Hello @vickihorseman and welcome to Mayo Connect. From your post, it looks like you have had quite a journey with NETs. I also have had NETs in the small intestine (or maybe mid-gut). My first surgery was in 2003, and my third surgery was in 2016.

With the kind of experience you have had, I would highly recommend a consultation with a NET specialist. Mayo Clinic has NET specialists at all three of their locations. Here is a link for information about appointments at Mayo Clinic, http://mayocl.in/1mtmR63. If for any reason you cannot be seen at a Mayo location, here is a list of NET specialists worldwide, https://www.carcinoid.org/for-patients/treatment/find-a-doctor/.

Often, by reviewing your situation with a NET specialist, they can provide your current oncologist with the best treatment plan for your particular diagnosis.

Your question about a "feel better expectation" is difficult to answer as everyone's experience is different. It is dependent on so many variables that it is hard to let you know what to expect.

After three surgeries, my fatigue level is a factor. Surgeries of the digestive tract can cause problems with eating and often weight loss. Have you had any of these problems? A consultation with a registered dietician can be helpful if you experience problems with food or digestive tract problems such as diarrhea or constipation.

How are you feeling overall?