The After Cancer Blog

For many women, the journey through breast cancer is filled with unknowns, and pain is one of the most complex pieces of the puzzle. While breast pain isn’t always a direct sign of cancer, it often becomes part of the experience, whether from the disease itself or from the treatments used to fight it. And that pain? It’s not just physical, it can carry emotional weight too. Is breast pain always a symptom of cancer? Short answer: no , not always. Breast pain can be caused by many things: hormonal changes, cysts, even tight clothing. But during cancer treatment, new pain or persistent discomfort shouldn’t be ignored. Pain that occurs in just one breast (especially if accompanied by a lump, changes in skin texture, or nipple discharge) should always be evaluated by a healthcare provider. Even though pain isn’t the most common early symptom of breast cancer, it can still show up in different ways throughout the cancer journey. Breast bone pain: when cancer spreads to the bones In advanced stages of breast cancer, the disease can spread (or metastasize ) to bones, especially the sternum (breastbone)  or ribs. This leads to deep, aching pain  that might get worse with movement or even small activities. Sometimes, the pain radiates into the shoulders, upper back, or chest wall. It can feel dull or sharp, and in cases where the bones are weakened, it might even lead to fractures. If you're experiencing this type of pain, you're not being dramatic. It’s real , and there are ways to treat it, from bone-strengthening medications to targeted therapies and supportive care. Pain in one or both breasts: what does it mean? Pain can be unilateral  (in one breast) or bilateral  (in both). It may: Radiate to the armpit, chest, or upper back Feel sharp, dull, burning, or throbbing Come and go depending on activity or hormone levels While bilateral pain is more often hormonal, persistent, localized pain in one breast  should always be checked out, especially if it feels different from your usual cycle-related discomfort. Hormone therapy and breast pain: a double-edged sword For many breast cancer patients, hormone therapy  is a powerful tool, but it often comes with uncomfortable side effects, including pain. Treatments like tamoxifen  or aromatase inhibitors  work by blocking estrogen, which fuels many breast cancers. But less estrogen can mean: Tenderness or pain in the breasts Menopausal symptoms (hot flashes, dryness, fatigue) Increased joint or muscle pain It’s okay to talk to your doctor if the side effects feel unbearable, there are often ways to adjust your treatment or support you with additional medication, physical therapy, or complementary options like acupuncture. What can help with breast cancer-related pain? Pain management is never one-size-fits-all, but here are a few things that may help: Over-the-counter medications  (always under medical supervision) Physical therapy  for mobility and muscle tension Mindfulness techniques  like meditation or breathing exercises Heat or cold packs  depending on the type of pain Support groups  to share experiences and learn from others And perhaps most importantly: don’t downplay your pain. If something doesn’t feel right, speak up. You deserve comfort, not just survival. Breast cancer pain - whether from the tumor, the treatment, or the emotional toll - can affect every part of life. But it doesn’t define you. With the right support, tools, and care team, you can manage the pain and continue moving forward. Your body has already carried you through so much. This pain has a voice, but so do you.

