Abiraterone, Fatigue and blood tests

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I just had the result from my latest blood test before my next months supply of Abiraterone

I noticed that on the Full Blood Count my Haemoglobin was 120 g/L. A normal reading would be between 130-180.

This is obviously a contributing factor to the fatigue I feel all the time.

I already take a multi vitamin and an additional iron supplement every day and eat a healthy diet as I've been diabetic for 30+ years, but wondered if anyone could advise on anything I can do to boost the red blood count.

The fatigue is worse this time on Aberaterone and I have a consultant phone call in July where they want to discuss putting me back on a reduced dose of Olaparib as well and one of the side effects of that is.....fatigue – Yay!

My PSA is still below 0.03 but the side effects are killing me.

Any advice would be appreciated

  • Hi  , it’s ages since we last spoke and sorry to hear your fatigue is bad.  I have been on Zoladex for 8 years and  fatigue is increasing, but sadly so is my age!  I am not sure what a healthy 76 year old should feel like anyway. I recently had SABR (3 doses of high level targeted RT) and that hit me very hard, but with exercise and time I am gradually recovering.  Some days I feel down and others almost normal, but I do think exercise and positivity are two very useful tools.  Sorry I can’t help. David

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Hi David and Slartibartfast,

    David, how are you? I think you know that Jacob is exactly your age and the fatigue is a burden. As you said exercise and positive attitude are the main tools.  We never stay awake now after 10pm.

    Best wishes from Jacob

    Lots of love

    Dafna

  • Hi Dafna, good to hear from you.  Overall I am doing remarkably well, but the SABR treatment did hit me hard about 4 weeks after I finished in Feb.  I am gradually recovering but each hit seems harder to climb back up, but that is probably also age related.  I had my latest PSA yesterday and I thought it was brilliant, but the CNS wasn’t happy and has referred back to my oncologist to see if a scan is needed.  We currently have a number of holidays booked which is a great distraction.  Is Jacob still doing his daily swimming?  Best wishes to you both.  Stay positive.  David

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Hi David,

    Yes Jacob still swimming but instead of 80 lengths daily he is doing now 60 daily. Honestly, I can hardly swim 2 lengths. Saying that come 1pm in the afternoon and he is so very tired and irritable. After a nap he feels better but the only hours which I can see old Jacob the way he was before the HT is in the morning.

    Well, lets look at the half full!

    Have a lovely holiday!

    Lots of love

    Dafna

  • Hi  

    MR BW was on Abiraterone and his bloods did bounce about abit, as a rule worrying “outs’ would be back in by the next test. Trying to boost red blood cells - lots of dark green leafy veg . High dose of vitamin  C which is an all round healer but essential for iron absorption. Cut out/ down, tea and coffee or go decaffeinated as that can hinder iron absorption too.
    hope that helps

    Add on * in your general diet ramp up your protein intake. Chicken (red meat, but lean and not much - now and again ) lots of fish . Lentils / pulses and other beans 

    Slight smile