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My husband has Hodgkins Lymphoma and had his first ABVD chemo last Thursday. He is taking Prochlorperazine 5mg for nausea but as of today he is still nauseaus. How long does nausea last after a treatment and should the Prochloreperazine be working?

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Hi, I found this site while

Hi, I found this site while trying to research Hodgkins because a young classmate of mine was diagnosed last year...she has been undergoing chemo since December '09, and as far as I can tell, she stays very nauseated for about two weeks after treatment. I don't know what drugs she's being given, but I think they all have similar side effects. As far as the Prochloreperazine, if it's not working for him, as your doctor for something else. He may give your husband a different drug altogether, or adjust his dosage. Everyone responds to medication differently. Hope that helps.

They did change his nausea

They did change his nausea medication yesterday but he is still nauseaus. He has chemo every two weeks which will not give him any relief time if nausea lasts two weeks such as your friend. How often does she have chemo, every two or three weeks? Thank you for responding.

My son went through chemo

My son went through chemo last year for Hodgkins. They gave him Emend for nausea, and he was never nauseated. It's a little pricey, but well worth it. Good luck.

My husband took the Emend for

My husband took the Emend for 3 days following chemo but they don't prescribe it for him daily. It costs $460 for 4 pills very pricy but did seem to work on him. Thank you. How is your son doing now and how long were his treatments?

Hi Terrie, That's the way

Hi Terrie, That's the way Jonathan took them too, the day of and two days after chemotherapy. I guess he was lucky, felt tired and slept alot those days, but didn't feel nauseated. I guess that's youth was on his side(22 at the time). He was diagnosed around Christmas of 08, had chemo every other Monday for 12 treatments and then radiation for 14? days. He's had two clear cats, gets a pet scan this week and if it is clear he can get his port out. He also graduates from FSU this May. He had to take that semester off but actually took 3 hours in an online class. I would just suggest a good diet and exercise. Jonathan moved back home with me during that time, we saw lots of movies, he joined my gym. Despite the diagnosis, I actually enjoyed having him home for that time. Hope your husband is feeling better. Keep in touch,Vicki

My son had his first chemo

My son had his first chemo thurs.(22) yrs. old. He also took Emend and never got sick. He went into the Drs office the day after chemo to be hooked up to an IV and given fluids to keephim hydrated. Exactly where can Hodgkins patients go and how careful do .you have to be.

Hi Vicki - I'm very glad to

Hi Vicki - I'm very glad to hear your son is doing well and graduates this May. 22 is so young to have to deal with cancer but it is not selective of age as I know of young children suffering from cancer. I pray your son remains clean. My husband is scheduled for chemo today but has decided to check into alternative. I'm sure we will be going into oncologist office today so they can talk us out of it.

I agree, I would also

I agree, I would also recommend Terrie this HCG diet Seattle, I've heard about many people who have gotten good results from it. I think in this situation, everything is important, and should all be tried. Don't be lost! God is up there and he will receive us, don't be afraid of death, embrace it. Even if we are going to die in this very second or 10-20 years away, we must have God in our heart, I think this is a very important step in the treatment. I would also recommend praying.. Think about it.

Hello Terri, Oct 07 I was

Hello Terri,
Oct 07 I was diagnosed with Hodgkins. I had a 5 inch mass in my chest, a lymph node in my neck and stomach that showed cancer. I did ABVD for 6 months and radiation for 5 weeks. I delt with nausea almost the whole time and nothing they gave me helped. After all my treatments I went to a natural doctor and I began to cleanse and detox. I was feeling great! In spring of 09 they saw spots on a CT scan. After a few months I had a very invasive biopsy and it confirmed it was back. This Jan I had a stem cell transplant. I was in the hospital for 3 weeks. Before my treatments I told my new dr. that I get sooo sick. I said I felt like throwing up just walking in the hospital. He said you need Adavan(Add-a-van)I'm not sure if that is the correct spelling, but I spelled it just as it sounds. It was the miracle I needed. I didn't get sick at all!! By the grace of God I didn't get one side effect and it went well!! I am in remission and will get routine CT scans. I felt compelled to write and give you this info. Adavan is also an anti-anxiety medicine. My neice who is 21 years old was just diagnosed with Hodgkins. She just had her second treatment and didn't get sick. Must be the age!!
I hope this info helps.
God Bless
Pam