Pelvic pain is often misunderstood, overlooked, or brushed off, especially for women. But when it’s tied to ovarian or uterine cancer, it takes on a whole new level of complexity. The pain might be subtle at first or feel like intense cramps that just won’t go away. It might feel sharp, dull, constant, or come in waves. But no matter how it shows up, it deserves attention and support. Let’s talk about what this pain means, how it’s connected to cancer, and what can help. Where the pain comes from Both ovarian  and uterine cancers  often cause pain in the pelvic region . This discomfort can result from: Tumors pressing on nearby tissues or nerves Inflammation in the area Fluid buildup Cysts or fibroids Menstrual cycle interactions (for premenopausal patients) It might radiate to the lower back, hips, or legs , and for some, it becomes part of daily life long before a diagnosis is confirmed. Ovarian cyst pain: not always benign Ovarian cysts are common and usually harmless. But when they’re: Large Rapidly growing Bleeding or ruptured …they can cause intense, stabbing pain in the lower abdomen. This kind of pain might show up suddenly and is often one-sided. In the context of ovarian cancer, pain from cysts can overlap with tumor-related discomfort, so it’s crucial not to ignore symptoms that persist or worsen. When a Cyst Ruptures A ruptured ovarian cyst can feel like a sudden sharp or stabbing pain  that stops you in your tracks. It’s often accompanied by: Nausea Vomiting Dizziness Even fainting in some cases Although many ruptures aren’t dangerous, internal bleeding or infection  can occur, especially in cancer patients or those undergoing treatment. If this happens, get medical attention immediately. Pain during menstruation (and how cancer complicates it) For premenopausal women with ovarian or uterine cancer, periods can become much more painful. Why? Tumor pressure increases inflammation Hormonal shifts can heighten sensitivity Scar tissue from surgery or biopsies may worsen cramps The result: menstrual pain that’s more intense, more frequent, and more emotionally draining . It might feel like normal cramps, but heavier, deeper, and longer-lasting. Managing the pain Pain isn’t just something to “get through.” You have options. Medical support Depending on the source of the pain - whether it's tumor pressure, inflammation, hormonal shifts, or a ruptured cyst - medical treatments can offer real relief. Options may include: Pain relievers like acetaminophen or NSAIDs to reduce inflammation and discomfort. Hormonal therapies , such as oral contraceptives or GnRH agonists, which can regulate menstrual cycles or shrink hormone-sensitive tumors. Stronger prescription medications , including opioids in more severe cases, prescribed and monitored by a pain specialist. Surgical intervention , such as removing ovarian cysts, fibroids, or tumors when they’re the main source of pain. Important : Always consult with a healthcare provider before starting or changing any medication. Pain that persists or worsens deserves evaluation. Lifestyle and supportive care Not all pain solutions come in a pill bottle - many can come from small, consistent acts of care. You might find relief through: Heating pads or warm baths to relax tense pelvic muscles and soothe internal cramping. Gentle movement like restorative yoga, stretching, or walking, which can increase circulation and reduce stiffness. Pelvic floor physical therapy can be especially valuable for those experiencing pain related to tightness, scar tissue, or post-surgical tension. Anti-inflammatory foods such as berries, leafy greens, turmeric, and omega-3-rich options, which may support your body’s healing process. Mind-body therapies , including meditation, breathwork, and mindfulness-based stress reduction (MBSR), which have shown benefits in cancer pain management. Emotional support , through individual therapy or support groups, which helps you cope not just with pain, but with the fear, anger, and fatigue that often accompany it. Pain is information, not weakness. The more you understand it, the more equipped you are to face it. Living with ovarian or uterine cancer pain isn’t just a physical battle. It’s emotional, mental, and deeply personal. If you’ve been told to "tough it out" or "just deal with it," let this be your permission to challenge that. You deserve more than endurance. You deserve care.

Lung or chest pain can be deeply unsettling, especially when it comes during cancer treatment or becomes part of the cancer journey itself. It’s not just a physical symptom, it’s a source of fear, disruption, and fatigue. Whether the cancer began in the lungs or has spread there from another part of the body, this type of pain can make simple acts like breathing or lying down feel overwhelming. But you’re not alone and you’re not without options. Understanding what this pain means, how it works, and what helps can offer both clarity and comfort. What causes lung and chest pain in cancer? Lung- and chest-related pain in cancer can stem from several sources: Tumor pressure on the chest wall, nerves, or surrounding tissues Inflammation of the pleura (the membrane around the lungs) Pleural effusion , a buildup of fluid between the pleural layers Metastasis to the lungs, ribs, or spine from other cancers Airway blockage or changes in breathing patterns Each of these factors can create different kinds of pain, and they may overlap during the course of illness or treatment. Pleuritic