Had the monthly chat with Dr.Ch today and the main topic was the tiredness / exhaustion / loss of stamina / daytime sleepiness / whatever that has got slightly but definitely worse over the last few months. Lenalidomide is the obvious prime suspect, and the plan is to come off both that and dex for the next two weeks (I'm already at the end of one regular week off the Len) and see how things go. Depending on the outcome, we might go back to Len at a lower dose than the current 25mg.
I am slightly nervous about this because I don't want to see those paraproteins start coming back again. But it's only two weeks and reducing the fatigue would make quite a difference to my quality of life. So we'll give it a try.
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