Exemastane vs letrozole vs no AI

What a lovely post, Tigress

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Iā€™ve been on Letrazole for 4yrs and I have been to hell and back Iā€™ve had all the aches pains bone pain burning feet all the things mentioned but it really made my stomach bad gastrointestinal pain and itā€™s nearly destroyed my liver I had a fatty liver to start with but Iā€™ve been so ill Iā€™ve had scans and mri cameras down my throat absolutely hounding my GP anyway I just thought my quality of life is terrible so Iā€™ve stopped taking it and Iā€™m not getting any pain anymore I feel brighter and more with it I just thought Letrazole is going to kill me I didnā€™t need chemo or radiation so Iā€™m willing to take my chances and start feeling well again. Thanks for letting me join I need you all.

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@jazzyjue60 4 years is a good shift. I hope you feel well again soon and have a long healthy life.

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Oh Thankyou so do I xxx

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I am so confused. My onc said 10% risk as opposed to 5% with the endocrine therapy. Do you consider that significant? Everyoneā€™s perspective is so different it seems. Thanks for weighing in. Iā€™m leaning toward trying again, but have not heard from the doctor.

Four years seems like you gave it a good shot. Well done, you. Wishing you the very best and hope you feel better and better.

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Thank you for your kind and uplifting words. Yes, it is a tough balance between length and quality of life. I think, after reading everyoneā€™s thoughts, I will give AIā€™s another try. I am not comfortable with the ā€œwhat ifā€ and feel I would regret not doing all I could to prevent a recurrence.

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I have been on letrozole aka Femara for 22 months and I have bad joint pain, constipation, and stabbing pains in my knees and ankles that suddenly start up. Apparently this is a common side effect. I went to a recovery meeting where an oncologist went through the alternatives to letrozole. Letrozole lowers oestrogen most but the other two lower it a bit less so this may be why the side effects may be less but the risk of recurrence may be higher. I have just moaned up to now but at least I have given it a lot of thought over the last 22 months. I have also got high cholesterol now and high blood pressure which letrozole causes so as far as I am concerned the jury is out on oestrogen reducing drugs. I rather like having strong bones naturally but oncologists donā€™t like oestrogen if you have oestrogen positive breast cancer and thatā€™s that.

Seagulls

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Yes I consider 5% a significant decrease. But look at it this way. For you personally, itā€™s 50%. It either works and the cancer doesnā€™t come back or it doesnā€™t work. Are you willing to roll the dice that it wonā€™t come back even if you donā€™t take it? Would you be okay with no regrets if it did come back?

But do you not also flip the equation and see the 90% chance of no recurrence? Just curious. Itā€™s hard to sign up for the debilitating side effects.

I donā€™t but I was 48 when diagnosed. I have a long time for breast cancer to come back.

I certainly understand your feeling from that perspective. Itā€™s scary. Iā€™m 72 and itā€™s still scary.

How long are you meant to take the AI for @terry? I think youā€™re in North America somewhere arenā€™t you? I assume the protocols are the same as here in the UK.

5 years and Iā€™m only 5 months in. Iā€™d be over 76 when I finished. Does one wait that long to live???

Yes, I am in the Boston area.

I think about it like that. . Liz o riordan says , it either comes back or it doesnā€™t.
. I heard an oncologist say they have to treat 100 patients for 5 to benefit from AIs but they donā€™t know which 5 will benefit :cry:.

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