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I do the draw the day before nivo.

Yesterday I was extremely tired and today also. Plus continuing mucus in my lungs and some faint abdominal discomfort and loser stool. So I may be experiencing low grade colitis. Wait and see how this develops. I also have cold flashes occasionally. So maybe my thyroid is fried (relatively common with ICI). My hematology gave me a script for Quest bloodwork so I will see if can do that this week or next.

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Replies to "I do the draw the day before nivo. Yesterday I was extremely tired and today also...."

@jaxfl My husband (63M) is going to start nivo tomorrow (480mg once a month for 13 months). He achieved cCR after 4 rounds of ddMVAC and pCR after his restaging biopsy. We're attempting a mash-up of the Hoosier and Retain 2/3 with bladder preservation as a goal - yes, scary, but we're also being vigilant with staggered Signatera and Tempus testing every other month.

Do you use a spreadsheet or checklist of sorts to relay side effects to your Care Team? I don't want to henpeck my Sweetheart every time he gets a sniffle. Have you found a good balance?