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Overcome fatigue while continuing treatment?

Page last modified on: October 7, 2008
Question from Lisa: What about for those of us who are never "done" (i.e., stage IV)? How do we balance the physical and emotional changes that we have experienced and overcome fatigue, in spite of the meds we are on and our new physical limitations?
Answer —Tish Knobf, Ph.D., R.N., F.A.A.N., A.O.C.N.: With advanced breast cancer, there are a variety of different treatments today. So, symptoms may be influenced by the specific treatment or by the disease. The success of treatments has nearly transformed breast cancer into a chronic illness with women living many more years than they ever did before. It is important to find resources to help women maintain physical and psychological health. For some women that may be a support group, it may be a partner, it may be a one-on-one counselor, and it may be a health care provider to help manage the fatigue or muscle aches or emotional distress.

On Wednesday, January 16, 2008, our Ask-the-Expert Online Conference was called Managing Fatigue During and After Treatment. Diana Dyer, M.S., R.D., Tish Knobf, Ph.D., R.N., F.A.A.N., A.O.C.N., and Lillie Shockney, R.N., B.S., M.A.S. answered your questions about ways to keep up your energy, how nutrition can affect fatigue, and how exercising can help.


The materials presented in these conferences do not necessarily reflect the views of breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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Meet the Experts

Diana Dyer, M.S., R.D.Diana Dyer, M.S., R.D. is a registered dietitian in Ann Arbor, Michigan, and a two-time breast cancer survivor.

Tish Knobf, Ph.D., R.N., F.A.A.N., A.O.C.N. is the American Cancer Society associate professor of Oncology Nursing at Yale University. She participates in various research programs that focus on cancer recovery and exercise, risk factors for cancer, and symptoms before and after cancer therapy.

Lillie Shockney, RN., BS., M.A.S.Lillie Shockney, R.N., B.S., M.A.S. is the administrative director of the Johns Hopkins Avon Foundation Breast Center.

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