Anyone have chronic lymphocytic leukemia (CLL)?

Posted by hikerny @hikerny, Apr 1, 2025

Any individuals with a CLL diagnosis?
Cliff

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Profile picture for mrgreentea @mrgreentea

Hi @ppolockaz, in Dec'23 it was discovered that I had a high WBC (50), which started me on a 5 month journey of tests. I had no pronounced symptoms that I had noticed so it came as a total surprise. The short story is that I ended up being dx'd with CLL (see my other posts for more if you are interested).
For me, treatment amounted to taking a pill twice a day (Zanubrutinib/Brukinsa) and going for periodic visits to Mayo. I didn't get or need any infusions. The transition to this way of life (taking those pills, being more wary of situations that could lead me to getting sick) was mostly not a big event. I feel mostly the same, and do all of the things I did before.
If / when you get to the point of needing any meds, at least in my experience, it didn't turn out to be nearly as bad as a had first imagined it might be.

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@mrgreentea
I am on the same medication and was told I could take both pills at the same time and that it was not necessary to spread them twice a day. I double-checked this with my doctor and with the company that makes the medicine. It still makes me wonder why others are told to take them twice a day. confusing

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Profile picture for barbeeh51 @barbeeh51

@loribmt Thanks so much for your kind reply and information on the CLL progression. I am being timid on asking to speak to the doctor. The next appointment is about 6 weeks away, with blood testing every month.
You have been helpful.
Barbara

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Hi @barbeeh51 Truly, I know what it’s like having a diagnosis where you’re starting from scratch with the information! I had my own story 7 years ago with a highly aggressive form of leukemia. Odds were not in my favor but I’ve never been one for statistics. LOL. Anyway, I’m now 72, alive, kickin’ and healthy. I’m here to offer support, encouragement and support with the information and knowledge I’ve gleaned along my journey.
I gave my doctors a run for their money. 😅 But, I also learned from them by asking questions. I had so many specialists from oncology/hematology to bone marrow transplantation and beyond! Each and every one of them encouraged questions. There is no need to be timid around doctors! Just be direct and matter of fact!

It can be very helpful when time is short in the appointments, to have your questions written down in a little notepad or on your phone. I know how easy it is to get sidetracked with questions and answers. So those little notes can help keep the train on the track. Also handy to have the notepad to make notes during the appointment!

With followup blood testing monthly, that tells me your husband’s doctors aren’t anticipating dramatic changes in his numbers. Monthly is close enough to be monitored for any changes and to then plot trends in test results. Doctors will look for trending numbers either going up or down depending.

So for now, I’d say just enjoy the lovely summer. Encourage your husband to take some walks and try to keep his life activities normal. I know fatigue is his buddy right now and that can be challenging for an active person. But encourage him to listen to his body. If it says NAP, then nap it is! ☺️
Please let how his next appointment turns out, ok?

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@califirniagal
My understanding is that once a day is to make it easy on the patient, and that twice a day spreads out the medicine so you have better coverage throughout the day. I asked my doc & he wanted me to take it twice a day. I take it at about 8am and 5:30pm each day.

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Hello, I want to know if anyone have tried Keto Diet as complementary treatment for CLL?

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Profile picture for barbeeh51 @barbeeh51

Hello
My spouse was recently diagnosed with MDS. When I looked at his after office visit summary, it said MDS/CLLM. So now I am researching CLL I saw on the CLl society website that 3 tests are given --FISH, TP53 and IgVH. Should my husband ask to have these tests done?
The doctor is taking a wait and see approach. My husband is 80.

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@barbeeh51 CLLM is an odd acronym and I have not seen it used before. Are you sure that's what his record showed? Could it have been CMML (a different leukemia)? If it is CLLM then I'm wondering if it is CLL-M which may mean CLL mutated-IGHV (usually abbreviated mCLL) which would at least indicate they did IGHV status testing. IGHV testing is the most prognostic of the 3 tests you mentioned. FiSH is interesting, especially if it shows deletion of 17p and TP53 testing is important for making treatment decisions.

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Profile picture for mrgreentea @mrgreentea

@califirniagal
My understanding is that once a day is to make it easy on the patient, and that twice a day spreads out the medicine so you have better coverage throughout the day. I asked my doc & he wanted me to take it twice a day. I take it at about 8am and 5:30pm each day.

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@mrgreentea
Thank you for your information. i did wonder about the coverage and specifically asked and was told it did not make a difference. I'm still confused and will try to ask a CLL expert when I can.

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Profile picture for CaliforniaGal @califirniagal

@mrgreentea
I am on the same medication and was told I could take both pills at the same time and that it was not necessary to spread them twice a day. I double-checked this with my doctor and with the company that makes the medicine. It still makes me wonder why others are told to take them twice a day. confusing

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@califirniagal I have been taking ZANUBRUTINIB for nine years. 160 mg twice a day. But I have heard of some people taking all at once. Check with your doctor, but I don’t think it makes a big difference.

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