Fatigue

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I had surgery just before Christmas, finished 15 sessions of radiotherapy end of March, now on Zometa infusions every 6 months for 3 years and Letrozole for 10 years. I have judged my recovery by getting back to all the previous activities, Nordic walking, Aquafit twice a week and sequence dancing once a week. I am motivated to do the activity ( all my social life revolves around them) but afterwards I am totally wiped out. I can’t decide if it’s the after effects of radiotherapy, side effects of Letrozole or a bad dose of laziness. What should I do? Try to motivate myself to do more , I’m ok when I’m company or give into the tiredness? 

  • Hi  , I think you are doing brilliantly! Definitely no laziness there! I suspect (and I’m not a medic) that it’s a combination of post rads and letrozole, or possibly just the letrozole. I’m on Anastrozole and although I count myself as pretty active, I do feel wiped out after activities and tend to limit them to one per day. I’m another Nordic walker - I took it up as recommended by the lympheodema nurse. I do it twice a week, walk with a friend or with dog on other days, do a weekly exercise class and also Tai Chi. All lovely, and I feel better for them, as well as the cafe visits that many of them entail. But I often feel like I can’t face going - I feel pretty rubbish first thing in the morning so tend not to arrange anything that starts before 10am. But I’m always glad that I’ve made the effort. And I’m fine when actually doing any of the activities. But afterwards comes the totally shattered feeling! I really do think it’s the Anastrozole - I struggled going back to work and eventually retired earlier than planned, due to the fatigue amongst other things. I had blood tests to check if there was another cause but nothing showed up. So I sort of just accept the wiped out feelings and try to take it easy when the fatigue hits. 
    I’m due to finish the Anastrozole at the end of this year and will be interested to see how I feel. A friend at my exercise class (we’ve all had cancer) was told by her oncologist that she should expect to feel 10 years older whilst on the hormone therapy, or words to that effect! I certainly do in some ways! Love and hugs, HFxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Ha, fatigue,  ? Oh yes. My treatment was last year, but I’m on Abemaciclib as well as Exemestane. And as for your comment about feeling 10 years older on hormone meds,  having recently turned 80 that adds rather too many years to my liking, I’d rather think of myself as 40-again! But yes, I too try and plan stuff once a day rather than more often. That makes looking after a dog and doing a few walks each day a bit of a game too, as that just adds to the jobs. 

    Today I’ve walked a good mile this morning, and another half just now with said dog, bathed him, and am carefully planning to go to WI tonight (I’ve got a lift). Careful planning as said dog has some separation anxiety. 

    Will have to see how he copes. 

    hugs xxx

    Moomy

  • Thank you! It just feels odd that while I’m with friends doing something I enjoy I feel motivated but as soon as I’m home tiredness sets in. I also have an under activated thyroid ( been on thyroxine for 30 years) and letrazole may have an effect on that. I’m having my annual blood tests at the end of the month so it’ll be interesting if it has. Thank you for your support xxx