Longest Liver Cancer Survivor?

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RE: Longest Liver Cancer Survivor?

by Irisv on Wed May 13, 2009 12:00 AM

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On 3/17/2009 Glenn54 wrote:

I am not the longest living liver cancer survivor yet, but I plan on being! I was diagnosed August 17th, 2008.  I've undergone 8 chemo sessions with Cytoplatin, F2BU, and Avastin. I had two chemoembolization procedures, and after 6-1/2 months of treatment, I went back to work. I was within two weeks of liver failure when I received the first chemo on Sept 9th, biliorubin score of 16.6 - normal is 0 -1.0. I have faith that God will heal me, and many people praying for me. I am interested to know how long others have survived this.

hi glen, I am a survivor of primary liver cancer.  I was diagnosed in Jan 2007 and was able to have a liver resection.  The tumor was about 8 cm and was encapsulated off the left lobe.  I was graded a stage 1 with no spread to nodes or vascular invasion.  I was blessed and felt God's presence.  I had no further treatment except for some alternative stuff and a total dietary change.  The odd thing, I had no risk factors for this damn cancer and was the one to find it.  Go figure.  I am so happy to hear you are doing well and I know God will heal you.  I hope to hear from you.  

 

RE: Longest Liver Cancer Survivor?

by CindiK on Thu Nov 19, 2009 04:47 PM

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I used babelfish to translate this:

My current work consists in the delivery of liquors and of spring water in residence and near companies and my great passion is the music, more precisely the guitar. Moreover, I am guitarist in a group and we occur in spectacle regularly, this is very important in my current life. I am 49 years old and I am in enough good health, father of beautiful big girl a 24 year old and grandfather of a little angel of 3 ½ years. Now I will traverse the points which are essential you more compared to my health and it is besides surely for this reason that you are on this site. Towards the end of the year 2000, my family practitioner, during an examination of routine, detects a mass with the bottom of my abdomen of the right-sided (it tried to make me touch it with my finger but I did not arrive there). It thus made me pass a “battery of test” to conclude from it that it was an edge… colon. Take note that never I had not had any symptom that it is. I was in “signal shape” like one says. September 2001, I undergone an operation which consisted in removing me half of the colon and an end of intestine and at the same time one proceeded to a biopsy of the liver, it seemed to have there ganglia which surrounded the liver. After the analysis of the ganglia (8 metastases), one announces to me that they are malignant. Therefore, one decides to make me begin treatments of chemotherapy in November 2001. These treatments lasted 6 months and in each month I saw a different oncologist. During my chemotherapy, I had to engage an employee to continue my parcel delivery of water and liquors. For the ends of my work, I only drove the truck. It was one very difficult period because of the treatments of chimio, I had ulcers in the mouth, of the tiredness and all the problems connected to these treatments. The biggest problem was that I am an autonomous worker and I did not have the choice to continue to work to be able to pay the current invoices. To return in my 6 months of chimio, I said to you that I saw a different oncologist in every month; which was not my surprise when the 6th oncologist says to me: “why won't you see a specialist for the liver? ” and added that if I had had it like 1st oncologist, it would not have me to advise treatments of chemotherapy. It would have made me pass from radiographies on a regular basis to check the stability of metastases. I was in all my states; 6 months of suffering for nothing…. Ha medicine. Therefore, about the middle of the year 2002, I begin the consultations with a specialist for the liver which makes me pass from radiographies in every 3 months which, possibly, were spaced in the 6 months. Metastases remain stable, moreover currently I always pass from radiographies in nuclear medicine in every 6 months. At the beginning of 2003, I gradually start to feel a light tiredness which is accentuated until bringing January 2006 as problem which I was obliged to extend to me to make a nap in my living room from 30 to 45 minutes with every day, because my “battery was with ground” like one says, even saturdays and Sunday. Even if I did not do almost anything, this tiredness invaded me and that had an major impact on my mood. I did not have any more ambition, I played much less guitar (what is really not normal) and my moral took a hard blow of it. I tried to better feed me, respect the food combinations and to take natural products, etc etc etc, nothing to make. In 2004, while speaking about my problems to one of my customers, he spoke to me about the HMS 90. I thus made research on the Net and that seemed very interesting. During did a few days, I think of this product and I said myself that there were so much products available on the market why this one? Therefore, I do not take action pursuant to it. December 2005, at the time of a party of Christmas, I meet somebody who knows the product and finally I start to use the product in January 2006. At the end of one week, I realized that I did not feel almost any more the need to extend me for a nap; what a was not my surprise! And as I took the product, I felt better and better and my moral went better and better also and now I have projects for the future and I even became distributor of the HMS 90. What a difference this product made in my life! I strongly recommend it to you! My mission is now to make known this product with a greater possible number of people so that they can, them also, to benefit from the benefits of this product. Thank you me to have read and I sincerely wish to meet you soon!

