Hi @Angelo I have been stage 4 since January 2016 , and on Ribociclib and Aromasin for 15 months . I had my dosage reduced down to 2 tabs because of low white blood cell count.
I feel well , but fatigue is a problem not just from the Ribociclib but from pain meds as well. I try to walk every day, and push to do and make the most of every day.
This is my life now and and I think its very normal to feel anxious about treatment , ask for help when needed and lean on your support, it helps me to be positive about every thing again.
Take care