Welcome to the forum @tsacco! This is a very good place to be as far as getting some guidance (just from perspectives of people that have this disease; most are not doctors here). 135 is above the upper limit of normal which is 34 and 37. I was 92 back in 2022 before my surgery and before any chemo treatment. Following surgery or different chemo regimens or radiation I've been as low as 8. Today, I'm at 11,100 ( I'm not sayung it's ok to be this high and I'm working on finding treatment to address my current metastasis!). I have mutations that are ATM, KRASG12D, and TP53; a more aggressive group of "shedders". Has your mom had any biopsies? The results will tell what your PATH is. "Know your path" as my surgeon used to tell me; he was talking pathology. Your pathology will drive what type of treatments work best. My cancer was in the mid and tail section of the pancreas; so I also had the spleen removed. I'm about to turn 68, and I've got all of those critical underlying health problems! I continue to walk about 5 days per week, work with my little consulting business when I get a contract that I can do or my daughter could take over for me, if need be, and continue to bake desserts from my diabetic cookbook. Besides knowing what your mutations your mom has, her treatment must be at a medical center that treats a high volume of pancreatic cancer patients. I hope you are in a location where that's possible and if you don't mind sharing what your state and metropolitan area you are in many on this board will be willing to share what facilities and possibly even dr names that you can take her to. Keeping up weight is so important. Trying making her shake with her favorite fruit (just one type to start), some almond milk or a nondairy, water and protein powder. What were favorite sweets? She might be more willing to take at least a few bites of those. Don't give any foods that take more effort to digest. Fish is good, I gave that to my dad when he had pancreatic cancer at 77. There are members on this board in there 80's who are thriving and there are those fighting (like me) to extend a little more or maybe a lot more time. It also depends on mutations, but for those that don't have the BRCA type or PALB mutations or other types of more forgiving pancreatic cancer, there are treatments and clinical studies being developed all of the time. Thank you for finding this board and helping mom out! And as Bette Davis said, "Hold on - it's going to be a bumpy ride"!