Hi blobgob,
A good question. According to Chat GPT, the boost to neutrophils is only for a matter of some hours, but that’s not too bad in the context of a daily dose (there is also of course scope to nibble the stuff over the course of a day). The bigger the dose, the longer and greater the effect (within reason).
There is also a boost to ‘activation’ of neutrophils, but the highest possible cocoa percentage that you can handle is recommended to keep sugar consumption down.
Regards
Rabbit
Hi Lablady,
I have been there. For a few months – I think it was around the time I was in consolidation – I wanted mostly rice pudding, yoghurt and ice cream. The ironic thing is that I had never liked ice cream until then.
Taste buds, appetite and nausea can really affect what someone with MM wants and can eat. Based on my own experience (although of course everyone is different), it should ease off over time.
Nowadays, my only food related issue can be keeping up with my appetite! Somehow maintenance chemo has increased my hunger, so I eat a huge amount (two lunches a day is routine) but my weight is stable.
Regards
Rabbit
Morwenna, thanks for the feedback.
Regards
Rabbit
Hi myelomamum,
You have mention that you would like info on food and supplements.
Firstly, are you taking bortezomib (which is also called Velcade)? If so, then I would advise a lot of caution about taking supplements. Some supplements, such as green tea extract and vitamin C tablets, interact very badly with it and can stop the bortezomib from working. However, you may be prescribed vitamin D tablets: they are fine.
You mention that you want to lose weight. Be careful what you wish for – an SCT can cause some loss of appetite or nausea. It will pass, though, of course, but you might lose weight from it.
For a while when I was going into remission, a dietician was advising me to stuff myself with biscuits to keep my weight up (and I didn’t even have an SCT), as I had been nauseous and had lost too much weight
In terms of healthy eating in the long term, here is some high level advice:
https://healthtree.org/myeloma/community/articles/what-to-eat-if-you-have-multiple-myeloma
However, don’t beat yourself up if your diet is not perfect. It took me around 18 months to slowly, bit by bit, move over to a healthier food lifestyle.
Regards
Rabbit
Hi Newscan,
I had swollen feet. I didn’t have noticeably swollen legs, but that could be because they were huge in the first place!
My feet went up a shoe size.
I found that the diuretic did work, but it simply took time. I can’t guarantee that that will be the case for you. Perhaps you could use a tape measure around a specific part of your leg to track if it is starting to work, even if it is 1mm at a time?
Regards
Rabbit
Hi paulcjw,
I haven’t heard of FDFR before, and neither has ChatGPT.
OK, assuming that your husband and I have the same cytogenetics, I hope that I can reassure you. I was diagnosed in 2022. I didn’t have a stem cell transplant, and went into remission in June 2023.
Now, in May 2025, I am still in remission and getting on with life. Currently on holiday in Greece!
I won’t pretend that it is easy. For example, yesterday the fatigue from my maintenance chemo was pretty bad, so I didn’t go far from the hotel, but overall the holiday has gone well.
Your husband’s age helps with the prognosis, and so would a healthy lifestyle (eating healthy, exercise etc).
Happy to discuss further.
Rabbit
Hi paulcjw,
Welcome to the forum.
I can understand your worries. Please bear in mind that a lot of material online relating to myeloma is old: treatments have been improving, as indicated by the possibility of your husband having a trial – in other words new – treatment. Therefore the situation may not be as adverse as you have read.
As you have probably read, about 25% of patients have cytogenetic abnormailities: I am one of them. Could you please provide more detail on your husband’s cytogenetics, as there are many different kinds? For example, mine are t (4, 14) and +1q.
Regards
Rabbit
Hi all,
Firstly and most importantly, I want to thank you all for your caring. Us patients would struggle so much without your love and help.
It is damned tough for carers to cope. It can also be difficult to have somewhere to complain and let off steam.
From the time I was diagnosed, I encouraged my family to get on with their lives: work, studying, holidays, seeing friends, whatever.
I do have the advantage of having three adult ‘kids’ as well as a wife, all of whom have helped me enormously. Could any of you lean on family/friends for extra help?
