When you say marker-do you mean the CA 19-9 marker? My husband (stage 4) has had 7 folfirinox treatments (at Dana Farber Cancer Institute) and is tolerating them well. For the first 6, the bloodwork showed CA 19-9 decreasing, but on this 7th one, there was an increase. Dr. said it is not always meaningful, and not to get dismayed.... but.... we are. She said only a scan can determine whether tumor is shrinking or growing. We have a scan coming up next week. Any thoughts on whether the CA 19-9 markers are accurate/meaningful trends? That's really the only tumor info we get between the scans.....
He too changed his diet based on various research we did--almost no red meat, (3 times in 100 days), only chicken and fish, limiting sugar since that supposedly feeds the cancer, limiting dairy, and increasing fruits and veggies and fiber. He gave up all alcohol. He is 6'1", and was overweight at 240 lbs in Jan. In 90 days, he lost 55 pounds on the new diet, and is now stable at 185, which is where he should be. Still has strong appetite, but is eating the "right stuff" now. He had high blood sugar in Jan when he was diagnosed, and dr said he had diabetes and had to go on insulin. With the new diet, we were able to decrease insulin by 15% a few weeks ago, and his blood pressure and cholesterol are both down too. I am hoping we can get him off the insulin eventually. Has anyone had any experience with being able to eliminate the insulin after changing diet?

My oncologist for the first timer mentioned surgery. How was you surgery and recovery?
If I go the surgery route I will be going into a major Boston hospital that has done many Whipple with a great track record. Praying you’re doing well.