RE: Longest Liver Cancer Survivor?

by CindiK on Thu Nov 19, 2009 04:51 PM

Quote | Reply

On Jul 23, 2008 12:00 AM AnnaBananaTV wrote:

 

On 8/5/2007 JF123 wrote:

Hello, I am a fench person and not so good in english writing. I have liver cancer. And don't have much time to write tonight but read my history it might help you. It's in fench but if you can do like me and try to understand . My story star like this...Bonjour à vous tous,

 

Mon travail actuel consiste dans la livraison de liqueurs et d’eau de source à domicile et auprès de compagnies et  ma grande passion est la musique, plus précisément la guitare.  D’ailleurs, je suis guitariste dans un groupe et nous nous produisons en spectacle régulièrement, ceci est très important dans ma vie actuelle. J’ai 49 ans et je suis en assez bonne santé, père d’une belle grande fille de 24 ans et grand-père d’un petit ange de 3 ½ ans.  Maintenant je vais parcourir les points qui vous importent le plus par rapport à ma santé et c’est d’ailleurs sûrement pour cette raison que vous êtes sur ce site.  Vers la fin de l’an 2000, mon médecin de famille, lors d’un examen de routine, détecte une masse au bas de mon abdomen du côté droit (il tenta de me la faire toucher avec mon doigt mais je n’y arrivais pas).  Il m’a donc fait passer une « batterie de tests » pour en conclure que c’était un can… du côlon.  Prenez note que jamais je n’avais eu aucun symptôme que ce soit.  J’étais en « top shape » comme on dit.  Septembre 2001, je subis

 une opération qui consista à m’enlever la moitié du côlon et un bout d’intestin et en même temps on procèda à une biopsie du foie, il semblait y avoir des ganglions qui entouraient le foie.  Après l’analyse des ganglions (8 métastases), on m’annonce qu’elles sont malignes.  Donc, on décide de me faire commencer des traitements de chimiothérapie en novembre 2001.  Ces traitements ont duré 6 mois et à chaque mois je voyais un oncologue différent.  Pendant ma chimiothérapie, j’ai dû engager un employé pour continuer mon service de livraison d’eau et de liqueurs.  Pour les fins de mon travail, je conduisais le camion seulement.  Ce fut une période très difficile à cause des traitements de chimio, j’ai eu des ulcères dans la bouche, de la fatigue et tous les problèmes reliés à ces traitements.  Le plus gros problème était que je suis un travailleur autonome et je n’avais pas le choix de continuer à travailler pour pouvoir payer les factures courantes.  Pour revenir à mes 6 mois de chimio, je vous disais que je voyais un oncologue différent à tous les mois; quelle ne fut pas ma surprise quand le 6e oncologue me dit : «  pourquoi n’allez-vous pas voir un spécialiste pour le foie? »  et ajouta que si je l’avais eu comme 1er oncologue, il ne m’aurait pas conseiller des traitements de chimiothérapie.  Il m’aurait fait passer des radiographies sur une base régulière pour vérifier la stabilité des métastases.  J’étais dans tous mes états; 6 mois de souffrance pour rien….  Ha la médecine.  Donc, vers le milieu de l’an 2002, je commence les consultations avec un spécialiste pour le foie qui me fait passer des radiographies à tous les 3 mois qui, éventuellement, s’espacèrent aux 6 mois.  Les métastases demeurent stables, d’ailleurs actuellement je passe toujours des radiographies en médecine nucléaire à tous les 6 mois.  Début 2003, je commence graduellement à ressentir une légère fatigue qui s’accentue jusqu’en janvier 2006 amenant comme problème que j’étais obligé de m’étendre pour faire une sieste dans mon salon de 30 à 45 minutes à tous les jours, car ma « batterie était à terre » comme on dit, même le samedi et le dimanche.  Même si je ne faisais presque rien, cette fatigue m’envahissait et ça avait un impact majeur sur mon humeur.  Je n’avais plus d’ambition, je jouais beaucoup moins de guitare (ce qui n’est vraiment pas normal) et mon moral en prenait un dur coup.  J’essayais de mieux m’alimenter, de respecter les combinaisons alimentaires et de prendre des produits naturels, etc. etc. etc., rien à faire.  En 2004, en parlant de mes problèmes à un de mes clients, il me parla du HMS 90.  Je fit donc des recherches sur le net et ça semblait très intéressant.  Pendant quelques jours, j’ai pensé à ce produit et je me suis dit qu’il y avait tellement de produits disponibles sur le marché pourquoi celui-çi?  Donc, je n’y donne pas suite.  Décembre 2005, lors d’un party de Noël, je rencontre quelqu’un qui connaît le produit et finalement je commence à utiliser le produit en janvier 2006.

