Great question — and honestly, wanting to get back in the garden is a wonderful sign! Being one year post-transplant on Darzalex + lenalidomide maintenance is a significant milestone.
That said, there are a few things worth keeping in mind with this treatment combination: Things to be aware of with yard work:
- Fatigue is a Show Full Answer
Great question — and honestly, wanting to get back in the garden is a wonderful sign! Being one year post-transplant on Darzalex + lenalidomide maintenance is a significant milestone.
That said, there are a few things worth keeping in mind with this treatment combination: Things to be aware of with yard work:
- Fatigue is a common side effect of lenalidomide, so pacing yourself is important
- Infection risk — both Darzalex and lenalidomide can lower white blood cell counts, making you more vulnerable; soil and plants can carry bacteria and fungi
- Blood clot risk — lenalidomide increases this risk, so avoid prolonged periods of physical strain without breaks
- Sun sensitivity — some myeloma medications can increase sensitivity to sunlight, so cover up and use sunscreen
Practical tips:
- Wear gloves to reduce infection exposure from soil
- Work in shorter sessions and rest when needed
- Stay well hydrated
- Avoid yard work on days you're feeling run down
The most important step is to check with your oncologist or care team before diving in. They know your specific blood counts and overall health status, and can give you personalized guidance on what's safe for you right now.
October 12
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