Trodelvy

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My wife is on her second  round of trodelvy  seems to be managing  not to bad fatigue  and constipation  being  her main problems 

My question  is how have others managed  and how long may she be on this treatment ie for the rest of her life

She has slight  spread in  her collar  bone lymph  nodes I think it's still  classed as local as not in other organs but was told its inoperable  don't know why ?

Any feedback  would be welcome  

A very worried  husband 

Kevin