@wgv I can well understand why you'd be so fatigued with a hemoglobin of that level. I hope the blood transfusion helps provide some resolution and relief, although I understand improvement in terms of energy can sometimes take a week or two. Additionally, I wonder if perhaps the other immunotherapeutic drug you're on is Yervoy? Those two can certainly be adding to your feelings of exhaustion.

Here is the direct link to both of those, listed as their generic names (Opdivo and Yervoy are their brand names, those given by the manufacturer; the generic names are basically those of the active ingredients): https://aimwithimmunotherapy.org/wp-content/uploads/2024/12/IO-Ipi-Nivo-Combo-PAP-2024.pdf

Will you be having lab work again soon?