Hi Pam - I am glad to hear

Hi Pam - I am glad to hear you are in remission and pray it will not ever rear it's ugly head again. I know about Adavan, my husband took it at one time when he had a seizure from a diabetic episode. He was taking it for a while back then but it was not given to him for nausea. We both believe that he would have been able to tolerate the ABVD chemo if his diabetes were not a factor. The nausea meds they gave him shot his sugar levels sky high so he was sick from both chemo and diabetes. He is currently trying an alternative remedy. We started it last Monday 4/5 and found it in the Cancer-Free book by Bill Henderson. We are staying hopeful that this will work; however, if it does not, we know that chemo is around the corner and will keep Adavan in mind if needed. Also, at what point do they perform a stem cell transplant and what is the reasoning for it?

The doctors had always told

The doctors had always told me that if it returns the next step is stem cell transplant. I was my own donor. It really was a simple process. It sounds major, but in reality it's pretty amazing. I had two rounds of higher dose chemo and then after that they watched and waited for the right day to harvest my cells. The first try they got 6 million. They stored them frozen until after my one final much higher dose chemo, and then they put them back in. So they pretty much killed everything. They couldn't have given me that high dose of chemo if they didn't take out some of my stem cells. The hope is that my good cells will grow back faster and stronger and be able to overcome any cancer cells that might be remaining. I have done a lot of research into the natural world and have heard many successful stories. So, be encouraged!! Even if going the alternative way only helps the diabetes you have won. Because then your husbands body will be much stronger to fight off anything else. Of course my prayer is that it takes away any bad cells! After my first bought with cancer I went on a sugar free, white flour, meat, dairy-free diet. Ate lot's of raw veggies, brown rice, salads, sweet potatoes etc. I felt so good! I really need to start eating more healthy. Blessings to you!

Stem cell does sound very

Stem cell does sound very serious and dangerous but I must be thinking of bone marrow transplant. So when they give you the high dose chemo, they are killing your cancer cells and harvesting them out, and replacing them with good cells?

I think stem cell and bone

I think stem cell and bone marrow transplant are similiar. They usually don't do bone marrow if they don't have to. It's very painful getting it from your hip bone. I was hooked up to a machine which took my blood and pulled out my stem cells and put the blood right back into me. Didn't feel anything. They then froze my stem cells. After a high dose of chemo ,which killed cancer cells and a lot of good cells, they put my healthy stem cells that were frozen back into me so my body could start rebuilding new and healthy cells. I was very fortunate in the fact that I didn't get any side effects. Perhaps not everyone has that outcome. They do several tests to make sure you are healthy enough to have it done. I have heard several stories of others having it done and are still in remission years later.

Well I hope we don't have to

Well I hope we don't have to go down that road and am glad you are in remission. It is scary that we are living with the cancer with no medical treatments other than diet and supplements. We tend to forget that he has cancer although it's in the back of our minds. But we go about our daily routine and eat vegetarian, healthy and he takes the supplements and cottage cheese and flax seed oil every day, just like the Cancer Free book by Bill Henderson says to do. Then we'll get tested to see if it made any progress. Someone mentioned on this website about apricot seeds and I've been curious about those, how they work and if they tried it.

My daughter has Hodgkins

My daughter has Hodgkins Lymphoma and had ABVD every two weeks from April till October. She took Emend and never got sick. 24 hours after chemo she had a shot for her white blood cells. (can't think of the name) She had a clear pet scan in August. We just had her 6 month scan and it has returned. We will hear Thursday what is next. She is 32 years old.

Sherron - I am so sorry to

Sherron - I am so sorry to hear your daughter's Lymphoma has returned. What stage was she when diagnosed and what treatmet are they giving her? Did they tell her at first diagnosis and this one that it was 98% curable? They told my husband that. He is seeking alternative medicine for treatment. I'm more the traditional medicine type but will support him on this to try and if it fails, revert back to chemo. Prayers go out to you and your daughter.

She was stage 4 when

She was stage 4 when diagnosed. My brother had this at age 32 but was stage 1B. My daughter had no symptoms until a lump appeared on her neck. They tell me my brother and daughter cancers are not related!! Yeah right!!
Thursday we go for them to tell us what is next and where it has come back. Thank you for your prayers. By the way, my brother is now 57 so keep the faith!!

