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White blood cell count post treatment still low

dclear14's picture
Posts: 35
Joined: Jan 2012


My husband Robert's white blood cell count is at 1.8 nine months post treatment.  Family Dr. wants to get his chemo doc involved.    Aren't there shots that he could get to boost his cell count?

phrannie51's picture
Posts: 4672
Joined: Mar 2012

Neupogen and Nulasta do.  They may not want to give those to him now that he is finished with treatments, tho.  My counts were still low the last time they tested my blood, and I was 3 months out of treatment.  They just said it takes time for the bone marrow to build it back up....no need for anything to help it.  Nine months seems like a long time to me, tho....but I've heard it takes a year for the body to get back to normal after the treatment we've been thru.


Posts: 757
Joined: Apr 2012

When my husband finished his first round of chemo treatments in October 2010, his count was so low that they gave him a blood transfusion which helped to bring it up.  When he finished his second round of chemo treatment in July 2012 his count was low, but not as low as your husband's and not as low as the first time.  The count is gradually coming up.  There could be other reasons for such a low blood count and maybe you should see the chemo doctor involved.   Maybe your husband needs a blood transfusion that is a very low blood count.

Skiffin16's picture
Posts: 8286
Joined: Sep 2009

Like P said, I had three injections of Neulasta, one after each big dose of chemo. I had low WBC during Tx, and it did take nearly a year before all of my bloodwork came back in normal ranges.

Always a good idea to get your MD's involed and communicate with them.. My onco, was actually a hematology oncologists, so she was hot on my bloodwork.



corleone's picture
Posts: 264
Joined: Jul 2012

… because the count is too low, especially 9 months post treatment. Someone (best hematologist, or the medical oncologist) needs to look into this. Of course you can get the granulocyte colony stimulating factors (G-CSF) like Neulasta but the problem is it doesn’t resolve the root cause, and I don’t think you’ll get it anyway, before determining the cause.

D Lewis's picture
D Lewis
Posts: 1576
Joined: Jan 2010

I'm roughly 2 1/2 years out from treatment, and my white blood cell count is just a bit below normal. My treating chemo oncologist was never bothered by it.  He recently retired and the new chemo oncologist doing my follow up suggested that I might need a bone marrow biopsy to identify the "cause" of this low white blood cell count. I resisted, six months later my count had climbed up just a bit (still just below normal) and my new chemo oncologist had six more months of experience under her belt.  This last exam, she wasn't so worried about it.

I did have the neulasta shots during treatment.


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