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It was first suggested by my mom's local oncologist, who is very familiar with all of the clinical trial results and thought this was her best shot. She also was very sick at the time, with a lot of metastatic disease. I confirmed the recommendation with oncologists at both MD Anderson and Johns Hopkins and another local university hospital before we started. All agreed that it was appropriate.
She is responding well so far.
The cold sensitive neuropathy side effects can be startling, so definitely be
prepared for them. I recommend asking your oncologist for the pre/post
treatment of calcium/magnesium to decrease your chances (in theory...) of
developing the more permanent neuropathy symptoms. My mom also finds the
regimen tiring for 1 week after each treatment. Her counts also suffer -
especially her platelet and white blood counts, and we have already had to
delay chemo once due to that. However, everyone is different in terms of
their side effects.
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