Treatment plan.

Hi  

I am on something similar: Ribociclib tablets and Fulvestrant injections in bum each side once a month. As I’m post menopause that is the Fulvestrant. 
If you see my profile it gives a description of where I’m at now. 
I start cycle 4 ( month 4 ) of Ribociclib tomorrow Sat evening. So, really appreciating my 7 days off ( actually I feel better for 6 days). On the second week of 3, I start to feel chemo fatigue and by third week pretty tired!
 I try to plan social activities etc for week off and first week of cycle

The Oncologist talked to me about Denosumab injections, but as 10% of people may develop jaw necrosis, it put me off. I did attend a group for secondary Breast Cancer ( Mets) organised by Breast Cancer Now and three ladies attending had issues with their jaw, so I decided to decline. 
My diet includes milk, butter, cheese, yoghurt and blood tests don’t show a deficiency. 
My main SE on current treatment are fatigue/ dry skin/ sore eyes/ some mild hair loss/ insomnia. 
On prescription I take VitD3. Also take to help health VitB12 and Vit C. 
I have a CT scan Feb 18th and get the results mid March, then I will know if it’s working 

Judith xx

ps please be aware that some meds can cause blood clots. I developed some in my lungs on Capecitabine and was having daily blood thinner injections in stomach ( tablets had bad side effects). I had developed shortness of breath going up hills, and as I walk everywhere ( don’t drive) realised something was not right. Had an x ray,  then CT scan showed the presence of clots. 

Something like 10% of people with cancer or on cancer medication may develop Bloods clots in lungs or DVT. 
The Oncologist took me off the blood thinner injections ( was on them for a year), when I started current meds. I am aware of what to look out for now.

Judith xx