Labs 11/25/22

Here is my latest set of labs. The doctors decided numbers weren’t moving fast enough and took me off Dara sq and Pom and put me on the more toxic Carfilzomib and Cyclophosphamide (good ‘ol mustard gas).

I was a bit concerned about burning through Dara sq rather quickly, when it was potentially still working, although really slowly. I talked to the oncologist and he thinks it’s still viable in the future.

I read that Cyclophosphamide can be more effective with Vitamin A and Beta-carotene and less toxic with Reishi mushrooms. Carrot juice for the win!

Because I started on new drugs, they ran some labs weekly. It was quite amazing to see my lambda light chains shoot down in less than two weeks and are now in normal range! Looks like it also punches down my kappa light chains, which I didn’t need, but I’m still scrapping by. M-band didn’t run, I suppose that will be the best indicator for the myeloma.

CBC looks pretty darn good. Nutrition nutrition nutrition, that’s my motto.

Unfortunately, after each infusion (3 now), I’ve ended up sick for 3-4 days. First was a cold, second was a cold and fever (thankfully, I avoided the emergency room) and now a sinus cold with the third. Honestly, I can’t tell anymore if it’s a germ or a side effect. It seems like a germ each time, but it starts around infusion time. I’m finally on the mend again today and I get a week off from chemo, so that’s awesome.

Anyhow, here are the numbers….

Name Standard range	10/13/22	11/10/22	11/18/22	11/25/22
KAPP/LAMB FR 0.26 – 1.65	0.06	0.06	0.06	0.21
KAPPA LIGHT CHAIN FREE 3.30 – 19.40 mg/L	6.73	6.18	4.61	3.46
LAMBDA LIGHT CHAIN FREE, SERPL 5.71 – 26.30 mg/L	118.37	102.87	76.01	16.15

Name Standard range	11/18/22	11/25/22
HCT 39.0 – 51.0 %	36.6	37.2
HGB 13.0 – 17.0 g/dL	13.1	13.3
MCV 80 – 100 fL	91	90
NRBC <=0 /100WC	0	0
PLT 140 – 400 K/uL	164	148
RBC’S 4.10 – 5.70 M/uL	4.04	4.14
RDW, RBC 12.0 – 16.5 %	15.0	14.4
WBC 3.7 – 11.1 K/uL	5.4	5.5