pain: sharp and breathing-dependent When the pleura becomes irritated or inflamed - often due to tumors, infection, or fluid buildup - it can cause pleuritic pain : a sharp, stabbing sensation that worsens when you: Take deep breaths Cough or sneeze Move in certain positions This type of pain can feel very intense but is well understood in clinical settings and often treatable with targeted medication or drainage procedures. Pressure, heaviness, and pain under the breasts Pain under the left or right breast may be caused by: Lung tumors near the chest wall or ribs Fluid accumulation compressing lung tissue Referred pain from nearby structures The sensation may be described as: Deep pressure or aching Squeezing or heaviness Radiating to the shoulders, ribs, or back Lung cancer and back pain: the overlooked symptom Many people are surprised to learn that lung cancer can cause back pain , especially if: The cancer spreads to the spine or rib bones Tumors press on spinal nerves Posture changes due to breathing difficulty This pain often: Worsens at night Intensifies when lying flat Feels dull, aching, or sharp depending on nerve involvement How to manage lung and chest pain Pain isn’t just something to push through. There are many options to help you feel more in control and more comfortable. Medical approaches NSAIDs or acetaminophen for mild to moderate pain Opioids , prescribed when pain is severe or affecting sleep and function Steroids to reduce inflammation Pleural drainage (thoracentesis) to relieve fluid pressure Palliative radiation therapy to shrink tumors and relieve pain Nerve blocks in certain advanced cases Supportive therapies Breathing exercises and paced respiration to ease tension and shortness of breath Changing sleeping positions (using a wedge pillow or sleeping semi-upright) Pulmonary rehab programs for improved lung function Mind-body techniques , including relaxation, guided imagery, and gentle movement Final thoughts Lung and chest pain can feel suffocating, not just in your body, but in your daily life. It disrupts your sleep, steals your energy, and chips away at your sense of calm. But it doesn’t define you. And it doesn’t mean you have to endure it alone. There are tools, treatments, and people who can help. Whether your pain is sharp, dull, constant, or fleeting, it matters. Speak up. Ask questions. You deserve to breathe with less fear and more ease, one gentle inhale at a time.

Pelvic pain. Bowel pain. Bone pain. These are the kinds of discomfort many people don’t want to talk about, especially when they affect areas we’re taught to keep private. But with prostate and rectal cancers, this kind of pain is not just common, it's often one of the earliest or most persistent symptoms. Whether it’s a dull ache, cramping during bowel movements, or pain radiating to the back and legs, it can interrupt everything from daily routine to emotional well-being. And while it’s difficult to talk about, understanding what’s happening can make it much easier to manage. What causes pain in prostate and rectal cancer? Pain in these cancers can be caused by: Tumor pressure  on the rectum, bladder, or pelvic nerves Inflammation  from treatment (surgery, radiation, or chemotherapy) Bone metastasis , especially in the hips, spine, or pelvis Changes in bowel function , such as constipation, straining, or obstruction Pain may be localized or referred (radiating), and can worsen with movement, sitting, or during bowel movements. Rectal pain: more than a digestive issue Pain in or around the rectum is a common symptom of colorectal cancer , especially in later stages. It may feel like: Sharp pain during or after bowel movements Persistent cramping or bloating A sensation of incomplete evacuation Pressure deep in the pelvis or rectal area In some cases, tumors cause bowel obstruction , which leads to intense cramping, bloating, and difficulty passing stool or gas. Prostate cancer and bone pain As prostate cancer progresses , it often spreads to the bones, particularly the spine, hips, and pelvis . This type of pain: Is usually dull and aching May worsen at night or with movement Can become sharp if cancer compresses nerves or causes fractures Metastatic bone pain is one of the most significant quality-of-life challenges for people with advanced prostate cancer. Managing prostate and rectal cancer pain Depending on the type and stage of cancer, treatment options include: Medical treatments NSAIDs and acetaminophen  for mild-to-moderate pain Opioids  for severe or chronic pain Bisphosphonates or denosumab  for bone protection in metastatic prostate cancer Radiation therapy  for localized pain relief (especially in bones) Surgery or stenting  for bowel obstructions Supportive strategies Stool softeners or laxatives  to ease pain during bowel movements Pelvic floor physical therapy  for tension or post-treatment issues Warm baths or heating pads  for pelvic muscle relaxation Diet adjustments  to reduce constipation or inflammation Mindfulness or guided imagery  to cope with chronic discomfort Final thoughts Pain in intimate or internal areas can be isolating, especially when it’s hard to describe or feels taboo to mention. But this pain is valid. And talking about it is an act of courage. Whether it’s aching hips, burning after bowel movements, or that nagging deep pressure in your pelvis, your pain deserves care, not silence. You are not being weak. You are not being a burden. You’re asking for what you need and that’s strength.

