Hi , I am so sorry to hear about your recent progression. If you haven't already, we recommend talking with your healthcare provider as they can provide guidance on treatment options and support you in making decisions that are right for you. While I don't have an answer, I want to assure you that you're not alone in this journey. Many in our community have faced similar challenges and will hopefully chime in & share their experiences. Sending lots of support your way! Allison (Team Member)