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Topic: Doing Well on Aromatase Inhibitors (AIs)

Forum: Hormonal Therapy - Before, During, and After —

Risks and benefits, side effects, and costs of anti-estrogen medications. Note: Please remember that there are good experiences and bad with ALL treatments and this is a safe place to share YOUR experience, not to be influenced or influence others.

Posted on: Apr 22, 2017 09:51AM - edited Nov 15, 2017 02:09PM by Moderators

Butterfly1234 wrote:

I read a suggestion that someone should start a topic for women who are NOT experiencing severe SEs while taking Arimidex, Femara, or Aromasin. I'm about to start taking Arimidex and when I read about the potential SEs I get discouraged. Maybe others would also like to hear about positive experiences. We would love to hear from you!

Edited by Mods to add content from the main Breastcancer.org site on:

Aromatase Inhibitors

No matter what you look like or think you look like, you're special and loved and perfect just the way you are. Ariel Winter Dx 1/24/2017, IDC, Left, <1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 2/26/2017 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 4/10/2017 Whole-breast: Breast Hormonal Therapy 5/8/2017 Arimidex (anastrozole)
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Jul 31, 2019 07:30AM Ingerp wrote:

*If it were me*, scrafgal, I'd hold off until after the blood test. I don't think taking it a few hours later will make any difference, I'd be nervous about the empty stomach thing too, and maybe you could pop a Benadryl tonight to help you sleep?

Dx 3/11/2016, DCIS, Left, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 3/22/2016 Lumpectomy Surgery 4/19/2016 Lumpectomy: Left Radiation Therapy 5/17/2016 Whole-breast: Breast Dx 3/2/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (FISH) Surgery 3/12/2018 Lumpectomy: Right; Lymph node removal: Sentinel Targeted Therapy 5/17/2018 Herceptin (trastuzumab) Chemotherapy 5/17/2018 Taxol (paclitaxel) Radiation Therapy 8/19/2018 Whole-breast: Breast
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Jul 31, 2019 07:33AM - edited Jul 31, 2019 07:37AM by Scrafgal

oh...I meant that I was worried about getting nauseated by taking it on en empty stomach....they told me that I could take it but I am wondering about the effects on me. It won't mess up the test. It's basic labs for my annual physical. Thoughts?

Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 07:49AM Scrafgal wrote:

I think I will just take it later. I want to get to sleep tonight but I can't stand being nauseated. I just can't risk it. My body is not used to this med yet!

Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 07:53AM Peregrinelady wrote:

I felt horrible after taking it on an empty stomach once. I always take it with food now.
Dx 4/24/2015, IDC, Left, 2cm, Stage IIB, Grade 2, 1/2 nodes, ER+/PR+, HER2- Hormonal Therapy 6/1/2015 Liquid tamoxifen (Soltamox) Surgery 4/17/2016 Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 7/31/2016 Arimidex (anastrozole)
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Jul 31, 2019 08:00AM Scrafgal wrote:

Thanks....I got a bad feeling about doing it...

Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 08:22AM SimoneRC wrote:

I always take my AI at bedtime, which is hours after dinner, with no problem. But waiting a few hours should be ok

ATM Gene Mutation, Deletion. IDC w/Lobular Features and Focal Mucinous Features. Pre Pectoral Reconstruction. Hysterectomy Surgery 4/6/2018 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 5/6/2018 Arimidex (anastrozole) Surgery 7/3/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 4/30/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 4/30/2019 Prophylactic ovary removal Surgery 8/6/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 08:32AM GreenHarbor wrote:

Scrafgal, when I started on anastrazole, my MO told me it didn’t matter if I took it on an empty or full stomach.

Dx 7/5/2018, IDC, Left, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- (FISH) Surgery 8/23/2018 Lumpectomy: Left Hormonal Therapy 9/15/2018 Radiation Therapy 10/1/2018
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Jul 31, 2019 09:39AM Scrafgal wrote:

Thanks, ladies! I am waiting to see my doc now... with a headache....I am planning a nice breakfast after this...with the pill to follow!

Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 01:58PM SUPer52 wrote:

Scrafgal, It may be too late since your question was from 7 hours ago, but I often take my anastrazole on an empty stomach in the morning with just water and don't notice any difference in how I feel afterwards. I was afraid the first time I did that, thinking I would get dizzy or nauseated, but I was just fine. Sometimes I have an empty stomach when I take it and then have black coffee, and even that doesn't upset my stomach. Hope it went well for you this morning!

"My mission in life is not merely to survive, but to thrive; and to do so with some passion, compassion, some humor, and some style." -Maya Angelou Dx 1/15/2019, DCIS/IDC, Right, 0/4 nodes, ER+/PR+, HER2- (FISH) Surgery 1/23/2019 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 2/25/2019 Lumpectomy: Right Radiation Therapy 4/8/2019 Whole-breast: Breast, Chest wall Hormonal Therapy 5/11/2019 Arimidex (anastrozole)
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Jul 31, 2019 02:02PM SUPer52 wrote:

Follow up to my other post- I see that it was too late to answer; I obviously hadn't refreshed my screen or just didn't move to the next page to read the rest of the responses. Anyway, it's so hard to know what to do when we try to take a medicine at the same time daily but then something out of the ordinary (like a fasting blood test) comes up. Hope you had something good to eat after your blood test!

"My mission in life is not merely to survive, but to thrive; and to do so with some passion, compassion, some humor, and some style." -Maya Angelou Dx 1/15/2019, DCIS/IDC, Right, 0/4 nodes, ER+/PR+, HER2- (FISH) Surgery 1/23/2019 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 2/25/2019 Lumpectomy: Right Radiation Therapy 4/8/2019 Whole-breast: Breast, Chest wall Hormonal Therapy 5/11/2019 Arimidex (anastrozole)
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Jul 31, 2019 05:25PM Scrafgal wrote:

SUPer52

Thanks for the responses. I took it after the meal that I had after the appointment. I had an afternoon meeting and a dinner meeting. I didn't want to feel bad all day. If I get nauseated, it is hard to turn it around...it stays with me for hours! However, it is good to know that it could turn out okay. Now, I just wonder if I will have even more trouble getting to sleep, since I took the pill later than usual. I will see...

Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Jul 31, 2019 06:26PM GiddyupGirl wrote:

Hi Scrafgirl - the type of magnesium you want is magnesium bisglycinate it is the easiest on your body with the best absorption. I have Naka original but I don't think the brand matters (this is a canadian brand) but it is vegan with no fillers. I am allergic to a million things so it works for me. The type is what matters. Hope this helps you sleep - works for me. Good Luck and be well.

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Jul 31, 2019 08:12PM ruthbru wrote:

You can take it whenever you want to, with or without food, it doesn't matter as far as effectiveness goes. Just be somewhat consistent on the timing.

"Invisible threads are the strongest ties." Friedrich Nietzsche Dx 2/2007, Stage IIA, Grade 3, 0/11 nodes, ER+/PR-, HER2-
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Jul 31, 2019 08:25PM Scrafgal wrote:

Thank you, GiddyupGirl. I hope it works too!

Ruthbru, thanks for the advice!


Dx 12/2016, IDC, Right, 4cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Surgery 2/6/2017 Mastectomy: Right; Reconstruction (right): Silicone implant, Tissue expander placement Chemotherapy 3/22/2017 Taxol (paclitaxel) Chemotherapy 6/15/2017 FAC Hormonal Therapy 9/27/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 10/13/2017 Reconstruction (right): Fat grafting, Silicone implant Surgery 3/16/2018 Reconstruction (right): Nipple tattoo Surgery 5/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting Surgery 5/9/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting
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Aug 4, 2019 04:41PM Magari wrote:

I've been on Arimidex just over a year, and doing fine overall. But I had plantar fasciitis and achilles tendonitis, which had resolved prior to my cancer diagnosis and they were starting to flare up again. Enough so that my feet were burning at bedtime and it was making it difficult to fall asleep.

