Due to a change seen in a recent blood test along with pain in the liver, the doctor said this morning that she would now recommend chemo instead of the endocrine therapy. Chemo has more side effects, but works more quickly than the endocrine therapy. Speed is a concern due to the extensive involvement in the liver. The chemo will be in pill form, taken morning and evening with two weeks on and one week off. The main side effects are nausea and fatigue with no hair loss. There will be several cycles like this. Please pray that the cancer responds to the chemo, which it does approximately 60% of the time.