Praying for you, your

Praying for you, your daughter and your brother. I think cancer and other diseases are heredity so your brothers and daughter's cancer could be in the genes. My dad died at age 41 of heart attack and he had a son from his first marriage that we met at his funeral when he was in his thirties. He died at age 41 also of heart attach so things do run in families. God bless your daughter and good luck Thursday.

Terrie, be careful. Hodgkins

Terrie, be careful. Hodgkins is the most curable lymphoma by traditional methods. Is your husband looking into alternatives because of the nausea?
Sherron, so sorry to hear of the reocurrance in your daughter. I will keep her and your family in my prayers.Cancer Center of America states on their website that sibilings may be at an increased risk to develop cancer, yet American Cancer Society states it as only a 5% risk. Hard to know what to believe.

He is looking for alternative

He is looking for alternative because he has type 1 diabetes and he was sick 9 days out of the 14 before his next round of chemo. I want him to do chemo but he wants to try this. If it doesn't work at end of April when the alternative program ends, he will have to do chemo. I hope he proves us wrong and is cancer free or the tumor reduced in size when he's done with alternative.

Did he take Emend? That sure

Did he take Emend? That sure helped my daughter. And that you for all of the thoughts and prayers. Tomorrow we should find out what is next....

Hi Sherron - yes he did take

Hi Sherron - yes he did take Emend for 3 days after chemo and it helped. They are very expensive, about $116 a pill. Good luck today with your daughter. My husband has decided to not do chemo for now and is going to go to Arizona and try an alternative method. If it does not work after the 4-6 week program, he has agreed he will go back to chemo. I pray it works for him.

Hi Terrie05, I am sorry to

Hi Terrie05,
I am sorry to hear about your husband. My husband was also diagnosed with hodgkins last june and underwent chemo/radiation and his last pet scan showed other elarged lymphnodes that were not present in the initial pet scan. The doctors are leading towards stem cell transplant. My husband is looking at the possiblity of alternative medicine/treatments. Do you mind if I ask you what his alternative program entails?

I hope that it works for him.

I hope that it works for him. You never know. And thank you for the thoughts on my daughter. I think we will know more tonight...atleast I am hoping.

Sherron - how was last

Sherron - how was last Thursday for your daughter? I'm praying you got good news. My husband is looking at three different alternative treatments for his Hodgkins. He will be deciding on which one this week.

She goes for a bone marrow

She goes for a bone marrow test on Thursday. That way they will know if it has returned for sure and whether they could use her own bone marrow for a transplant. If it doesn't show up in her bone marrow then they will do a test where they put her out and go down the throat for a ct guided biopsy. It is showing active on a pet scan in a place in her chest and one lymph node close to the hip. I guess this place in the chest is someplace that Hodgkin's is known to come back....so we are still in the waiting game. Then they will try ICE chemo and see if that gets results if it is back and then a bone marrow transplant of some sort.if they think it would help her..I just am praying and hoping for the best. Let me know what your husband decides.

Hi Sherron - what is ICE

Hi Sherron - what is ICE chemo? How did you daughter find this or was it due to going back for scans? I was not aware that Hodgkins has a favorite place in the chest to rear it's ugly head again. If you don't mind me asking, what city/state are you in and what oncologist team does your daughter have? I am in Fairfield, OH, 30 min from Cincinnati. My husband is looking into the different alternative treatments and seeing how much cost is and if insurance will pay any of it before he decided. He is starting to change his diet to no meat, sugar, processed foods and eating vegetarian.

Hi Sherron, My husband is

Hi Sherron,

My husband is also 32 years old, was diagnosed with hodgkins june 09, started ABDV in July every two weeks untill october then started low dose radiation (20 treatments). He had hs first pet scan in september 2009 as a baseline and had his 2nd pet scan march 23, 2010 showing other lymphnodes enlarged in the chest. The original lymphondes effected were in the neck and throat region. We are awaiting a referral to another doctor as stem cell transplant seems to be next course of action recommended. He is scheduled for a bone marrow test on monday and some blood work. Have you been told that the bone marrow transplant is her only option? Have you looked into the effectivness of alternative medicine instead of traditional?