So my oncologist suggested we try Aromasin (exemestane.) I'm taking a 2 week break right now, to make sure that my feet problems go away without the Arimidex in my system. Then I'll start the Aromasin and see how that goes. I don't see many others here taking it, so am interested to see whether SE are fewer/different for me.

DTI reconstruction; Cold capped during chemo to save my hair Dx 9/1/2017, DCIS/IDC, Both breasts, <1cm, Stage IB, Grade 3, 1/3 nodes, ER+/PR+, HER2+ Surgery 10/15/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Targeted Therapy 11/26/2017 Perjeta (pertuzumab) Targeted Therapy 11/26/2017 Herceptin (trastuzumab) Chemotherapy 11/26/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Hormonal Therapy 6/3/2018 Arimidex (anastrozole) Surgery 7/17/2019 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Aug 5, 2019 12:29AM Runrcrb wrote:

I’m on aromasin and have been for two years. Insomnia if I take it at night so I take it in the morning. No other obvious side effects. Arimidex made me so lethargic that I was sure my thyroid had quit.

Dx 6/27/2016, IDC, Right, 1cm, Stage IIB, Grade 1, 4/10 nodes, ER+/PR+, HER2- Dx 6/27/2016, ILC/IDC, Right, 2cm, Stage IIB, Grade 1, 4/10 nodes, ER+/PR+, HER2- Surgery 9/21/2016 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Tissue expander placement Chemotherapy 10/31/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 2/8/2017 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 4/23/2017 Arimidex (anastrozole), Aromasin (exemestane) Surgery 12/12/2017 Reconstruction (right): DIEP flap
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Aug 5, 2019 07:01AM Mavericksmom wrote:

I’ve been on Letrozole for four months, so far the only possible side effect is increase in my LDL cholesterol. My cardiologist put me on a low dose of Lipitor.

My MO said most of her patients have no side effects from AI’s. My sister’s MO said the same. My heart goes out to the unlucky ones who have severe side effects. Personally if I had severe side effects from AI’sI would stop taking them!

Dx 6/4/2003, IDC, Left, 1cm, Stage IB, 0/24 nodes, ER+/PR+, HER2- Surgery 7/15/2003 Lumpectomy: Left Chemotherapy 9/8/2003 Radiation Therapy 12/14/2003 Dx 11/4/2018, ILC, Left, 1cm, Stage IB, Grade 2, 0/0 nodes, ER+/PR+, HER2- (IHC) Surgery 1/8/2019 Mastectomy: Left; Reconstruction (left): DIEP flap Hormonal Therapy 4/24/2019 Femara (letrozole)
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Aug 5, 2019 03:18PM Magari wrote:

Runrcrb - Thanks for the tip about Aromasin contributing to sleep issues. I'd been taking my Arimidex at bedtime, so will try mornings for Aromasin instead. Hoping to join you in having no other side effects!

DTI reconstruction; Cold capped during chemo to save my hair Dx 9/1/2017, DCIS/IDC, Both breasts, <1cm, Stage IB, Grade 3, 1/3 nodes, ER+/PR+, HER2+ Surgery 10/15/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Targeted Therapy 11/26/2017 Perjeta (pertuzumab) Targeted Therapy 11/26/2017 Herceptin (trastuzumab) Chemotherapy 11/26/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Hormonal Therapy 6/3/2018 Arimidex (anastrozole) Surgery 7/17/2019 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Aug 7, 2019 07:44PM CBK wrote:

Mavericksmom

If the statistics show 40 percent of women go off Al therapy due to side effects where did your MO come up with that data?

I’m curious??

Don’t diminish side effects. A lot has to do with age and many other factors.



