This time around, because I kind of knew what to expect, my odd side effects were not as alarming. My worst days for fatigue were once again Sunday and Monday. I still had (have) the tachycardia although like last time it is improving. It is pretty annoying and a bit scary those few days when you can feel (what should be) your resting pulse racing throughout your whole body. My pulsating low back pain was not as significant this time around. I think I did not push myself as hard physically those first few days and I have also learned that Tylenol really does help:) My skin seems much happier this time around as well and even though my mouth got all yucky again, it doesn't seem as bad as last time either. Honestly, I'm not sure if my symptoms really were less this time around or if I have just learned how to manage them better. Either way....I am 50% done!
The one thing that remains a mystery is what my red blood cell count is doing. Prior to my last infusion, my RBCs were slightly low, meaning I was slightly anemic. We did an iron panel to make sure I don't have an underlying iron deficiency. The iron panel results are back and my iron and total iron binding capacity are within normal limits. Although, interestingly, my B12 and folate levels are high. B12 is actually really, really high. I am not taking any B12 supplement with the exception of my daily vitamin. My oncology nurse was not concerned about this, but I plan on talking with my oncologist more at my next visit. If anyone has any insights, please let me know! Keep in mind that my liver enzymes and WBC are all in the normal ranges.
As for physical activity, I took it a little easier the first few days of the week. Partly because I knew my body would come around and partly because I was trying to work and I only have so much energy this first week. By Thursday, I felt good enough to go for a road ride. I rode up Emigration Canyon with this girl and felt surprisingly good. I think the good company helped:) I managed to ride dirt with Shannon both Saturday and Sunday. I'm still keeping my rides to sub 2 hours, but it was a beautiful weekend and it felt so good to be out.