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@ssalget

After several biopsies, I was diagnosed with Invasive Lobular BC , Hr+, HER2-in both breasts in August 2021. I had both breasts and sentinal nodes removed in late October 2021. Nodes and margins clear. OncoDX is 11. I started letrozole in December. I developed severe carpal tunnel and trigger fingers in both hands, severe body and bone pain, trouble sleeping, and depression. I stopped after 5 months. My Onco suggested a short break. A nurse from her office was supposed to follow up after a few weeks. No one called so I took the summer off and did a lot of research. I decided to try building my immune system and using a natural compound called DIM
to try to suppress estogen. Along with all the supplements I have taken for years, I added Turkey Tail Mushrooms and a combination of mushrooms called Mycommunity, both from Host Defense. I added Mercola fermented turmeric and annato tocotrienols (a form of Vit E). Anyway, I just had my 6 month check-in with my Onco a few days ago. It took a few extra months to schedule. We discussed starting AI's again. I expressed my concerns about bone loss (I have osteopenia), thinning arteries in the heart, (I've had a heart attack) and the other issues I experienced. She said my chance of recurrance increased because BC was found in both breasts. That meant two breast cancers. She also said that if I wasn't experiencing side effects with the AI's, it wasn't working. She told my partner and I that if I stopped taking the AI's that she could only see me once a year for screening which is palpation of the chest area along the scar. (I did not go through reconstruction. One surgery was enough for me. I am 69 going on 70 this year.) She doesn't do any other screening. I will have to rely on my PCP for a 6 month intererval of palpation. I feel like I was" left out to dry" by my Dr. and my hopeful feelings dashed. It has been a week and I am trying to regain my sense of hope and resolve that I/We can choose what feels right for myself, my family and my quality of life. I am going to seek out a practitioner who will test my hormone levels. I do have a base line from a test my Naturopath did several years ago.

I am so disappointed in our traditional health care, and particularly healthcare for women. I can only guess that I am a lower risk patient than My Dr."s other patients. I will take that as a good thing. This is really my first experience with traditional medicine. I waded through it with my mother, and did not enjoy it. Good luck and blessings, as you move forward on this crazy journey.

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Replies to "After several biopsies, I was diagnosed with Invasive Lobular BC , Hr+, HER2-in both breasts in..."

My heart attack led to the discovery of the breast cancer, and the bone scan was done just prior to the double mastectomy, to establish a base line.

I don't know if you're oncologist was just citing her own personal policy or what, but I would feel the same way as you likely.

I go to Cleveland Clinic and my follow-up recommendations from the oncologist were the same whether I took the aromatase inhibitors or not. I see him, and the breast cancer surgeon, once a year for an annual checkup and mammo and ultrasound review, and also him, or another doctor well-skilled in cancer detection, every 6 months for a physical exam.

But I wonder if you shouldn't see another oncologist and get another opinion. It might be that her recommendation that you do anti-hormone therapy is really important. If you find another oncologist, maybe one that is more patient, no pun intended on, you can try a different aromatase inhibitor or you can try the brand name instead of a generic. If you have the same side effects, you'll know that you at least tried another option.

In the meantime the other efforts with respect to diet and supplements can only help so that's good too. But having a doctor that feels as if the two of you are a team is important too.

You mention that you'll have to rely on your PCP for physical breast exam if you don't find a less-dismissive (my words) oncologist. I've always found ob/gyns to be very well-trained in checking for breast irregularities and lumps. Do you have one you like? If so, consider having her/him do the exams. And maybe refer you to a different oncologist.