Au bout d’une semaine, je me suis aperçu que je ne ressentais presque plus le besoin de m’étendre pour une sieste; quelle ne fut pas ma surprise!  Et au fur et à mesure que je prenais le produit, je me sentais de mieux en mieux et mon moral allait de mieux en mieux également et maintenant j’ai des projets pour l’avenir et je suis même devenu distributeur du HMS 90.  Quelle différence ce produit a fait dans ma vie!  Je vous le recommande fortement!  Ma mission est maintenant de faire connaître ce produit à un plus grand nombre de personnes possible afin qu’ils puissent, eux aussi, profiter des bienfaits de ce produit.  Merci de m’avoir lu et je souhaite sincèrement vous rencontrer sous peu!

 

 

 Hope you dind't have to much difficulty ?

JF

JF -

 I'm very curious to know what your post says! But unfortunately I don't speak or read French. :(  Is there anyone that can translate?

Thanks! 

 

Yeah sorry...to clarify... I used Babel fish http://babelfish.yahoo.com/

to translate JF123's original msg which was in french.

It is very inspiring!:

My current work consists in the delivery of liquors and of spring water in residence and near companies and my great passion is the music, more precisely the guitar. Moreover, I am guitarist in a group and we occur in spectacle regularly, this is very important in my current life. I am 49 years old and I am in enough good health, father of beautiful big girl a 24 year old and grandfather of a little angel of 3 ½ years. Now I will traverse the points which are essential you more compared to my health and it is besides surely for this reason that you are on this site. Towards the end of the year 2000, my family practitioner, during an examination of routine, detects a mass with the bottom of my abdomen of the right-sided (it tried to make me touch it with my finger but I did not arrive there). It thus made me pass a “battery of test” to conclude from it that it was an edge… colon. Take note that never I had not had any symptom that it is. I was in “signal shape” like one says. September 2001, I undergone an operation which consisted in removing me half of the colon and an end of intestine and at the same time one proceeded to a biopsy of the liver, it seemed to have there ganglia which surrounded the liver. After the analysis of the ganglia (8 metastases), one announces to me that they are malignant. Therefore, one decides to make me begin treatments of chemotherapy in November 2001. These treatments lasted 6 months and in each month I saw a different oncologist. During my chemotherapy, I had to engage an employee to continue my parcel delivery of water and liquors. For the ends of my work, I only drove the truck. It was one very difficult period because of the treatments of chimio, I had ulcers in the mouth, of the tiredness and all the problems connected to these treatments. The biggest problem was that I am an autonomous worker and I did not have the choice to continue to work to be able to pay the current invoices. To return in my 6 months of chimio, I said to you that I saw a different oncologist in every month; which was not my surprise when the 6th oncologist says to me: “why won't you see a specialist for the liver? ” and added that if I had had it like 1st oncologist, it would not have me to advise treatments of chemotherapy. It would have made me pass from radiographies on a regular basis to check the stability of metastases. I was in all my states; 6 months of suffering for nothing…. Ha medicine. Therefore, about the middle of the year 2002, I begin the consultations with a specialist for the liver which makes me pass from radiographies in every 3 months which, possibly, were spaced in the 6 months. Metastases remain stable, moreover currently I always pass from radiographies in nuclear medicine in every 6 months. At the beginning of 2003, I gradually start to feel a light tiredness which is accentuated until bringing January 2006 as problem which I was obliged to extend to me to make a nap in my living room from 30 to 45 minutes with every day, because my “battery was with ground” like one says, even saturdays and Sunday. Even if I did not do almost anything, this tiredness invaded me and that had an major impact on my mood. I did not have any more ambition, I played much less guitar (what is really not normal) and my moral took a hard blow of it. I tried to better feed me, respect the food combinations and to take natural products, etc etc etc, nothing to make. In 2004, while speaking about my problems to one of my customers, he spoke to me about the HMS 90. I thus made research on the Net and that seemed very interesting. During did a few days, I think of this product and I said myself that there were so much products available on the market why this one? Therefore, I do not take action pursuant to it. December 2005, at the time of a party of Christmas, I meet somebody who knows the product and finally I start to use the product in January 2006. At the end of one week, I realized that I did not feel almost any more the need to extend me for a nap; what a was not my surprise! And as I took the product, I felt better and better and my moral went better and better also and now I have projects for the future and I even became distributor of the HMS 90. What a difference this product made in my life! I strongly recommend it to you! My mission is now to make known this product with a greater possible number of people so that they can, them also, to benefit from the benefits of this product. Thank you me to have read and I sincerely wish to meet you soon!

