This combination is much easier than what I had for my first, and completely different, lung cancer. My biggest issue was some mild nausea, the med they gave me to manage that caused constipation. After the first round, I learned to use a mild stool softener every day.

Taking the post treatment steroids helped manage the nausea as well. I have some body aches that are managed well with Tylenol.

Another issue I had was low white blood count. I had to postpone my second infusion a week to allow time to build it up. Protein bars and shakes helped build that back up.

I've had 4 rounds of the carbo, Alimta, Keytruda protocol. Next week I will move to maintenance treatment of Alimta and keytruda. I will continue that every 3 weeks.