Hello, I know no one can diagnose/is an expert, etc. I've been googling and the algorithm sends me the wrong stuff, thought I might ask here:

My friend has PC adenocarcinoma. Did 2 months of chemo (4 treatments) and before they started chemo their enzymes were way off, PERT helped for a bit.

So they've been off chemo for 6 weeks now, surgery will be soon. But two weeks ago they started having stomach issues, and lately they had to take their enzymes again and it helps some.

My question: is the enzyme problem maybe a long term effect of chemo withdrawal, maybe? Or might it mean that the tumor is getting worse after the 4 weeks it takes your immune system to recover?

I'm trying not to be paranoid, Google is no help, I even called the PCAN helpline and they said "It's probably not an issue" but I'm scared that the same symptoms they had pre-chemo now seem to maybe be coming back.

Also they've been completely exhausted the last 2 weeks.

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Thanks in advance