I read your well-considered piece on exercise and chemotherapy, and must say that while I didn't approach the subject from an empirical perspective, it did occur to me while I went through chemo that physical conditioning could make a marked impact on tolerance levels.
Several times during chemo, I resolved to "push through" my discomfort and be active. Though I was able to do so in the moment, in the aftermath I felt pretty beaten up. That said, in the time between treatments (one every three weeks), once the side effects went away I felt very well, with great energy.
Many, including my doctor, were amazed at how well I tolerated chemo; I'm now about six weeks past my last treatment and sailing along at a good clip, resuming life and getting a lot done.
I'm blessed with a strong body based on years of road biking and stringent exercise, so it was the sheer fact that I brought to the chemo table an able body and a chipper spirit that I've done as well as I have. Certainly, preparing for chemo through physical conditioning could do much to reduce fatigue and other issues.
My most daunting moments were when my typically fit legs could barely carry me up one step, which I attributed to the assault by chemo on my white count. I don't know if conditioning can do anything about that.
I appreciate your studying and addressing this subject. I think it is important. My cousin is a medical oncologist; I'll discuss it with her, and with my own oncologist as well.
Best wishes to you!
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January 2014