Health Problems

Izo

Tranny Chaser
23,077
36,307
They do adapt and some of the tumor cells escape the neo-antigens, of course. The therapies still show better results than other therapies though, don't they?
I'm no oncologist. I guess it adds a few years. Just saying it's no permament cure.
 

Gurgeh

Golden Baronet of the Realm
5,237
14,392
Also a lot, maybe even most, are lifestyle related. Resetting the cancer and changing lifestyle could be a permanent cure.
 

Izo

Tranny Chaser
23,077
36,307
It’s probably like smoking, rule of thumb. Decline rate in lung function trends like your non-smoking peers when you are equally many smoking years smoke free, but the smoking induced loss is not recovered. Replace smoking with cancer + CAR. I pulled that last part out of my ass for your pleasure.
 

sleevedraw

Revolver Ocelot
<Bronze Donator>
2,385
6,995
The exciting thing about CAR-T is that it (academically, at least) enables what needs to happen for cancer to be cured - i.e., a 100% kill rate where treatment (whether that's surgery or chemo) mops up 99.99% of the cancer, and the immune system is responsible for mopping up the last .01% on its own.

Highly anaplastic cancer cells often have ways of being able to evade detection. One of the big ways is via downregulation of MHC-1 (basically a fingerprint receptor that the immune system can use to determine if a cell is acting normally). CAR-T cells can still glom on thanks to their engineered receptor, even if the cancer cells downregulate MHC. This works really well for blood cancers because they are all clonal - a plasma cell in the marrow becomes abnormal and churns out a bunch of cells that all have the same genetic makeup. So if that cancer's main immune escape mechanism is MHC-1 downregulation, it has no effect on the CAR-T cells. Solid tumors are a harder target because the cells often have different mutations in different cells despite coming from one contiguous area.

The two main limitations of CAR are currently:
1) The chance that the CAR cells themselves may become cancerous (although that risk appears to be low...thus far)
2) That they won't persist long enough in the body to complete the 100% killing blow - the current focus is trying to find ways to make them more persistent
 
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Kajiimagi

<Aristocrat╭ರ_•́>
4,967
9,179
The exciting thing about CAR-T is that it (academically, at least) enables what needs to happen for cancer to be cured - i.e., a 100% kill rate where treatment (whether that's surgery or chemo) mops up 99.99% of the cancer, and the immune system is responsible for mopping up the last .01% on its own.

Highly anaplastic cancer cells often have ways of being able to evade detection. One of the big ways is via downregulation of MHC-1 (basically a fingerprint receptor that the immune system can use to determine if a cell is acting normally). CAR-T cells can still glom on thanks to their engineered receptor, even if the cancer cells downregulate MHC. This works really well for blood cancers because they are all clonal - a plasma cell in the marrow becomes abnormal and churns out a bunch of cells that all have the same genetic makeup. So if that cancer's main immune escape mechanism is MHC-1 downregulation, it has no effect on the CAR-T cells. Solid tumors are a harder target because the cells often have different mutations in different cells despite coming from one contiguous area.

The two main limitations of CAR are currently:
1) The chance that the CAR cells themselves may become cancerous (although that risk appears to be low...thus far)
2) That they won't persist long enough in the body to complete the 100% killing blow - the current focus is trying to find ways to make them more persistent
I really hope not to face something like that again as my screenings have been all clear. One good thing was my new Chemo Oncologist said that if it should come back they have ways to attack it that do not require surgery.
 

Noodleface

A Mod Real Quick
39,530
18,112
Mounjaro increased to 5mg and off all pills except metformin which I'm happy with. Gonna see if I can really lower my a1c now.
 
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Izo

Tranny Chaser
23,077
36,307
Mounjaro increased to 5mg and off all pills except metformin which I'm happy with. Gonna see if I can really lower my a1c now.
1774441655023.jpeg

Grats, dude. Here's the last piece of the puzzle. It's what you (don't) put in your mouth that does it.
 

Noodleface

A Mod Real Quick
39,530
18,112
View attachment 622481
Grats, dude. Here's the last piece of the puzzle. It's what you (don't) put in your mouth that does it.
Oh yeah. Thankfully mounjaro is doing a lot of work there. I just am not interested in bad food most of the times now. And when I am, I can't eat very much of it.

Also I fully realize I got myself here. I am very thankful for this medication though. For the first time since being diagnosed I feel my health improving for the better.
 
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TheNozz

Bronze Baron of the Realm
9,567
49,167
Started wearing Take home heart monitor yesterday, it comes off the 17th

I’m hoping for no AFIB episodes during this time period

with luck I can go off blood thinners, which is great since I think there messing with my stomach
In the whole time I was wearing the monitor, I felt the need to press the "record event" button once.

Got my results back last Friday and spoke to the medical staff today.

Everything looks great for now, there were no AFIB incidents present at all, not even when I thought I had something wrong and pressed the button.

I can also stop taking Pradaxa, a fairly strong blood thinner (that as I mentioned I thought is fucking with my stomach), for now. It's possible that they may ask me to take a baby aspirin once a day, but won't know for sure until sometime later this week.

So, nearly four months out after the procedure, it looks like I'm tentatively cured, but it will take all the way to 12/3/26 for cardiology to make their final determination and then discharge me.



If anyone else ever gets diagnosed with AFIB (Atrial Fibrillation), feel free to tag me for my input/advice.
 
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Loser Nirgon

cuckservative censorship is real
19,155
30,747
I find myself needing the snooze button 3+ times after decades of big dawging. I was never a morning person but holy fuck. Anyone else?
 

Kajiimagi

<Aristocrat╭ರ_•́>
4,967
9,179
I find myself needing the snooze button 3+ times after decades of big dawging. I was never a morning person but holy fuck. Anyone else?
Bro before my surprise tumor made itself known the minute an alarm went off I was awake 100%. Now ..........hell I'm not sure I'm awake this minute. I am also on a hell of a lot of meds for it.
 
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TheNozz

Bronze Baron of the Realm
9,567
49,167
In the whole time I was wearing the monitor, I felt the need to press the "record event" button once.

Got my results back last Friday and spoke to the medical staff today.

Everything looks great for now, there were no AFIB incidents present at all, not even when I thought I had something wrong and pressed the button.

I can also stop taking Pradaxa, a fairly strong blood thinner (that as I mentioned I thought is fucking with my stomach), for now. It's possible that they may ask me to take a baby aspirin once a day, but won't know for sure until sometime later this week.

So, nearly four months out after the procedure, it looks like I'm tentatively cured, but it will take all the way to 12/3/26 for cardiology to make their final determination and then discharge me.



If anyone else ever gets diagnosed with AFIB (Atrial Fibrillation), feel free to tag me for my input/advice.

Doctor got back to me, no blood thinners needed at all, not even baby aspirin.

I can finally start kicking my weight loss efforts into overdrive, I'm down 10 pounds since Jan 13. Gonna try to shoot for 225 or lower by the end of April
 
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Pasteton

Vyemm Raider
3,209
2,429
Starting oral semaglutide soon, plan is to wean myself by end of year. Anyone else manage to get off this stuff while not going back to fatass?
 

Noodleface

A Mod Real Quick
39,530
18,112
Starting oral semaglutide soon, plan is to wean myself by end of year. Anyone else manage to get off this stuff while not going back to fatass?
Have you taken it before?

I've read some people have weened off but in my experience it is extremely difficult. You just feel completely different on it.