Hi @bettersleep68 It’s not unusual mid cycle for blood numbers to drop. Basically, chemo targets quickly dividing cells, such as cancer cells. But it’s not discriminatory so it can impact all of the rapidly dividing cells such as red/white/platelets, mucosal lining of stomach, intestines, mouth, hair follicles and nails. During mid month the drop reaches a low point called neutropenia or nadir. At least for me, that was several days of low mental and physical energy. Then the numbers start to climb again, just in time again for the next round of chemo.

It’s not uncommon for a drug such as Neupogen or Neulasta to be administered the day following the last day of a chemo round. These meds can promote faster neutrophil production. These WBC’s are important for fighting infection.
During this time of neutropenia, be vigilant for any sign of infection such as a fever. If you develop a fever of 101.3 let your cancer team know right away.

Has your doctor mentioned an injection of Neulasta?