Not Today Cancer

She Almost Skipped Her Follow-Up Mammogram. Her Results Changed Everything. Triple Positive Breast Cancer

May 8, 2026·55 min
Episode Description from the Publisher

Melissa Mariano is a 43-year-old Canadian flight attendant living in Dubai who was diagnosed with triple positive (ER+, PR+, HER2+) breast cancer after a routine mammogram...zero symptoms, zero lumps. She almost skipped her follow-up appointment. In this episode, she shares how she went from stage 0 DCIS to navigating Herceptin without chemo, low-dose "Baby Tam," the Dutch test, and a radical people-pleasing wake-up call that changed everything. In this episode we cover: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How calcifications on a mammogram went from "nothing to worry about" to a biopsy — and why she delayed 4 months p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The vacuum-assisted biopsy that may have removed her invasive cancer entirely before surgery even happened p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why her final pathology came back DCIS only, stage 0 — and what triple positive actually means p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> 18 rounds of Herceptin (anti-HER2) with NO chemo — and the NCCN guideline that made that possible p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The Italian Clancy study on "Baby Tam" (5mg Tamoxifen) and why she's tapering down from 20mg p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Dutch test results: high estrogen, good methylation — what it means and what she's doing about it p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Supplements she's using: L-theanine, Relora, liposomal glutathione, DIM (cycled), NAC p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Sauna 2x/week, red light therapy, hyperbaric oxygen, yin yoga, sound healing, Reiki, breathwork — her full protocol p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Egg freezing for fertility preservation before starting Tamoxifen p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The people-pleasing pattern she believes contributed to her diagnosis — and the shift that changed everything p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why she says: "I'm no longer a phony — but I am my priority" Links & Resources: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Clancy Study on Low-Dose Tamoxifen (Baby Tam / 5mg): READ HERE p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> NCCN Guidelines for Breast Cancer: READ HERE p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> <p class= "my-2 [&+p]:mt-4 [&_strong:has(+br)]:

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