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Generic omeprazole is the cheapest. At Costco you can get it for about $16 for a 6 week supply.
It does not cause fatigue typically at all. It is very very very rare to cause low platelets. The other medicine/acid control family (H2 blockers) cause platelets very commonly.
However, you can certainly stop it for a month, and see how you do. Check your platelets again and see if they are better. But as I recall, you have a spleen issue and that by far is the likely cause of your platelet problem. And honestly, all of us should be on a PPI after whipple. I suspect that your symptoms are worse because you are not on enough.
Maybe it's time to optimize everything for your muscle pain/fatigue. Do a month of physical therapy, aggressively treat depression, make sure your electrolytes and thyroid function are perfect, sleep a consistent schedule every night.... and even think about trying a medicine like provigil for energy.
I feel your frustration though.... it is such a long exhausting road. It is
sometimes hard for us .... on the other side though.... remember, we are on
chemo for the rest of our lives. No whipple for us. A PPI is my fantasy....
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