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May 31, 2021 11:12AM
May 31, 2021 11:27AM
LOJ, I totally get that feeling "if I do one thing wrong I will die". I think there is a struggle to find control in the madness. It's a little tricky because taking good care of ourselves can make us healthier, and yet as others have said, there are no guarantees. What helps me is to remind myself that tweaking these lifestyle things like diet, exercise, and sleep does not have to happen all at once, and you do not have to be perfect to get benefit. A physician once told me that after his heart attack he adopted a scheme where he would eat healthy Monday-Friday, and eat what he wanted on the weekend. This kind of 80/20 idea has been helpful to me in saying no to stress-inducing perfectionism. So maybe one week you decide on and purchase some bottles of a special drink to take to gatherings as an alternative to alcohol. (Mine is a natural fizzy fresh ginger drink.) Maybe the next week you find a lipstick with ingredients you trust. You don't have to overhaul the whole makeup kit at once. The following week you decide to take an evening walk two out of seven days. Maybe you can work up to six days per week from there, over the course of a couple months. (Notice we do not go to expecting seven days a week!) Small steps instead of overhauling everything at once.
This brings me to the second point, which is in line with some of moth's advice above. When you are in the crisis of new or intense treatment, focus on that and go easy on yourself about your healthy living goals. Later you can work on other things, when you have had a chance to recover some energy and catch your breath.
As far as what to do, people focus a lot on food, but the factor with the most evidence behind it is exercise! And remember that lowering stress, increasing social connection, and finding meaning are just as important. The mind and body are connected, so if you are stressing out over your dinner, that's not great. This is to give you permission to relax!
You are doing fine, LOJ. You are handling it. All normal reactions.
2011 Stage I ITCs sn, premenopausal, Oncotype 16. 2014 Stage IV mets breast,liver. TaxolNEAD. Ibrance+letrozole 2yrs. Fas+afinitor nope. XelodaNEAD 2yrs. Eribulin,Doxil nope. SUMMIT FaslodexHerceptinNeratinib for Her2mut NEAD 1 1/2yrs. GI/perit mets
2011, ILC, 1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2-
2014, ILC, 2cm, Stage IV, metastasized to liver/other, Grade 2, ER+/PR+, HER2-
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Whole breast: Breast