The relationship between stress and breast cancer has been widely studied, but remains complex. While current evidence does not confirm that stress directly causes breast cancer, researchers continue to explore how long-term psychological and biological stress might influence its development or progression, particularly through immune function, inflammation, and lifestyle changes. This article outlines what we currently know about stress in its two forms - psychological and oxidative - and how both may interact with breast cancer biology. It also provides guidance on stress management practices that can support emotional and physical health throughout the cancer journey. Does stress cause breast cancer? Let’s start with the big question. A comprehensive systematic review published in Clujul Medical  in 2018 analyzed 52 studies conducted between 1966 and 2016, encompassing over 700,000 women and more than 29,000 breast cancer cases. The findings were mixed: 26 studies  suggested a positive association between stress (including personal traits and stressful events) and breast cancer incidence. 18 studies  found no significant association. 8 studies  were inconclusive or could not be classified. The review concluded that while there might be a possible link between stress and breast cancer, especially concerning stressful life events, the evidence is not definitive due to methodological differences among studies and the absence of a meta-analysis.  However, the story doesn’t end there. Many experts believe that chronic stress may still affect cancer indirectly , by: Increasing inflammation Weakening the immune system Worsening lifestyle factors (like poor diet, alcohol use, and physical inactivity) In other words : while stress may not cause breast cancer, it can create the conditions where cancer is more likely to thrive or become harder to treat. Understanding oxidative stress and its role There’s another type of stress you don’t feel emotionally, but your body feels it hard: oxidative stress . Oxidative stress happens when the balance between free radicals (unstable, damaging molecules) and antioxidants (protective molecules) is thrown off. This imbalance can: Damage DNA, proteins, and cells Lead to mutations that promote cancer Help tumors grow and spread faster In breast cancer cells, oxidative stress is often higher than in healthy cells. This contributes to: More aggressive tumor behavior Increased resistance to chemotherapy Faster progression of the disease The interaction between psychological and oxidative stress These two types of stress aren’t the same, but they feed into each other . Psychological stress can worsen oxidative stress by increasing behaviors like smoking, drinking, or skipping meals. Oxidative stress can worsen psychological stress by increasing fatigue, inflammation, and the body’s vulnerability to illness. Together, they create a cycle that impacts both the mind and the body, especially during cancer treatment. Strategies for managing stress There’s no one-size-fits-all approach to reducing stress, but even small shifts can make a big difference: Lifestyle tips Eat a diet rich in antioxidants (berries, leafy greens, nuts, olive oil) Stay active with low-impact movement (walking, yoga, dancing) Reduce alcohol and avoid smoking Rest and sleep help the body reset and heal Mental well-being Mindfulness and relaxation exercises Talk therapy or support groups Creative activities like art, music, or journaling Laughter, play, and connection (they work!) Final thoughts While research hasn’t established a direct link between stress and the development of breast cancer, it’s clear that stress affects how we feel, heal, and live, especially during and after a cancer diagnosis. Long-term stress can influence lifestyle, lower immunity, and make it harder to cope with treatment or recovery. That’s why addressing stress isn't just a “nice to have.” It’s a meaningful part of caring for the whole person, not just the illness. Whether it’s through quiet moments, nourishing food, gentle movement, or honest conversations, finding space to care for your emotional well-being is not a distraction from healing. It’s part of it. You deserve support that acknowledges every part of what you’re going through, physical and emotional, seen and unseen.

