Is Anyone Taking Letrozole and Kisqali?

I am

For how Long have you been on this combination Rhonda ?

Are you metastatic? That's interesting that your onc recommended surgery and chemo prior to immunotherapy. I am 46 yrs old, de novo mbc ER +/her2-, w bone and liver mets. dx in may 2023. My onc told me breast surgery (lumpectomy or mastectomy) was not an option bc i am metastatic ( same reasoning why surgically removing the tumors from my liver is also not an option) and says no chemo option until immunotherapy (1st line of therapy) fails. I did have to have radiation on my hip for the bone mets because of excruciating pain, but not eligible for radiation of the breast or liver tumor.had I not been experiencing acute pain, he said that I would not have been a candidate for the hip bone radiation either. Instead, he started my trtmts w letrozole and kisqali and zoladex injections. Can anyone explain to me if my oncologist approach is correct, or should I be fighting for a more aggressive approach such as surgery and chemotherapy? This is my second oncologist and i like him alot. while I did not like the first one, both oncologists were in agreement as to the treatment plan so i just assumed this was the generally accepted option for mbc cases.. if there are more aggressive options out there that might have a better outcome I would be interested in learning about them, but I've asked him on multiple occasions and each time he is very clear with me that those things (surgery, chemo and breast/liver/bone radiation) are not options for me unless they are causing acute pain or some other problem because the cancer is metastatic ...or until immunotherapy fails to stop the Cancer's progression..but I keep reading other things on these boards that don't seem to mesh with that explanation, and it's confusing...it Seems like people that are metastatic are saying that they DO have surgery chemo and radiation before beginning immunotherapy... Anybody else have this issue??

I am. I was diagnosed I'm April stage 4 with bone mets. Started both immediately and being Er+, ovaries removed in July. So far my last scan showed my mets all have shrunk 50% and the original lump by 50%.

Many community members have experience with this combination therapy and understand the journey from active treatment to this next phase. These medications are commonly prescribed together for hormone receptor-positive breast cancer, and connecting with others who have walked this path can provide valuable insights about what to expect. Consider sharing any specific questions or concerns you might have - the community often offers helpful practical tips and emotional support during treatment transitions.