I lasted 9 days on my first round of CAP-TEM (never even started the TEM) and was told to stop due to multiple bouts daily of vomiting and diarrhea. I have been off it for 9 days and am not vomiting, but still struggle with nausea. My doctor is testing me for a genetic mutation that affects the way my body metabolizes the CAP causing it to accumulate in my body. If I have the mutation I can still do the therapy, but they will adjust the dose.