I had four cycles of adjuvant DDMVAC after RC in 2024-11. 2024-12 through 2025-03. Two cycles were delayed because of acute kidney injury (more likely as DDMVAC depletes white blood cells) and I was hospitalized. I also had cellulitis above my upper lip after DDMVAC 4. Aside from these events, I lost almost all my hair, I struggled with horrible constipation, nausea and fatigue.