RE: Longest Liver Cancer Survivor?

by historyltd on Tue Sep 14, 2010 05:52 PM

Quote | Reply

I just came across this post that is three years old.  I have a daughter who has fought HCC for 5 1/2 years, she is now 28.  I will be happy to discuss this more if you wish to reply.  I hope your father has been able to receive treatment.

RE: Longest Liver Cancer Survivor?

by tasos on Fri Sep 24, 2010 08:18 PM

Quote | Reply

I would like to share my experience on the subject

since my father in law had both liver and colon cancer.

The doctors initially removed the colon cancer and then

my father in law went throgh chemotherapy.

Fortunatelly the K-Rass exam was good for him

and the chemotherapy he went through

raduced the size of cancer in his liver from over 10cm

to less than 3 cm and he was able to do surgery.

Following the surgury he went through more chemotherapy.

Two years and two months after the initial

"bad" information, he is now free of cancer

and we hope this will last much much longer.

He is 62 years old. All the time he was very optimistic

that everything will go well. I think this helped him a lot.

I will be happy to answer any questions i have

if i can, and possibly help some more people out there

find the best way towards this difficulty of their lives.

 

 

 

RE: Longest Liver Cancer Survivor?

by sdw227 on Sun Oct 17, 2010 07:44 PM

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This isn't the longest but it is my Mom's story...

She was diagnosed July of 2009.  Her left lobe is a tumor.  She has it in one lymph node and a spot on her lung.  She did chemo from July 2009 through October of 2009.  She quit because it wasn't working.  She refuses any more chemo.  She couldn't tolerate the side effects (basically lying in bed half dead all day.  She couldn't lift her own head or arms.  Got low white blood cell count and needed those shots everyday for five days.  She was in misery).  She has been doing something we call Jungle Juice.  It's from the rainforest of Brazil.  Yeah, I know it sounds hooky but looking death in the face makes you embrase things you would previously laughed at.  It cost her like 4k for a years supply.  It came in plastic water bottles (the 16oz ones).  She puts a specific amount of drops of three different liquids in a shot glass with some water three times a day and drinks.  She has been doing this over a year now.  She also does a chinese mushroom tea three times a day (two packs each dose).  She has only been doing the tea for a month and a half.  We are in California at www.vci.com at the moment so she can use medical marijuana tincture to control nausea and pain. (Mom lives in Virginia.  I moved from south Florida back to VA near my Mom.  My partner has been wonderful through this because he loves my Mom as well.  My Mother decided to go to Valley Cancer Institute and I am with her.  We rent a two bedroom apartment).  She also takes low does naltrexon in the evening before bed (google it...good stuff).  She gets four or five (I forget) alpha lipoic acid IV treatments a week.  She gets two IV vitamin C.  She gets IV glutathione when she gets the alpha lipoic acid.