We really have not looked

We really have not looked into the effectiveness of alternative medicine. What stage is your husband in? My daughter orginally had it in the neck (the first sign we had was that a lump came up on her neck). She had no other signs. No night sweats, no itching. No weight loss. And she was stage 4. In her bone marrow, neck area, and pretty much a little everywhere. She started chemo last April. Had a clear pet in August. Ended chemo in October. They decided not to do radiation because of the clear pet and no one place to do it since she had it about everywhere. Can you tell me where it is showing in his chest. Did they test his bone marrow before? Are they going to test the nodes in the chest? Or are they doing like for my daughter...seeing if it is in the bone marrow will give them the answers they need of whether it has come back or not and whether they can use their own marrow for a transplant. If it does not show up in the marrow the next test is testing the one in her chest....and then I believe if that shows that it is back they will test the one in her chest. Then the doctor mentioned ICE chemo...and then we will see...how long did they tell you for the results of the bone marrow to come back? This two weeks of waiting is awful!!

he had his pet scan on

he had his pet scan on tuesday march 23rd and we found out about the hot spots on friday. They are located in his chest in between his lungs. His original effected nodes where in his neck and throat area. At this point I think they are still classifiying him at stage 2. He has a bone marrow test scheduled for tomorrow. The first one that he had, he got the results back in 5 days. The one thing that I have learned from this process is BE PERSISTENT! call and follow up, we are in Canada but the procedure shouldn't be that different. From this point on they are wanting to complete the bone marrow test, blood tests, a referral to another doctor that specializes in stem cell transplants. I am not a really sure what we are going to do going forward as we would really like to find out what other options there are as the stem cell transplant sounds really invasive. He is really looking into alternative medicine right now...he has been doing alot of resarch on the Apricot seed (there seems to be alot of benefits to fighting cancer). At this pooint I think we need to definitively determine staging and how fast it is growing and I think he is going to request another pet scan in a few weeks, possibly a another biopsy on the effected nodes.
Do you know why your doctor is remcommending bone marrow transplant instead of stem cell transplant?

Hi, I am sorry I meant stem

Hi,
I am sorry I meant stem cell. I have heard of the asperagus twice a day but not the apricot seed.
I don't know why it is taking so long for this test. But we go on Thursday. How is your husband feeling? My daughter feels great and her blood work is good....praying we get good news on Thursday...

Yeah, my husband has not been

Yeah, my husband has not been sick either. He actually had been feeling and looking really good. That is what makes this so diffcult to comprehend. I hope you have good news for your daughters blood work as well.

Hi, Sorry it has taken me so

Hi,
Sorry it has taken me so long to answer. We live about 20 minutes from Orlando, FL. but she is going to Shands hospital at the University of Florida. She also has a oncologist in our town. How is your husband doing? ICE is a form of chemo that is mostly used on Non-hodgkins patients (from what I understand)....??? We get the results of her bone marrow on April 1....two weeks of waiting...it has been awful.

Hi Sherron and Jazz, I've

Hi Sherron and Jazz,

I've been following up with both of your comments and test results of Sherron's daughter and Jazz's husband. I am reading Cancer Free - Your Guide to Gentle, Non-Toxic Healing by Bill Henderson. There are so many different alternatives in this book and websites that support them. We have chosen the 6 step Summary of Self Treatment option. It consists of green barley, 500mg 3-D Beta Glucan, organic cottage cheese and flaxseed oil smoothies, Heart Plus and Green Tea Extract, Daily Advantage vitamin and mineral supplement along with a vegan diet. I have sent away for all the supplements through websites in the book and we should be receiving them this week. Until then we have cut out meat and most processed foods. We plan on trying this treatment for 6-8 weeks and then testing to see if it has minimized the cancer, or if a miracle happens, the cancer is gone. If this does not work, then we will go back to chemo but after reading so many stories of how chemo ravages the body both during and after chemo, we are reluctant to go this route. I have not heard of the apricot seed but would be interested and I've heard about asparagus being a wonder food. I will keep you and your daughter/husband in my prayers and hope they will become cancer free.