Navigating a prostate cancer diagnosis brings both physical and emotional challenges. While stress is a natural response to uncertainty, treatment, and change, its potential impact on cancer itself is still being explored. Current evidence does not suggest that stress directly causes prostate cancer, but there is growing interest in how chronic psychological stress might influence the disease’s progression and the body’s ability to cope with treatment. Unlike some other cancer types, there is no conclusive evidence that psychological stress causes prostate cancer. However, several studies suggest that stress may affect how the disease progresses and how the body responds to treatment. Long-term stress can lead to the persistent release of hormones like cortisol and norepinephrine. These hormones: May weaken immune system function Can promote inflammation Affect how cells grow, repair, or die While this doesn’t mean stress alone drives cancer growth, it does suggest that a body under chronic strain may have a harder time mounting a strong immune defense, which could influence how well it copes with cancer over time. Stress and the body's defenses The body has natural ways of detecting and eliminating abnormal cells. A healthy immune system can often play a role in limiting the growth of some cancers, including prostate cancer. But chronic psychological stress can disrupt this system by: Lowering the number and activity of immune cells Increasing systemic inflammation Interfering with hormone levels that regulate recovery and healing The role of stress management in prostate cancer care Stress cannot always be eliminated, especially in the face of a cancer diagnosis, but it can be acknowledged and supported . Addressing emotional well-being is a meaningful part of cancer care, and studies suggest that managing stress may improve: Emotional resilience Immune system performance Sleep quality Treatment recovery Practical strategies may include: Mindfulness practices : meditation, deep breathing, body scans Psychological support : talking to a therapist or joining a cancer support group Physical movement : walking, yoga, or stretching to release tension Creative expression : journaling, music, or art as an emotional outlet Connection and rest : time with loved ones, nature, or simply doing less Final thoughts While stress does not cause prostate cancer, the experience of living with the disease often comes with emotional weight. And that emotional weight matters, not only to your peace of mind, but to how your body responds to treatment, fatigue, and daily challenges. Taking care of your mental health is not a luxury, it’s part of whole-person care. Finding ways to reduce or soften the impact of stress can bring more stability, clarity, and strength to the cancer journey. You deserve support for all parts of this experience, including the parts no one else can see.

Colorectal cancer (CRC) is influenced by a complex interplay of genetic, environmental, and lifestyle factors. While psychological stress is not a direct cause of CRC, emerging research suggests that chronic stress may impact the disease's progression and the body's ability to respond to treatment. This article explores the relationship between stress and colorectal cancer, focusing on the role of the gut microbiome, inflammation, and lifestyle factors, and offers strategies to support overall well-being. The impact of chronic stress on colorectal cancer Chronic psychological stress can lead to physiological changes that may influence cancer progression. Prolonged stress activates the hypothalamic-pituitary-adrenal (HPA) axis, resulting in elevated cortisol levels, which can suppress immune function and promote inflammation. These changes may create an environment conducive to tumor growth and metastasis. Recent studies have highlighted the connection between chronic stress and alterations in the gut microbiome. Stress-induced dysbiosis, or imbalance in gut bacteria, can compromise the intestinal barrier, leading to increased inflammation and potentially facilitating cancer progression. For instance, a study presented at UEG Week 2024 demonstrated that chronic stress in mice led to a reduction in beneficial Lactobacillus species, weakening the immune response against tumors . The gut microbiome's role in colorectal cancer The gut microbiome plays a crucial role in maintaining intestinal health and modulating the immune system. Dysbiosis has been associated with the development and progression of CRC. Certain bacterial strains, such as Fusobacterium nucleatum and pks+ Escherichia coli, have been implicated in promoting inflammation and producing genotoxins that can damage DNA . Chronic stress can exacerbate dysbiosis, leading to a decrease in beneficial bacteria and an increase in pathogenic species. This imbalance may contribute to a pro-inflammatory state, further promoting carcinogenesis. Moreover, stress-related changes in the microbiome can affect the metabolism of dietary components, influencing the production of short-chain fatty acids like butyrate, which have protective effects against CRC. Strategies for managing stress and supporting gut health Addressing psychological stress and promoting a healthy gut microbiome are essential components of colorectal cancer prevention and care. Here are some strategies: Lifestyle approaches Nutrition : incorporate a diet rich in fiber, fruits, vegetables, and whole grains to support beneficial gut bacteria. Physical activity : engage in regular exercise to reduce stress and promote gut motility. Sleep : aim for 7–9 hours of quality sleep each night to aid in stress reduction and immune function. Emotional well-being Mindfulness and relaxation : practice meditation, deep breathing exercises, or yoga to manage stress. Therapeutic support : seek counseling or join support groups to share experiences and coping strategies. Social connections : maintain relationships with friends and family to provide emotional support. Implementing these strategies can enhance quality of life and may positively influence treatment outcomes. Final thoughts While psychological stress is not a direct cause of colorectal cancer, its impact on the body's physiological processes, particularly the gut microbiome and immune system, underscores the importance of holistic care. By addressing stress and supporting gut health through lifestyle modifications and emotional support, individuals can take proactive steps in colorectal cancer prevention and management.