After Chemo (mid November) we went to Thomas Jefferson University Hospital in Philly and met with Dr Lavu and Dr Malley (spell check).  Dr Malley was previously at John Hopkins.  Two of the nicest most moral gentlemen I have ever met.  They said they might be able to help.  They were going to remove her entire liver.  One doctor would do what they do to her liver to remove the cancer.  The other doctor would rebuild her collapsed arteries (tumor squished em) with cadiver tissue.  Then they would replace her liver and plug everthing back up and sew her up.  They told her she had a 40% chance of surviving the surgery.  50% chance of dying on the hospital table.  OH, her cancer started in the bile duct.  Then is spread to her liver.  BUT, there is no longer cancer in her bile duct (??). 

A week before surgery that scheduled for Dec 7th she had a PET scan to make sure the tumor was still only contained in her left lobe (it had not yet spread to her lymph node and lung.  it just did that two months ago).  The PET scan showed the cancer had spread to her right lobe and the surgery was cancelled.

OH, she is WAY in to food that heal and stuff like that.  Root veggies, grass feed organic beef only (like 3 ounces a week), wild caught fish (again, 3 ounces a week), more veggies.  Steel cut oats for breakfast, two hardboiled eggs first though.

So two and a half months ago we came out to Valley Cancer Institute.  She gets hyperthermia and low dose radiation five days a week (Mon-Fri). They have done some wonderful things for people.  It's a circus but something about the place works.  They rock with breast cancer, pancreatic, and some others.  Never cured a liver cancer though.  Mom is being treated for primary liver cancer.

We get a PET scan the end of this month.  Things just don't seem very positive at the moment thought.  She has SLIGHTLY started to retain fluid.  Her energy is basically gone.  If the PET scan shows the tumor is the same or growing she wants to return home to be with her family (brothers, sisters, neices, nephews, you get the idea.  Lot's of loving people).  If the tumor is shrinking we will stay.  She does not feel her tumor is shrinking.  She said if feels (and appears) large.  Spleen is slightly swollen.  No jaundice.  She has some anomily thing with her draining ducts and has a seperate drain for the bile duct and one for the pancrease when you usualy only have one??  Something like that. She fears we are returning home at the end of this month.

I forgot, she had a biopsy done three and a half months back in Virginia.  There is some kind of sequensing thing done (computer stuff) and they identify mutant cancer genes (sounds like a scary movie title).  They have identified like 700 genes so far.  They started with the most prevelant cancers so none have been done specifically on liver cancer (until now that is).  If one of these mutant genes are found there is a pill you take and it has an 85% success rate.  The sequencing is done by a German pharmaceutical company.  We should know something in three weeks or so.  They have no idea if anything will be found because they have, once again, never done liver cancer.  And it cost 25k to take this gamble of finding mutant cancer genes.

Oh, she went to the Budwig clinic in Spain begining of this year.  She had been on the Budwig protical for around five months.  The clinic is a farce.  Waste of money.  And that cost 8k just for the clinic (two weeks, she left after one week).  It was outright criminal, but that is another story.

And of course being in California isn't cheap.  We have to rent an apartment.  I can't even work part time because we are at the clinic everyday for treatment or doing all the IV stuff at home, and honestly I don't feel comfortable leaving her alone.  I obviously had to leave a full time job that paid very well when I left Florida to move to Virginia.  Our fixed expensis are around 3k a month.  That doesn't including living (eating, gas, etc).

So in the end, if this cancer wins.  It has managed to strip a beautiful healthy woman of her dignity and lots of her money.  I HATE cancer so much.  It is a foul nasty thing.  I am lucky she has great faith in GOD and has no fear of death itself.  She only fears for those she leaves behind.  They believed her cancer started around five or six years ago.

Then again, some maricle can still happen.  I have no idea.

RE: Longest Liver Cancer Survivor?

by hanelg on Sun Jan 23, 2011 12:25 AM

Quote | Reply

You are very fotunate to have that good news.

I hav a brother  , 28 year old male when he was operated last October
29, 2009 due to intestinal obstruction secondary to familial polyposis.