Dx 3/26/2017, IDC, Left, 2cm, Stage IIA, Grade 3, ER+/PR+, HER2- Surgery 5/11/2017 Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 7/22/2017 AC + T (Taxol) Surgery 1/25/2018 Prophylactic ovary removal Hormonal Therapy 2/18/2018 Arimidex (anastrozole) Surgery 4/9/2018 Reconstruction (right): Latissimus dorsi flap, Silicone implant Surgery 9/28/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 4/3/2019 Reconstruction (left): Nipple reconstruction, Silicone implant; Reconstruction (right): Nipple reconstruction, Silicone implant
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Aug 7, 2019 09:10PM muska wrote:

It's my 6th year on arimidex and honestly, I don't even think about it anymore, I just swallow the tablet each morning. No major side effects, just normal side effects of lack of estrogen like dry skin. Some vaginal dryness that is easily taken care of by vaginal moisturizer. Saw a GYN recently and she said nothing major, just continue doing what you are doing. I am a happy camper on arimidex, will be more worried when they tell me to stop if they ever do..

Probably worth mentioning I was put on Prolia two years into arimidex due to increasing osteopenia. Prolia reversed it and bone density is now better than it was before the BC diagnosis. No noticeable side effects from Prolia either.

Best to all.

Dx at 54 Dx 5/9/2013, DCIS/IDC, Right, <1cm, Stage IIIA, Grade 3, 7/11 nodes, ER+/PR+, HER2- (FISH) Dx 6/13/2013, LCIS, Both breasts Surgery 6/13/2013 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 7/25/2013 AC + T (Taxol) Surgery 2/20/2014 Reconstruction (left); Reconstruction (right) Hormonal Therapy 3/12/2014 Arimidex (anastrozole) Radiation Therapy 3/23/2014 Breast, Lymph nodes, Bone
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Aug 8, 2019 02:09AM Mavericksmom wrote:

CBK, I am only stating what my MO and my sister's MO said. My sister doesn't live near me but sees Penn Medicine doctors.

You have to take statistics with a grain of salt, seriously. It is not as factual as you might believe. I worked in research for seven years and saw how misleading statistics can be first hand.



Dx 6/4/2003, IDC, Left, 1cm, Stage IB, 0/24 nodes, ER+/PR+, HER2- Surgery 7/15/2003 Lumpectomy: Left Chemotherapy 9/8/2003 Radiation Therapy 12/14/2003 Dx 11/4/2018, ILC, Left, 1cm, Stage IB, Grade 2, 0/0 nodes, ER+/PR+, HER2- (IHC) Surgery 1/8/2019 Mastectomy: Left; Reconstruction (left): DIEP flap Hormonal Therapy 4/24/2019 Femara (letrozole)
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Aug 8, 2019 06:22AM Lanne2389 wrote:

does anyone know why MOs prescribe one AI over another, since we’re not all on the same one? (I’m on Letrozole and my MO has said I can switch to another if I want to see if SEs would be different/less.) I am just curious to know if there is a medical reason or if it’s just personal preference/habit.

Also, I’ve begun weight training and it’s definitely helping with stiffness and general mobility.

Lanne

Lanne Dx 11/20/2016, IDC, Right, 3cm, Stage IIB, Grade 1, 3/17 nodes, ER+/PR+, HER2- (FISH) Chemotherapy 1/3/2017 AC + T (Taxol) Surgery 6/14/2017 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 8/8/2017 Whole-breast: Lymph nodes, Chest wall Hormonal Therapy 9/15/2017 Femara (letrozole) Surgery 7/17/2018 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Aug 8, 2019 07:18AM Ingerp wrote:

Lanne--I asked my MO why I was starting on Anastrozole and she said it's the one they've seen the fewest SEs with. I know many women end up switching but it seems to most often be the one we're started on?