In terms of some of us patients burying our heads in the sand on future treatments such as an SCT, that has never been my approach. I have detailed technical discussions with my consultant on current and future treatments, blood test results etc, having done a lot of reading up. However, I did blinker myself by not going on forums like this one until I was in remission. It was just too much to cope with (for example reading about other patients’ horrible side effects) at that stage.
I can theeefore understand othrr patients blinkering themselves in terms of future treatment. It can just be too much to emotionally deal with.
Steroids may give energy boosts for some patients but for me they just cause exhaustion from lack of sleep 😀. I agree that if you can get a beer, you can make a cup of tea!
Regards
Rabbit
Hi Rosietheriveter,
The concept of stages in myeloma is quite well established, whatever your consultant says.
For example, see: https://www.cancerresearchuk.org/about-cancer/myeloma/stages
It is true that stages are less important with many other cancers.
Regards
Rabbit
Hi deeceebee123,
I have MM and had two heart issues. One of those issues was afib: in my case, I had an operation which cured me of afib. Even so, due to the other heart condition, my cardiologist, haemotologist and I discussed the situation and decided that it would be best for me not to have a stem cell transplant.
A stem cell transplant can be grueling, and a dodgy heart is not a good starting point.
In addition, chemo treatments have been improving: the case for MM patients having a transplant is weakening as a result.
Lastly, I came across this study of MM patients with afib having transplants. The hard statistics from this is that it is significantly higher risk for afib patients than otgers: https://pmc.ncbi.nlm.nih.gov/articles/PMC10198774/
Please, though, don’t lose heart (pardon the pun!). As a small example, I am still going strong, 2 years and 3 months after diagnosis, in remission since June 2023. Went to the gym this afternoon, and off on holiday next week 😀.
Regards
Rabbit
Hi Daz,
I am on a few of these forums, one of which is US based: https://www.smartpatients.com/conversations
There are posts there about patients’ experiences with Isatuximab = Sarclisa. Please see:
https://www.smartpatients.com/search?q=ISATUXIMAB
https://www.smartpatients.com/search?q=Sarclisa
All the best with Isatuximab. Please let us know how you get on with it.
Regards
Rabbit
Hi Rebecca,
I have no experience of hip replacements, but my immune system is weak (specifically low platelets and neutrophils).
For WBC (including neutrophils) you can be prescribed filgrastim injections (which can be done at home).
For platelets, an infusion of blood platelets from a blood donor can be done. That stop the risk of excessive bleeding (unfortunately the extra platelets don’t stay in one’s body for long).
Regards
Rabbit
PS I did see a study that eating dark chocolate boosts neutrophil counts.
Hi Tony642,
I am interested in signing up as a peer buddy. I haven’t seen a way to do so, so I have filled in the peer referral form but explained what I am trying to do. Will that do the job?
Regards
Rabbit
Hi Eltry,
Whilst I would hesitate to describe your refusal to have treatment as ‘foolhardy’, I didn’t seriously consider that choice for a moment.
You mention that you have bone lesions. They are being caused by myeloma cells eroding the calcium in your bones. This would be continuing at this moment, and at some point the erosion will reach the point when bone pain will start.
The calcium in the blood is a lot for your kidneys to deal with: at some point your kidneys may fail. Treatment can prevent or reverse this.
Meanwhile the myeloma cells are reproducing. As the myeloma progresses from Stage 1 to 2 to 3 (there is no stage 4), your prognosis gets worse.
As for chemo side effects, they are generally an issue, yes, but some patients are affected more than others.
Personally, I want to be around for my family for as long as I can. As for side effects, they have not always been easy, but my chemo was recently tweaked to deal with fatigue and brain fog that had been problematic lately. There are lots of treatments out there: if the side effects of one are severe, you can be switched to another treatment.
I am physically fit too, and routinely walk long distances, cycle intensely in the gym and lift weights.
Regards
Rabbit
Hi Jon,
The home page on this forum has a search function: mentions of the RADAR trial are here.
https://forum.myeloma.org.uk/forums/search/Radar/
Regards
Rabbit
PS I am not myself on the RADAR trial.
