@wgv It's hard when you spend every day feeling totally wiped out. Very often, this is a common reaction when first starting immunotherapy and it gradually improves but for now it's important you give yourself grace and give into your body's need for rest. By the way, I totally get it, as I had felt similarly when I finally felt well enough to travel but wasn't my "old self" and had to cut out time during the day to lay down and even nap.

You indicated it was odd that you aren't feeling pain. While a low hemoglobin level you reported and have have treated for can be associated with some bone or joint pain, it isn't necessarily associated with immunotherapy or this stage of melanoma. Can you tell me more about your concerns or anticipation of pain?