Dx 3/11/2016, DCIS, Left, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 3/22/2016 Lumpectomy Surgery 4/19/2016 Lumpectomy: Left Radiation Therapy 5/17/2016 Whole-breast: Breast Dx 3/2/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (FISH) Surgery 3/12/2018 Lumpectomy: Right; Lymph node removal: Sentinel Targeted Therapy 5/17/2018 Herceptin (trastuzumab) Chemotherapy 5/17/2018 Taxol (paclitaxel) Radiation Therapy 8/19/2018 Whole-breast: Breast
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Aug 8, 2019 06:23PM Runrcrb wrote:

I asked my MO the same thing. Her answer was that it is doctor’s preference and training. She did work at Duke and they typically started with arimidex. She gave me the option to decide and knowing nothing, I followed her lead. Arimidex was not my friend so after 3 months I switched to aromasin.

Dx 6/27/2016, IDC, Right, 1cm, Stage IIB, Grade 1, 4/10 nodes, ER+/PR+, HER2- Dx 6/27/2016, ILC/IDC, Right, 2cm, Stage IIB, Grade 1, 4/10 nodes, ER+/PR+, HER2- Surgery 9/21/2016 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Tissue expander placement Chemotherapy 10/31/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 2/8/2017 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 4/23/2017 Arimidex (anastrozole), Aromasin (exemestane) Surgery 12/12/2017 Reconstruction (right): DIEP flap
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Aug 11, 2019 10:05PM PhoenixCruiser wrote:

I did some research and told my MO which one I wanted to use and she agreed. I have been taking Anastrozole for almost 10 months.

I have had joint pain but walking daily has helped.

Dx 8/2017, Right, Grade 3, 0/4 nodes, ER+/PR+, HER2+ Targeted Therapy Herceptin (trastuzumab) Chemotherapy Taxol (paclitaxel) Radiation Therapy Surgery Lumpectomy: Right
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Aug 13, 2019 08:53AM MissouriCatLady wrote:

The Benefits of Magnesium

Research studies have shown that magnesium supplementation can help lower high blood pressure, lower the risk of developing diabetes, decrease the symptoms of PMS, reduce migraine symptoms, and help depression and anxiety. Magnesium has also been shown to help muscle cramps, as well as constipation, kidney stones, osteoporosis, insomnia, fibromyalgia and asthma.

Magnesium is needed for calcium to be used by bone. It is needed to help keep muscles relaxed, including those of the heart and blood vessels. It is needed in the function of vital co-factors and enzymes.

Diuretics (water-pills) can rob the body not only of potassium, but also of magnesium...yet little advice is given to supplement with magnesium. Magnesium is not as readily available as potassium in common foods, and is depleted by cooking and processing. Sources of magnesium are whole grains, greens, nuts, and seeds; however, the soil itself is depleted of magnesium and these foods do not have as much magnesium now as they used to 50 years ago.

People who should not take magnesium are those with kidney failure, bowel obstruction, myasthenia gravis, or heart block.

In a situation of magnesium deficiency, it may take up to 6 months of oral supplementation to correct things.

There are several types of oral magnesium available, including magnesium citrate, magnesium chloride, magnesium malate, magnesium taurate, magnesium aspartate, magnesium glycinate, and magnesium oxide.

Magnesium Citrate is probably the most cost effective. (400 to 600 mg at bedtime is a good dose; or 200 to 300 mg two to three times a day). It diarrhea is a problem, cut back on the dose or switch to magnesium glycinate or aspartate. Magnesium oxide is poorly absorbed, and hence likely to cause diarrhea. We do not recommend magnesium oxide.

If one is going for maximum absorption, it is best to use smaller divided doses throughout the day than one big dose once a day.

If oral magnesium is giving you diarrhea and you still need more magnesium, you can try oil of magnesium, which is magnesium chloride, rubbed onto the skin. Or you can soak your feet in an Epsom salt (magnesium sulfate) bath.

Type A personalities and people under stress will tend to need more magnesium.

