Hi gamaryanne, thanks for checking in! I hope you are doing well. I'm on abraxanxe-gem right now and my CA19-9 is trending downward. 2 weeks ago it was 360 and it was drawn again today, but too early to get the results. However, I've been wrestling with another issue as of late that has been beating me down - possible a primary cancer of the bladder. Getting more testing with biopsy next week to rule out so got my hands full / being very tired lately.