This is very interesting. I was diagnosed with stage 4 pancreatic adenocarcinoma in March after developing a side stitch that wouldn’t go away after a run in January. My doctor has me on Nalirifox which is a variation of mFolfirinox using liposomal irinotecan instead of the irinotecan. I don’t fall into your age range as I turned 59 shortly after my diagnosis but I was a distance runner, non-smoker and always been in great health with a family history of longevity. I have only had 6 chemo sessions so far and my doctor is pleased with its results so far and my side effects have been manageable. Alas, I have no genetic mutation so a lot of the trials and target therapies are out for me. I do trust my oncologist and I know he is wanting to save my life or at least give me as long as possible. I just can’t believe a year ago I was training for my next race and my husband and I planning retirement. Your story is inspiring and and I will continue to hold on to hope.