Dr. Kerry Courneya

So it's rare that you would only get one of those treatments.

And some of these patients get surgery, followed by radiation therapy, followed by chemotherapy, and then they may get immunotherapy.

There's over 100 different types of chemotherapy drugs with all different side effects.

There's dozens and dozens of immunotherapies that are now approved.

So patients get treated with all these combinations and sequences of these treatments.

So it's not a quick and dirty sort of disease where you're in the door, you're treated and you're out.

These treatments go on for many months and in some cases, many years.

So patients kind of face this treatment gauntlet and it can take a physical toll and a mental toll on these patients over an extended period of time.

And when you get into advanced cancer, which you might have for many, many years, we have what we call first line treatments, second line treatments.

And some of these cancers, we have sixth and seventh line treatments.

So you're looking down knowing that ahead of you, you've got all these different treatment options that may be available.

They help with the cancer, but they do have a lot of side effects.

And so it can be a real challenge, you know, to go through these cancer treatments.

Yeah, so we have to think about exercise as a cancer treatment.

So that means we have to think about combining exercise with other treatments and sequencing exercise.

Is exercise more beneficial before this treatment?

during this treatment, after this treatment?

And what treatments?

What treatments does exercise add benefit to and which treatments does exercise not add benefit to?

Or what treatments might it interfere with?