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A MyMyelomaTeam Member asked a question 💭
June 25, 2025
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A MyMyelomaTeam Member

The fatigue is a challenge for me too. I work and have a kid with special needs and I’m so tired I’m losing my words. I’m no where near sick enough to qualify for disability which is a blessing but I no longer enjoy work which is the majority of my day everyday. Right now I’m a healthy weight but I’m having to replace clothes and I don’t want to get much if I’m just going to have to do it again in another month. I settled for 3 pair of pants and I’ll wait and see how it goes. They lowered the prednisone from 20 to 8 so maybe that will help. Thank you for the reply and good luck with the CarT

June 28, 2025
A MyMyelomaTeam Member

When I first realized I had MM, I lost 70 lbs. I was heavy anyway, so I welcomed the loss. Hated how I lost the weight (vomiting, diarrhea, loss of appetite). I have gained all that weight back. When I ask doctor and nurse practitioner, they both say it's the steroids.
I start car t cell therapy next week, so I hope the weight will come off again. We will see.

I hate the fatigue. I rest when I have to. I have fallen asleep in movie theaters which I think irritates the people I go with.
I find it very difficult just to take my shower. I get exhausted trying to dry myself.
I put my underwear on, and then I have to rest. After a while, I dry and style my hair and I lay down again.

I used to b an active person, so it is hard dealing with it. I rest when I have to, and now I am not ashamed to rest. It's my new life, but, hey, I am here!!!

June 26, 2025
A MyMyelomaTeam Member

Yes, the weight gain is mainly water gain from the use of the strong steroid dexamethasone. A lot of MM patients take this steroid long-term and initially at higher doses as it’s effective in killing MM cells. But as you come out of induction therapy, you can scale down its use. Which means the weight should come off, as it did for me.

June 26, 2025 (edited)
MyMyelomaTeam

Weight gain during myeloma treatment is often related to specific factors that can be managed:

- Steroid medications are a major cause, affecting appetite and water retention
- Stem cell transplants may cause temporary water retention
- Some medications like Revlimid can affect thyroid function
- Hormone changes from Show Full Answer

Weight gain during myeloma treatment is often related to specific factors that can be managed:

- Steroid medications are a major cause, affecting appetite and water retention
- Stem cell transplants may cause temporary water retention
- Some medications like Revlimid can affect thyroid function
- Hormone changes from myeloma can impact how your body processes fat
- Reduced activity due to bone pain can contribute to weight gain You can help manage weight gain by:

- Watching carbohydrate intake, especially sweets
- Eating healthy snacks to control cravings
- Following a consistent meal schedule
- Staying active with appropriate exercises like walking or swimming
- Eating diuretic foods like cucumbers to help with water retention
- Drinking plenty of water
- Monitoring salt intake

Work with your oncologist to develop a safe and effective weight management plan. They may refer you to a dietitian for additional support.

June 25, 2025

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