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@kslayer

Thank you very much for all the responses. Ca19.9 was taken every week during radiotherapy and the numbers have been 3x and 2x for throughout this month. Basically ca19.9 is done every other week during folfurinox. My relative appetite has been poor during the end of radiotherapy and he has been suffering from neuropathy ever since the 3rd cycle of adjuvant therapy. He is afraid if continuing folfuirinox rite after the week where radiotherapy ends will bring a large impact to his body as the radiotherapy side affects are still here and he needs to sleep most of the time with a low quality of life

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Replies to "Thank you very much for all the responses. Ca19.9 was taken every week during radiotherapy and..."

I can't speak to radiation side effects. I haven't had radiation for pancan. I did have 16 rounds for a small DCIS (breast cancer) in winter 2022-23, but had no side effects. Re the neuropathy, have you talked to your MD about gabapentin? It is often prescribed to help with neuropathy. I've never taken it, so I don't know how effective it is or whether it has side effects as well. But it might be worth asking about. Another option might be discontinuing the oxaliplatin for a little while to give the nerves a chance to recuperate. That raises other questions of chemo effectiveness, so be sure to discuss this with your MD and weigh the options.

Re appetite, that's a tough one no matter what type of pancan treatment is being administered. In general, I've found smaller meals, more frequently, suit me better. In my early chemo days, when I was really struggling with loss of appetite and stomach upset, I relied a lot on bland, starchy foods, such as baked potatoes, rice, bread. Be sure that your relative stays hydrated. I never was able to manage sports drinks, but a lot of people on this board say they've had good success with them. Getting better nutrition and hydration should help with the fatigue, I hope.