@yogalover you are very welcome! I understand your concerns. I encourage you to have a candid conversation with your oncologist about what all of your options are and what the pros and cons are for each of them. the last I read about Rybrevant was that patients were to start concurrent dermatological support to prevent/combat the difficult side effects. also if you decide to try treatment - you can always change your mind. finding the best balance of quality and quantity of life is something we all are navigating. ❤️