Atleast 1 to1 and a half years prior to that, he experienced on and off
constipation and at times diarrhea which he dismissed as simple amoebiasis.
No consultation was done. 4 days prior to admission, he had been
complaining of abdominal pain and constipation which became severe thus
consult and was subsequently admiitted. Colostomy was done to relieve the
intestinal obstruction. Biopsy revealed adenocarcinoma of the colon.
Initial plan was to do colectomy but was deferred when CT scan revealed
pulmonary and hepatic metastases. Dx - Stage 4 colorectal cancer with
pulmonary and liver metastases. Last November 24, 2009, he started
chemotherapy using 5FU through an implant in the subclavian vein but
apparently he did not improve. He had another cycle of chemotherapy using a
second more potent drug but tests after revealed even bigger nodules and
polyps. He is ambulatory, conscious, coherent, but in pain already mostly
noted in the rectum and is in regular pain relievers. Today he is in his last stage   of chemotherapy, apparently using the most potent drug and according to his oncologist, the last chemo
drug which can be given to him. Which is not effective anymore for him.

Note: his colon was not removed at all, after placing a colonoscopy he was under chemo treatment.

Can Someone advice on this?

RE: Longest Liver Cancer Survivor?

by LCross on Thu Mar 17, 2011 02:14 AM

Quote | Reply

Hi, 

My name is Laura and my dad is going through a similar situation . . . only he is 65 years old.

He was diagnosed with Stage IV colon cancer after a routine colonoscopy in September 2010. A CT Scan soon revealed he had mets in his abdomen, liver and lymph nodes. He has since went through 12 weeks of FOLFOX with an experimental drug called CT011. This was unsuccessful and the tumors in the liver grew.

He has now completed his third treatment of another, more potent chemotherapy regimen called FOLFIRI and avastin. However, after his second treatment, the doctors at Sloan Kettering in NYC took him off Irinotecan because they thought it was contributing to rising bilirubin. His bilirubin went from normal to 1.6 to 5.3 to 6 in a matter of weeks. Once it hit 6 they put him in the ER and found a blockage in his liver. They then put a stent in. The doctors are giving us very little hope. I am desperately searching for a liver specialist. DOES ANYONE KNOW OF ANY?

We are from NJ but willing to travel anywhere for someone to give my dad some hope. 

My only advice to those who are going through a similar situation is to trust in God and believe in miracles. They do happen. 

Do not be afraid. Stand firm and you will see the deliverance the LORD will bring you today...the LORD will fight for you; you need only to be still”
(Exodus 14:13–14, NIV)

~Laura
NJ

RE: Longest Liver Cancer Survivor?

by bill777 on Thu May 12, 2011 10:09 PM

Quote | Reply

HI there my husband was diagnosed in june of 08--with liver cancer he had 4 chen=mo embilizations--they go through the groin and shoot chemo into the tumor. The tumors are scar tissue now . in 2010 had lesion on sacrum bone and then one on collar bone had radiation on them both did well . In 2011

had tumor on right rib had radiation again did well with that . He takes nexavar and liver tonic powder plus curcumin milk thistle, multi vit. vit d3 2000-he was also on sodium phenylbutrate 6 pills 3x;s aday for one yr . its expensive and we are self insured-which means 5 committe people decide weather he can have his med should not be that way . So now they will not pay for it so he had to stop taking it .thIS IS AN FDA APPROVED DRUG BUT NOT FOR LIVER CANCER AND THATS HOW THEY GET OUT OF PAYING FOR IT. God is so good my husband also read dottie olstens book and studies the bible every day . We are bornagain christians and we know we have a place in heaven with our LOrd and savior Jesus Christ---God is in control --john -3-16 Praise God!!!!!!!!!!!!!

RE: Longest Liver Cancer Survivor?

by bill777 on Thu May 12, 2011 10:41 PM

Quote | Reply

Hi laura we are also from nj south jersey we go to the cancer treatment center of america in philadelphia my husband has been treated very wellthere with a great oncoligist dr davidberd.theytreat me very wellalso.hehad 2 tumors in his liver was treated with chemo embilations 4 times. It worked very well for him .he had lesions on his sacrum bone and collar bone and tumor on rib bone had radiation on all three . Praise god he did well .he just turned 65 in april has liver cancer since 08 june going on 3 yrsnow.wewent to the burzynski clinic in houston tx. And he has been taking sodium phenlybutrate for over one yr. His blood test and tumor marker are good .but now he had to stop the drug because the ins will not pay for it any more . So we are just trusting god he also takes nexavar and supplements curcuim milk thistle multi vit vit d3 2000 and a liver tonic powder. Also ammino care that comes from the burzynskiclinic.ourprayers are with you god is so good blessings john -3-16 liz

 

Dr david berd--

 

 

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