Hi Terrie05, It would be very

Hi Terrie05,

It would be very interesting to see what the results are after your treatment option that you are choosing. I hope the results are in your favour.
The apricot seed is actually in a mix of other stuff to create a vitamine b12 mixture which is comprised of Bee Pollen, royal jelly, buckwheat honey natural spring water and apricot kernels. These ingredients are to be blended, and placed in a dark jar in the fridge for 1 week then taken with breakfast. A friends mother was diagnosed with breast cancer and she did the conventional treatments of chemo etc, and was cured of that, then diagnosed with lyphoma and used this mixture and cured her lymphoma with this, but later passed away with skin cancer. My husband is planning on trying this for a few weeks and then requesting another pet scan to see what happens. If you google information on the apricot seed it seems to be linked to different information on curing cancer. I beleive that it has to be the bitter apricot seeds. I hope that your mixture will work for you. My thoughs will be with you and your husband.

We are waiting for one more

We are waiting for one more supplement to arrive and then we will have the complete system recommended in the Cancer Cure book. We plan to start it right away once it arrives. In the meantime he has switched to a vegetarian diet and cut out processed foods, sugar, milk, meat. He is also taking food grade hydrogen peroxide twice daily. A friend of ours told us his mother had breast cancer and did the normal chemo routine of treatment. It came back and she was on chemo again till it almost killed her. She could not function and they took her off chemo and he read about oxygen killing cancer cells by taking it internally (food grade only and diluted) and installing an ozonater in their hot tub and getting in twice a day for the oxygento absorb into your skin. He swears by it. So we will give that a try too. I hope to give a good report in 6 weeks.

Hi, Just got my daughter's

Hi,
Just got my daughter's test results from the bone marrow and it is clear...4 different tests and all were clear...YEAH! As of this moment they are going to do another c scan on May 8 ....and see what the place in her chest is doing...
Jazz....question?? Did they test the place in your husband's chest???

My daughter was diagnosed in

My daughter was diagnosed in July 08 she was 19 stage 2. She has been cancer free for 1 year now. She also took emind, was a wonder drug for her. She was a trooper. It kills you as a parent to watch your child go through that. You now watch for any change or bump she just found a bump on the back of her neck immediately the next day the Dr ordered a CT and we got the results the same day showed nothing. But you still worry. Hearing you all talk about waiting weeks I feel for you. I don't know if its her age but her doctors and surgeon have always expedited everything. I feel very blessed to have the doctors that she has. Work also do a lot of praying. You will be in my prayers

Hi everyone, I have Hodkins

Hi everyone, I have Hodkins lymphoma nodular sclerosing, I do the ABVD and have done ICE treatment too. The ABVD is a much easier regimen than ICE so if you consider or if they have to have it changed to ICE becareful because it was harder for my body to handle. The ABVD is nice because you dont have to be admitted though it does make you very sick afterwards, the Emend is awesome!! The thing I hate the most is everything even my coffee tastes like a chemical for about 5 days after. You also get very puffy after chemo, especially me in my face :( By the way I'm 29, it seems this ugly disease likes to rear its head for middle aged adults. I'm hoping the best for all you all and if ya have any questions I can help ya with please ask, other than that keep praying, All things are possible through God!

Hi Tracie 1981 Can you tell

Hi Tracie 1981
Can you tell me what stage you where or are in? My daughter never got sick on ABVD...she did get the round face, etc...but they were giving her steroids at the same time and I thought the round face was from that. she did have emend...it is a wonderful thing. I don't know if you read earlier when I wrote that my daughter was stage 4. Had 6 months of abvd,,,clear pet in August..then in Feb had two hot spots...we just got her bone marrow test back and it is clear...now they are going to wait a month to do another ct scan...and see what the two places are doing...Ice is what they said they might do next...are you on treatments?

Yea I'm in treatments now,

Yea I'm in treatments now, Ihave stage IIb Hodkins lymphoma Nodular Sclerosing, I have a 8 inch by about 6 inch tumor mediastinal, which is partially behind my heart. The ICE treatment made me sick for about a week and half afterward also I noticed the hair all came out with ICE, but now with the ABVD I'm starting to grow stubles and my eyebrows back. I have to do chemo every 2 weeks and I'm very exhausted the fatigue is the worse, I barely get out of bed and I'm tired already. It usually takes me a week to get any energy back after treatment. Also I dont have any feeling left in my fingertips and they are discolored. Is your daughter wearing a wig yet? If so they offer free ones through American Cancer Society all you have to do is call. I've bought about 4 out of pocket but they are so expensive.