Brain tumors, though relatively rare, present significant challenges due to their location and impact on neurological function. Whether benign or malignant, can bring a wide range of physical, emotional, and cognitive challenges. While the exact causes of brain tumors remain largely unknown, various factors have been studied for potential links, including genetic predispositions and environmental exposures. One area of interest is the role of psychological stress. Can stress influence the development or progression of brain tumors? And if so, how? This article explores what we currently know - and don't know - about the relationship between stress and brain tumors, with special attention to emerging findings on glioblastoma, and reinforces the importance of supporting emotional health during a cancer journey. Current scientific evidence does not support a direct causal link between psychological stress and the development of brain tumors. According to the Preston Robert Tisch Brain Tumor Center at Duke University, while stress is associated with various health issues, there is no scientific evidence to suggest that stress can cause brain tumors. However, stress can influence the body's physiological processes in ways that may affect tumor progression. Chronic stress can suppress immune function, promote inflammation, and lead to hormonal imbalances, all of which can create an environment conducive to cancer development and progression. Why Glioblastoma gets the spotlight in stress research Most of the existing studies that link stress and brain tumors focus on glioblastoma , an aggressive and fast-growing type of brain cancer. This focus is due to glioblastoma’s biological complexity and the urgency for new treatment insights. Recent studies suggest that: Chronic stress may influence tumor progression through specific biological pathways. One study found that stress could promote glioblastoma growth via the DRD2/ERK/β-catenin signaling axis . Another showed that stress hormones like dopamine and norepinephrine may interact with tumor cells, potentially making them more resistant to treatment. That said, it’s important to clarify: These findings are specific to glioblastoma and based largely on preclinical models. There is no current evidence that stress accelerates other types of brain tumors in the same way. Stress and the body: A holistic perspective Even if stress doesn’t cause or worsen all brain tumors directly, it can still affect the overall experience of illness . Chronic stress may: Lower immune response Worsen fatigue and cognitive fog Increase sleep disturbances Interfere with emotional regulation and coping This is especially important in brain tumor care, where symptoms already overlap with stress-related effects. Supporting mental health is essential. The importance of stress management While stress may not directly cause brain tumors, managing stress is crucial for overall health and well-being. Chronic stress can negatively impact various bodily systems, including the immune and endocrine systems, which play roles in cancer development and progression. Effective stress management strategies include: Mindfulness and meditation : to calm the nervous system Light movement or physical therapy , depending on ability Psychological support : including counseling or oncology-specific therapy Rest and gentle structure : balancing activity with restorative time Social connection : whether through family, friends, or support groups Implementing these strategies can enhance quality of life and may positively influence health outcomes. No one strategy fits all. What matters most is creating moments of ease, presence, and safety, even in uncertainty. Final thoughts While the direct link between stress and brain tumor development remains unproven, the impact of stress on overall health is well-documented. Chronic stress can influence bodily systems in ways that may affect cancer progression. Therefore, incorporating stress management into daily routines is a valuable component of holistic health care, especially for individuals diagnosed with brain tumors.

