PNET: What helps with fatigue and weakness?

Posted by tmickelson @tmickelson, Apr 22 7:30am

My tumour is grade 1 and fairly stable at 1 cm so it is just being monitored for now, but I struggle with fatigue and weakness. Do others have this experience and are there any good treatment options for fatigue?

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

I am so sorry to hear you have been struggling with fatigue. This can be a common and frustrating experience for cancer patients.

I wanted to share that the Cancer Education Center offers a FREE virtual and in-person class for Mayo Clinic patients that focuses on cancer-related fatigue and practical strategies to help manage it. If you're interested, you can learn more through our offerings page linked below. I hope this might be helpful for you!
https://connect.mayoclinic.org/blog/cancer-education-center/tab/offerings/
To contact our center, visit the "About Us" page for our contact information.

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Profile picture for tmickelson @tmickelson

@bellom Thanks for sharing your experiences. I’m trying to find a good balance between getting out for walks without hitting exhaustion. And I agree, sometimes the best option is to take a nap. 🙂

My doctor has not been able to find any other cause of the fatigue, so that’s why I have wondered if it’s the tumour, even at its size and stage of cancer. Based on the comments here, it definitely seems like there is a link.

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@tmickelson @bellom
Finding a balance between being exhausted from the cancer and/or treatment or from moving can be difficult. I eventually developed the mindset that if I am going to be exhausted, I want to earn it by moving. I make sure that I have places to sit and rest should I tire when moving and schedule nap/rest time on high activity days. Does this make sense?

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Profile picture for Turkey, Volunteer Mentor @tomrennie

@tmickelson @bellom
Finding a balance between being exhausted from the cancer and/or treatment or from moving can be difficult. I eventually developed the mindset that if I am going to be exhausted, I want to earn it by moving. I make sure that I have places to sit and rest should I tire when moving and schedule nap/rest time on high activity days. Does this make sense?

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@tomrennie That’s great advice that totally makes sense. Thanks!

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Profile picture for pavlina60 @pavlina60

@zacharycat , exactly! We look okay on the outside, but are completely different from the inside. I am also tired most days and most of the time. Holding on until midday, but very tired in the afternoon. I had dystal pancreatectomy, splenectomy, cholecystectomy and hysterectomy, plus liver metastases - my peritoneal cavity is " really a cavity" :). It is hard from outside ppl to understand that we are still sick, even without hospitalization and visible signs...

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@pavlina60 And God forbid you have a handicap sign and use it. I have gotten some puzzled looks because I don't look handicapped. If you could be turned inside out, maybe people would understand. (Kidding of course) but it can be annoying. If there is a day I am out shopping and don't need it, I don't use it. But, I know my pain level. Others don't.

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Profile picture for nannybb @nannybb

@pavlina60 And God forbid you have a handicap sign and use it. I have gotten some puzzled looks because I don't look handicapped. If you could be turned inside out, maybe people would understand. (Kidding of course) but it can be annoying. If there is a day I am out shopping and don't need it, I don't use it. But, I know my pain level. Others don't.

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@nannybb , typical! My friends from far places who have seen me right after surgery and now cannot understand that I am still the same " sick" person, even though I look perfectly healthy ...
Today I took a shower in the afternoon and almost needed a nap😢. I am better in the morning and then slowly go down...

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Profile picture for pavlina60 @pavlina60

@nannybb , typical! My friends from far places who have seen me right after surgery and now cannot understand that I am still the same " sick" person, even though I look perfectly healthy ...
Today I took a shower in the afternoon and almost needed a nap😢. I am better in the morning and then slowly go down...

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@pavlina60 Tell me again, are you on any meds.? The shots?
I just had a video chat with a NP for my pain specialist. The next step was supposed to be an ablation. She was non-committal, vacillating between that and now deep massage that focuses specifically on restructuring the deeper muscles between my ribs. Either one is going to hurt like heck. She was worried the ablation might cause more surrounding tissue damage. I'm definitely going to get an oncologist on board. I HAVE to get back to work, or get a tent...lol

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Profile picture for nannybb @nannybb

@pavlina60 Tell me again, are you on any meds.? The shots?
I just had a video chat with a NP for my pain specialist. The next step was supposed to be an ablation. She was non-committal, vacillating between that and now deep massage that focuses specifically on restructuring the deeper muscles between my ribs. Either one is going to hurt like heck. She was worried the ablation might cause more surrounding tissue damage. I'm definitely going to get an oncologist on board. I HAVE to get back to work, or get a tent...lol

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@nannybb , I am on Lanreotide every 28 days, my blood pressure meds, statin(crestor), vit.D2, and Fe gluconate for anemia. I retired after the "double surgery" and am on SSDI. I have some back pain and am starting PT on the 19th. Not sure about massages as I have some " clips" inside my body due to internal surgery...

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Profile picture for pavlina60 @pavlina60

@nannybb , I am on Lanreotide every 28 days, my blood pressure meds, statin(crestor), vit.D2, and Fe gluconate for anemia. I retired after the "double surgery" and am on SSDI. I have some back pain and am starting PT on the 19th. Not sure about massages as I have some " clips" inside my body due to internal surgery...

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@pavlina60 I have staples where they would most likely be doing the deep massage work. Not thrilled about either option at this point. I wish I could have spoken to my actual pain doctor and gotten her take. 🤦‍♀️

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