My daughter had a little bit

My daughter had a little bit of hair let after the ABVD. A little fuzz...She did not lose the feeling in her fingertips not did they discolor. That must be from the ICE?? She did get a wig from the Cancer Society..doesn't wear on very often..although her 5 year old ...when they were going somewhere after the ABVD...told her Mom she needed to go put her wig on!!! She finished her ABVD in October....and her hair is about 3 inches long now. How long did you do ICE?
My daughter first had a lump on her neck come up. She was already stage 4...in her lymphs about and below the diaphram...in her bone marrow...but she has never lost weight, had night sweats or itching. She had a clear pet in August. Then two hot spots showed up in Feb. One in her medastinal. 1 x 5cm. and one smaller in the pelvis. We are so grateful that it is not back in her bone marrow....not sure what is coming next...but we will celebrate this Easter Day!! My brother also had hodgkin's when he was 32...he is now 57...he had a very large tumor wrapped around his aorta. So keep the faith!!

next time I will check my

next time I will check my spelling...especially since my granddaughter (5) was helping me!!

Prochloreperazine is the

Prochloreperazine is the generic for Compazine. I was never able to take it b/c I found out long ago that I was allergic to it when it was prescribed for nausea associated with a stomach flu I contracted. During my ABVD chemo treatment course, I was given Zofran as well as a steroid, Dexamethasone. They tried me on Zofran (which is AMAZING, btw) and Reglan to start, however, I found that I had the same psychotic reaction to Reglan that I did with Compazine. I have heard about Emend and hear it is the latest and greatest, however, I've never tried it.

I had next to NO NAUSEA at all during my treatment. I always stayed hydrated and used sports drinks such as Zero (since I don't eat or drink sugar). I always kept a little something in my stomach to keep it constant AND I took Vitamin B6, which is being investigated as to whether that was the golden key that prevented me from long term peripheral neuropathy towards the completion of my treatment.

Kat

I am suffering from large b

I am suffering from large b cell lymphoma... I HIGHLY recommend emend ... It is very expensive and some insurance will not pay for it. Some pharmacies even have to order it because they do not keep it on hand.

My husband did take the Emend

My husband did take the Emend for the first 3 days following chemo and it did work along with the steroids. By the 4th day he was prescribed the Compazine and it made his sugar skyrocket. He is type 1 diabetic. We are currently trying alternative to see if that will be a better treatment regimen than chemo. How are you doing with your treatment and what chemo drugs do they have you on?

I just finished 6 rounds of

I just finished 6 rounds of chemo that included an antibody. I was diagnosed with stage 1 lymphoma in November. I Just got first clean PET scan 3 days ago.
towards the last of the six treatments just the thought of the next treatment made me experience nausea. Zofran and Phenergan kept nausea at bay but Emend eliminated nausea all together.

To jgr_fan - my husband is

To jgr_fan - my husband is Stage II and was to have 4 to 5 treatments of ABVD chemo along with Rituxin. I am surprised with Stage I that you would have to have that amount but that's great news that your scans are clean. It appears that it worked then. My husband was skeptical that he would have been done with chemo in 4-5 treatments. We are still doing the alternative self treatment and plan to get scanned first of June and then assess what we need to do, whether we continue alternative or go back to chemo.

My Grand Daughter was

My Grand Daughter was diagnosed with Hodking Nodular Lymphoma in Gebruary. She is 22 yrs old. She is a part time College student and works full time at as a hostes at a Restaurant. She is on ABVD Chemo treatment and takes compazine for nausea. She just had her 3rd chemo treatment last Friday April 30. She has been doing pretty good no nausea or fatigue after chemo we are hoping it will continue with the grace of God. My concern is she went back to work last week in order to keep her insurance she is only working 2 days a week she gets 3 shots of Neupogen after her chemo treatment this is suppose to keep her white blood cell count up is any one familiar with this drug? I will appreciate your reply.

To Sholliman: I am sorry to

To Sholliman: I am sorry to hear that your granddaughter at the age of 22 was diagnosed with this. My husband has the same type, Hodgkins Nodular Lymphoma. They removed one cyst and he has another one deeply imbedded in abdomen area. He had one round of ABVD chemo and they gave him the Neupogen shot aftr to raise the white blood cell count. This is typical treatment after a high dose chemo because it kills the bad cancer cells along with healthy cells and this shot helps to produce more of the good cells and boosts your immunity.

 
 

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