Weight gain can be an unexpected and frustrating part of the cancer experience, especially when patients feel like they’re doing “everything right.” For some, the gain is subtle; for others, it can be more significant, affecting both physical and emotional well-being. While much attention is given to cancer-related weight loss, it’s equally important to acknowledge the causes of weight gain across different types of cancer, how it affects patients, and what can be done about it. This article explores how ovarian, breast, and thyroid cancers can contribute to weight gain and offers insight into why it happens - often as a side effect of the very treatments designed to help. Ovarian cancer and weight gain Why it happens Reduced physical activity : Fatigue and low energy are common during treatment, often leading to decreased movement and lower calorie expenditure. Side effects of treatment : Chemotherapy and hormone therapy may directly cause weight gain or lead to fluid retention (edema). Certain medications can also slow down metabolism, making weight management more difficult. Changes in eating habits : Some patients may eat more due to stress, anxiety, or cravings. Others find that eating helps with nausea, leading to increased calorie intake. What to keep in mind Weight gain in this context is not about lack of willpower. It's a response to a complex mix of physical and emotional changes. Movement, even light walking or stretching, when possible, may help balance energy levels. Nutritional guidance from a specialist can also be helpful in navigating appetite changes. Breast cancer and weight gain Why it happens Hormonal treatment effects : Anti-estrogen therapies like tamoxifen or aromatase inhibitors can lead to fat accumulation , especially around the abdomen and hips, and can reduce muscle mass - changing body composition and contributing to weight gain. Reduced physical activity : Treatment-related fatigue, pain, or recovery from surgery often leads to less movement, lowering metabolism. Changes in eating habits : Some patients eat more due to emotional stress, to cope with nausea, or as part of comfort-seeking behaviors. Metabolic changes : Chemotherapy may reduce metabolic efficiency, making it harder to burn calories even with normal activity levels. What to keep in mind Understanding that treatment-related weight gain is a common and biologically driven outcome can ease some of the guilt or frustration patients may feel. Supportive interventions - like strength-based physical therapy, dietary support, and fatigue management - can help restore balance over time. Thyroid cancer and weight gain Why it happens Hormone disruption : The thyroid gland plays a central role in metabolism. Treatments for thyroid cancer - including thyroidectomy (removal of the gland) and radioactive iodine - often suppress or eliminate thyroid function, slowing metabolism. Thyroid hormone replacement challenges : After treatment, patients typically take thyroid hormone replacement. If the dosage isn’t properly adjusted, it may not fully restore normal metabolic function, leading to weight gain. What to keep in mind Post-treatment weight changes are often linked to hormone regulation rather than lifestyle alone. Regular follow-ups with endocrinologists to monitor thyroid hormone levels are essential, and even small medication adjustments can make a significant difference in energy and weight management. Final thoughts Weight gain during or after cancer treatment can feel confusing, especially when you're trying to take care of your health. But these changes often reflect complex biological processes, not personal failure. Whether driven by hormones, fatigue, medication, or emotional stress, your body is doing its best to respond to a very difficult situation. Support exists, from medical professionals to nutritionists to community groups, and with time, many patients find ways to regain balance and confidence in their bodies again. Every body changes during cancer. What matters most is how we care for it, and for ourselves, in the process.

We recently shared a post on our Instagram that really resonated with our community - it sparked a wave of comments and shares, and I wanted to share it here with all of you, in case you missed it. Survivorship starts the moment you're diagnosed. It doesn’t begin when you ring the bell or finish treatment. It begins the day you're told, "You have cancer." From that moment on, you're navigating something immense - physically, emotionally, mentally, and spiritually. Survivorship is about more than your body. Healing isn’t just medical. It includes rebuilding your energy, managing fear and uncertainty, making sense of shifting identities, and figuring out how to live in a changed body. It’s a full-spectrum experience—and it deserves full-spectrum care. Life after treatment isn’t always a celebration. Many survivors feel lost, anxious, or unsure once treatment ends. That’s normal—and deeply human. Survivorship can be isolating, especially when the world assumes you're “done.” Some of the most common survivorship experiences include: Fear of recurrence Fatigue that doesn’t go away Changes in body image Relationship shifts Identity questions Rebuilding trust with your body Survivorship needs support, too. It ’s not just follow-up scans and checkups. Survivorship care includes emotional support, connection with peers, and lifestyle tools to help you feel whole again. At The After Cancer , this is where we meet you. Our platform is designed for the part of the journey no one prepares you for. We offer group sessions, expert guidance, and a community that understands what life after cancer really looks like. 💛 You’re not alone - and you’re not expected to figure it all out on your own either. We’re here to walk with you.