Because it helps with constipation, magnesium can also be used as a laxative. Magnesium as a laxative is sold as a liquid in bottle of magnesium citrate. The difference between magnesium as a supplement and magnesium as a laxative is the dose. http://www.kumc.edu/school-of-medicine/family-medicine-and-community-health/integrative-health/health-topics/the-benefits-of-magnesium.html

Complete response to neoadjuvant therapy (CR) Dx 10/17/2018, IDC, Left, 2cm, Stage IIB, Grade 3, 0/2 nodes, ER+/PR-, HER2+ (IHC) Targeted Therapy 11/7/2018 Herceptin (trastuzumab) Targeted Therapy 11/7/2018 Perjeta (pertuzumab) Chemotherapy 11/7/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 4/4/2019 Lumpectomy: Left; Lymph node removal: Sentinel, Underarm/Axillary Targeted Therapy 4/25/2019 Herceptin (trastuzumab) Targeted Therapy 4/25/2019 Perjeta (pertuzumab) Hormonal Therapy 4/29/2019 Arimidex (anastrozole) Radiation Therapy 6/3/2019
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Aug 13, 2019 05:51PM flashlight wrote:

Hi MissouriCatLady! My friend recommended Magnesium for the side effect of constipation from AIs and then I read where it also helps with relaxation and sleep. I take one 400mg cap every night around 7pm. I found that my B/P and heart rate has improved. My normal heart rate was around 94 and now it is below 80. I also was having the side effect of insomnia and now I am sleeping better. I did add the supplement gaba not to be confused with gabapentin. I learned about that on this board as well. Thank you for the information.

Dx 11/15/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 11/26/2018 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 1/28/2019 Whole-breast: Breast, Lymph nodes Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 16, 2019 09:09AM Stellawt57 wrote:

My Integrative Dr. recommended mag. glycinate, pure encapsulation brand as it is a pharmaceutical quality with fewer additives. I take 4- 120mg daily.

Dx 8/14/2018, IDC, Left, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2- Surgery 10/2/2018 Lumpectomy: Left; Lymph node removal: Sentinel, Underarm/Axillary; Reconstruction (left); Reconstruction (right) Radiation Therapy 10/3/2018 Hormonal Therapy 10/7/2018 Arimidex (anastrozole)
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Aug 16, 2019 10:25AM MissouriCatLady wrote:

Stella and flashlight, thank you for the tips!! I've had a rough two nights, thankful for a recliner. Going to revamp the supplements. I had a brief pity party last night, and didn't want to cry in front of my husband. Life is never going to go back to the way it was. Thankfully, new morning, new day, no more pity, let's go! So thankful for you ladies and your help, thank you.

Complete response to neoadjuvant therapy (CR) Dx 10/17/2018, IDC, Left, 2cm, Stage IIB, Grade 3, 0/2 nodes, ER+/PR-, HER2+ (IHC) Targeted Therapy 11/7/2018 Herceptin (trastuzumab) Targeted Therapy 11/7/2018 Perjeta (pertuzumab) Chemotherapy 11/7/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 4/4/2019 Lumpectomy: Left; Lymph node removal: Sentinel, Underarm/Axillary Targeted Therapy 4/25/2019 Herceptin (trastuzumab) Targeted Therapy 4/25/2019 Perjeta (pertuzumab) Hormonal Therapy 4/29/2019 Arimidex (anastrozole) Radiation Therapy 6/3/2019
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Aug 16, 2019 02:23PM Magari wrote:

After a two week break from Arimidex, I'll be starting Aromasin today.

My plantar fasciitis and achilles tendonitis have improved, if not completely resolved, during my medication break. My hot flashes seem about the same, which is a bit disappointing....

Will report back in a week or so!

DTI reconstruction; Cold capped during chemo to save my hair Dx 9/1/2017, DCIS/IDC, Both breasts, <1cm, Stage IB, Grade 3, 1/3 nodes, ER+/PR+, HER2+ Surgery 10/15/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Targeted Therapy 11/26/2017 Perjeta (pertuzumab) Targeted Therapy 11/26/2017 Herceptin (trastuzumab) Chemotherapy 11/26/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Hormonal Therapy 6/3/2018 Arimidex (anastrozole) Surgery 7/17/2019 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant

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