Question: Hello Doc

My recent medical history is available in my dash board. I have also attached my latest reports (vitals) for your review. I was diagnosed with Invasive Ductal Carcinoma Grade II in end of Oct last year. Lumpectomy was performed in end of Nov last year followed by 8 cycles of chemotherapy - My 1st chemo was done on XXXXXXX 05th (AC DENS) and last chemo (Taxol Dens) was done on April 20th, 2018 (15 days ago). During my entire chemo period my GGT and Alkaline Phosphate remained on a higher side (both around 250)

My Onco never advised me to get LIPID PROFILE done during chemo. I got it done with few other vitals yesterday and my reports are very disturbing. Let me write down the points (only the results that are disturbing) & questions for your review / analysis and answers:

Triglycerides: 569 VLDL: 114
Cholesterol: 219
HDL: 20
Alkaline Phosphate: 225
GGT: 263
Glucose Fasting: 114
Uric Acid: 6.75

Questions:

1. Are these values so bad due to chemo (4 x AC Dens + 4 x Taxol Dens with a gap of weeks each)?

2. I ate a lot of outside food & home food etc during chemo to keep myself healthy - I gained almost 6 KGs during past 4 months? Is this the reason for my bad test results?

3. I followed a nutrients plan (I showed the plan to my oncologist before starting it) alongside my treatment which includes various vitamins etc. Is it because of the nutrients that my results have gone bad

4. Do you suggest that I should start a medication for triglycerides and cholesterol immediately? Are these results going to affect my heart?

5. I started mild exercise after 1st cycle of Taxol and ever since i do 1 hour cardio every day but not as stressful as I use to do before chemo. I was very fit and my weight was 62 KGs before chemo since I have been working out from the last 25 years. Should I continue my exercise or give my body a break?

Please kindly answer all my questions one by one (if you can) as they help me a lot in understanding my situation. I am very worried specially due to triglycerides

Looking forward to your reply


In my last email I meant to say that all cycles of chemo (4 x AC Dens + 4 x Taxol) were performed with a gap of 2 weeks each

My nutrients Doctor is saying that triglycerides (569) & VLDL (114) are dangerously high and he thinks that its not a side affect of chemo but due to me eating a lot of food during chemotherapy. He is saying that I should not have eaten outside food at all. He is saying that he gave me enough nutrients in balance format to fight the side affects of chemo so I should not have eaten outside food such as pizzas & KFC at all?

My Onco told me that it would be wise to eat as much food as possible during chemo to keep my immune system well and to avert the bad side affects of chemo such as weakness, fatigue, body aches, neuropathy etc. She told me that when I will shift to Taxol, I can start exercise as it would be comparatively easier compared to AC Dens. She was right because my body took Taxol very easily and since I had energy due to excess food intake during AC Dens time, I was able to start my exercise

My Onco kept telling me that LFTs usually go bad during chemo so I should not worry too much about them but she never advised LIPID to be done. Now that it has been performed after 15 days of my last (8th) cycle, the results are disturbing along with high uric acid and fasting sugar.

Please kindly answer to my 5 questions in previous email and sorry for providng you with so much detail but my intent is to help you understand my situation and recent history to give your answers / analysis

Thanks