Aromatase Inhibitors: Did you decide to go on them or not?
Nanaloves: I’m about to start arimidex and just feel that the contraindications , bone issues etc. are overwhelming. I’m 70 years old, dodged a bullet I feel with zero stage DCIS but the follow up is pretty much no different then if it was more aggressive. I’ve just done 33 treatments of radiation and now they advise arimidex as a preventative. I’m not sure with the beginnings of arthritis and lower back. sensitivity already that I should take it. Anyone not take it and not have a recurrence within the 5 years.
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Regarding my comment "You only have osteopenia. I had osteoporosis for 14 years w/out fracture." Just want to clarify that I am not suggesting others wait 14 years to treat! I had med sensitivities and other health conditions that caused my endocrinologist to have trouble treating me. My comment was meant to reassure those with osteopenia or early osteoporosis, but not to encourage avoiding treatment when needed.
Point well taken. I'm still reading about osteopenia but, having compared a 2015 DEXA with the done in September, 2021, and seeing negligible change my PCP dropped his suggestion of Fosamax. I hope more doctors are comparing DEXAs over time and see if the rate of change is changing as that could be an important indicator. Also.if any result looks odd it could merit a sooner retest. There is variability among equipment, generations of equipment, etc., so differing results are possible for reasons other than a change in one's actual bone density. I look forward to tests that measure more than just density as it seems an inadequate diagnostic tool. A few studies are looking at whether patients should refrain from taking calcium for a period of time before having the test to yield a more accurate diagnosis in case newly ingested calcium shows up as bone but isn't (yet).
There is a lot of variation. I have tests that go up, then down, then up. You have to look at trends. I actually made a chart of all my tests, every two years, since 2002!
First of all, I want to send a hug out to you and let you know you are not alone and surrounded by so many women who are and have gone through this. I will be praying for healing for you on 4/29. I've just marked it on my calendar. You'd be surprised how prayer works. Well, it was a very personal experience for me with the Radiation, my numbers were low, but of course my surgeon encouraged me to go see the Radiologist, which I did. But what really changed my mind was I was not going against science or what may indeed be a good and recommended treatment, I really studied about it and with what I've seen in other women after the treatments, something said not to actively pursue it. Again, my numbers were low, less that 9% so I opted not too. Please listen to your doctor and look at your own situation, and you will make the best decision for you. I have been on Anastrozole for almost 3 years and I am a active 63 yr old woman, and I have had a bit of tiredness at the beginning, but no other side effects. My oncologist says I should be a poster child for Anastrozole. But because I am still working so much I really don't have time to think about any aches or pain, I'm of the mindset, mind over matter, but stay active, exercise and eat right, and get good sleep if you can. Please let me know how your appointment goes and I will be thinking and praying for wonderful things to happen. Love and Life
That's a great idea. I've created some simple spreadsheet for lipid panel data and charted the numbers. Every new doctor wants to put me on statins for chronically elevated cholesterol. Then I show my Agosten calcium scores, Endopat and echocardiograms charted over time (all really great results) so they drop the subject. I cannot tolerate even microdoses of statins without crippling leg cramps so I can only hope my body can function just fine with the mildly higher cholesterol.
I've found that doctors grasp the data faster if they can see the chart. That eliminates some errors from Inattention or too-quick scanning reports on a computer monitor. Also the computer data could is vulnerable to keystroke errors and corrupted files. I trust hard copies of original test results.
It's a lot of work taking a strong proactive team approach to our own healthcare, lol. The good doctors actually value patients who do though.
If there are cancer cells found, there may be enough for submission to a genetic testing firm that can give you its recurrence risk analysis. The result might help you and your oncologist look at a treatment path that seems appropriate for you, rather than relying more on the standard industry-wide protocol. Just a thought.nof course, I'm hoping none are found because none escaped the surgery the first time.
Did your cancer metastasize.? If not what is the reasoning for continuing with an aromatase inhibitor?
Thank you so much for your prayers and encouragement. They are greatly appreciated as is your sharing of your experiences. I will be praying for you as well.
Do you mean the oncotype dx test? Yes, that has been submitted. I see the radiation oncologist on May 9th and the medical onco on May 12. However, the hospital system here posts test results before you see the doctor and my score is 13 and there’s a notation that nine year recurrence with AI and Tam only is 4%. Not sure what all this means but I guess I’ll find out.
I also want to thank you for your reply. It really helps.