@tomrennie thanks again for your response. No loss of appetite or unintentional weight loss, jaundice or back and abdominal pain. My A1c score this past December of an increase of 6.1 up from 5.2 (Sept. 2024) was my red flag, plus some of my blood lab reports made me suspicious. I have another lab test this Tuesday checking A1c and complete blood count, followed by an appointment with my primary Mayo physician. All I know is that if I am diagnosed with pancreatic cancer, I want to catch it before it spreads and I want to get involved with treatments ASAP. I am also interested in help/support groups in Phoenix that I can reach out to. It appears to me that you are doing well with a stage 4 diagnosis and I hope that continues.