After the last surgery in March 2024 and based on the genetic markers of my pathology my oncologist offered chemotherapy followed by a year of immunotherapy. I declined. In Canada the clinical trials of immunotherapy include chemo first so in order to have immunotherapy covered by our national health plan I would have to have chemo first. I've done chemo 5 years ago as a preventative and none of it made sense to me. It felt like taking a bazooka to a fist fight. I opted to wait and concentrate on my naturopathic therapies to see if we could keep things stable. If things start to heat up then I'll certainly consider having systemic drug therapy. My 6 month follow up CT scan indicated stability so I'm comfortable with my decision so far.