to add - while it is great to go into chemo with a healthy eating plan - and many can maintain that, you may face challenges in following through depending on your side effects and how you feel. Don’t feel bad if you have to resort to whatever it takes to get through - there is time to establish an optimal eating plan afterward. Cheeseburgers and loaded baked potatoes are not really part of my healthy eating regimen, but they helped me make it to the other side so I could carefully consider how I wanted to eat going forward from there
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My approach through chemo was to really push the protein--I had red meat 3-4 times a week. My blood levels stayed really good throughout, and I never felt all that bad. My MO said I was the only patient she'd seen who was actually making blood through chemo. I also treated myself--I think a lot of people find that sweets are one of the few foods that taste pretty normal. I ate chocolate chip cookie dough ice cream every day.
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i wonder if that's why my Blood Counts were borderline? I was trying to stick to the Mediterranean Diet so no red meat (I ate shellfish, chicken and turkey).
It took a full month for my platelets and hemoglobin to bounce back
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Jumping in on the food conversation. I'm mostly keto - and eat LOTS of protein and good fats. Plus veggies. Recommended to me by multiple medical professionals - including my PCP and my naturopath. My RBC counts have been great. I have a good appetite and no nausea at all. Food mostly tastes good although I do have some intermittent aversions, depending. I do have to adjust on the veggies with the Big D kicks in mid-cycle, but I work around it. I definitely have red meat multiple times a week, but I also buy all mine from a local farmer, so I know it's good quality, grass fed. That's where you have your issues. I avoid soy as much as possible. Not comfortable with the research out there about the bad effects and cancer. Asian diets that incorporate soy are VASTLY different from what we can get in the US. Mostly it's fermented in a special way, and it's used as a condiment, not a main source of nutrition. Buying from Asian markets here where it's genuine is okay, but the "americanized" tofu, etc. is not what they eat in Asia.
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The ice cream craving is real! I dont usually eat sweets, but I think because of the weather (and my 5 year old) I really have my heart set on it. I am trying to abstain from all dairy at the recommendation of the onco nurse. Dont want to deal with the after effects, but it's really hard! I am hungry but when I open the fridge nothing seems good
Anyone have any good non dairy ice cream recommendations?
I am going to go for a grilled hamburger for dinner though, with a Miller Lite or two because DAMNIT I want some normalcy.
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What are the after effects of dairy?
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I was told diarrhea.
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Pretty sure that's the Perjeta LOL 😂
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If you are sensitive to any of the proteins in dairy, the Big D can be an issue. Of course, both Herceptin and Perjeta can also cause it, and some on chemo with no Her2+ targeted therapy also can have it, so trying to narrow that down is somewhat difficult. When I eliminated dairy I found the SO Delicious, no sugar added, coconut milk ice cream. It is not like premium ice cream, but it is not bad.
Agree with wahoo on the soy, not a fan of tofu so no loss for me there. When I infrequently use soy sauce I usually use organic tamari that is gluten free.
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Smichaels11
A banana flavored popsicle did it for me. Not the heathly kind ... the one with the fake artificial banana flavoring. another substitute is a shaveice (snow cone.) again, the fake artificial banana flavor or just plain cherry.
I’m allergic to a protein in cows milk, casein, so Cow’sdairy is an every day problem for me.
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