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Sep 5, 2012 10:05PM
Saw my MO for the first time on December 30th, 3 weeks after my BMX. She prescribed Anastrozole, but since I was still having significant pain from surgery, she said she'd wait a few months to start. And since I've had osteopenia since 2007, it was her plan to put me on one of the bisphonates (probably Fosamax) as well. (Which made me crazy thinking about it....I didn't want the AI, I didn't want any bone-builders!)
But by the time I was getting my fills, I'd entered the Kaiser weight management program, which is a basically a medically-supervised fast for four months. The MO said that she didn't want me to start the Anastrozole because if I had side effects, we wouldn't know if they were from the fast or the medication.
So fast forward to this morning. It's been almost a year since my dx, and 9 months since my BMX, and 2 weeks since exchange. I'm in the "Transition" phase of the diet, and back to partial regular food, and partial Optifast products. I get 1115 calories a day. So far, I've lost 54 pounds and 63 inches, and have been exercising like I used to 30 years ago.
I met with the MO, and all she did was tell me to start taking the Anastrozole. I asked about further testing, and she said bloodwork every 3 months, as well as an exam every 3 months. No SEs? I can go to 6 month intervals.
As for other meds, she said I could take fish oil, calcium, and Vitamin D, but NO multi-vitamins because recent studies have shown that anti-oxidants can actually cause growth in cancer cells.
DH and I got out the door, when I realized she hadn't mentioned anything about the bone-builders!!!! I wanted to yell "RUN!" in case she suddenly remembered and tried to stop me from leaving.
Then I got to thinking that perhaps the weight loss and exercise made it less crucial that I take them? The osteopenia has remained stable for the last five years.
Who knows. I take my first Anastrozole tonight.
9/15/2011, IDC, <1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2-
12/4/2011 Lymph node removal: Left; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
8/21/2012 Reconstruction (left); Reconstruction (right)
9/4/2012 Arimidex (anastrozole)
10/21/2013 Femara (letrozole)