My liver recovered enough that I was able to do a third Removab treatment in this cycle. Typically they always increase the dose, but in this case they kept it at 10 micrograms. That was a mistake.
Firstly they made me get up at 4:30 in the morning so that I could start the treatment at 5am. It was tough getting up after the past 3 weeks, which were pretty full on. And as it turns out, it was probably for nothing.
Unlike last time, I had absolutely no reaction to Removab. Not even a mild fever. I was very disappointed. The next day’s blood tests showed a mild increase in liver enzymes, but no change in white blood cell counts. These should go down as they are used up attacking the Removab tagged cells. But as Removab is a tri-clonal antibody, there is still a chance that the macrophages reacted to the second antibody. This would elevate the liver enzymes, but not raise the temperature. Failing that, the other possibility is that my body developed antibodies to Removab and these mopped it up before it do its work. Hope not.
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