Fear of recurrence is a new type of anxiety we didn't ask for. It usually starts with something small. A weird ache. A routine scan. A random headache that lingers a little longer than you'd like. And just like that, you’re back there again - heart pounding, thoughts racing, googling symptoms you already know too much about. “What if the cancer is back?” If you’ve ever caught yourself spiraling with that question, I want you to know this: You’re not broken. You’re not overreacting. You’re not alone. What you’re experiencing has a name. It’s called Fear of Recurrence, and it’s one of the most common emotional struggles that shows up in life after cancer. It doesn’t care how long it’s been since your last treatment or how “healthy” you look and feel now. It doesn’t check your calendar or wait for a convenient time. It just shows up and it’s exhausting. So how do we live with fear of recurrence? Let’s start here: you’re allowed to be scared. Fear is your brain doing its job after a major trauma. You’ve been through something life-altering, and your body remembers. So when something feels off, even slightly, the alarms go off because your body wants to protect you. But you can learn to pause and check in before the spiral takes over. Here are a few gentle questions to ask yourself: Has this symptom lasted more than 2 weeks? Is it getting worse over time? Am I feeling overwhelmed or panicked? If the answer is yes, it’s time to reach out to your care team. You deserve peace of mind, and your providers are there to help. If the answer is no, it’s okay to pause. Breathe. Go outside. Text someone who gets it. You’re allowed to feel fear. Name it out loud: “This is fear.” Fear of recurrence doesn’t go away overnight. It fades in and out. Some days are loud, others are mercifully quiet. But over time, with the right tools and support, it gets easier to carry. You don’t have to do it alone. Join a support group. Talk with other survivors. Learn tools to manage anxiety. Let yourself be held - by community, by care, by kindness. Healing after cancer isn’t linear and neither is peace of mind. But it’s possible. And you’re already on your way!

Kate Middleton illustration done by AI We hadn’t talked much about Kate Middleton’s cancer journey until recently. The Royal Family has kept her diagnosis and treatment details mostly private. What the public has seen are short glimpses with curated videos and careful messaging. But despite the lack of transparency, it’s hard not to be moved. Her most recent video hit home. In it, she speaks candidly about what the road to recovery has been like. And it made one thing very clear: everyone needs survivorship support. Everyone. Even Kate. She has access to the best doctors, the best hospitals, the best of everything. Yet what she shared is exactly what I’ve heard from countless patients - again and again: “The road to recovery is difficult.” “The whole experience is a rollercoaster.” “Getting back to normal is hard.” “I’m no longer in touch with my medical team, but I’m also not functional at home like I used to be.” “This phase is lonely, and support would be so valuable.” These words echo in our community every day. And in some ways, it breaks my heart. Because if someone like Kate Middleton doesn’t get that support, what does that say about what’s available for everyone else? At the same time, her vulnerability gives me strength. It reminds me why we’re building what we’re building. At The After Cancer, our mission is to show up in exactly that gap. We know survivorship isn’t a luxury, it’s a necessity. The time after treatment isn’t a simple return to normal. It’s a whole new stage that requires care, support, and compassion. And right now, it’s the most overlooked part of the cancer experience. I appreciate how Kate is managing public expectations. She’s choosing not to attend some of her usual royal events. She’s making space for healing. That’s something we always suggest to our patients - listen to your body, set boundaries, protect your energy. I hope her words spark new conversations around what survivorship really looks like. Because cancer doesn’t end with treatment. And recovery isn’t something anyone should have to figure out alone.