@suzanneuhc1
Make sure they add abraxane to your chemo regimen. Gem by itself will not do the trick. Make sure you order the mittens and booties with iced packs and out them in about 10 minutes before they administer the abraxane. This will help decrease effects from neuropathy in the feet and hands. You can also get it in your mouth (burning mouth) which I got during this year's administration of gem and abraxane. It's not that bad - everything not cold just tastes like cardboard so I'll lose some of those extra pounds I packed on in anticipation of weight loss from pancreatic cancer.