I'm writing today to share with you a victory -- a diet and exercise victory. Let me begin with a little background.

I've always been in the normal weight range for my height. I am about 5'7" and prior to each of my two pregnancies, I weighed 142. For me, that translates into size eight clothing, size six for some oddly made-garments. I've always been generally happy with my weight, and I've never obsessed about the numbers on the scale. Yet there's been one area that's bothered me ever since my first baby was born -- my tummy. Now I like to use the excuse that my babies were big -- 10 pounds, nine ounces and 10 pounds, two ounces -- but clinging to this explanation did nothing to remove the loose skin from my middle. And for years, I guess I wasn't ready to work at whittling it away.

Enter cancer. Research shows many breast cancer patients gain weight during treatment -- sometimes up to 30 pounds. And while I never did gain this much, my weight has increased over the past almost three years. Perhaps it was hormones, the chemotherapy drugs, the anti-depressant I just stopped taking. Regardless, I didn't like the extra weight. So I tried to do something about it -- and about that pesky tummy too. And herein lies the victory.

I will visit my oncologist on Monday for my every-three-month check-up. It's the recurring appointment that will appear on my calendar until I hit the five-year-survival milestone. I am three years away.

It's the appointment that consumes at least half of my day due to endless waiting -- waiting for a parking spot, waiting in the lobby, waiting in the exam room, waiting to pay. It's the appointment that officially begins with the drawing of my blood for lab work, continues with a check of my vitals, proceeds with a history review and physical exam with a medical student. It's the appointment that brings me face to face with the man who prescribed my treatment, the man who offers me strategies for living beyond treatment, the man who helps keep me alive. My oncologist.

And so I am preparing for this visit in the same exact way as I always do. I set aside a large chunk of time for this time-consuming extravaganza. I think a lot about the lab work and wonder if something suspicious will surface. I think a lot about the physical exam and wonder if an enlarged lymph node or mass in my breast will be discovered. And I think a lot about what I want to ask -- because this is my only very own allotted time for unraveling the mysteries of cancer with the man who knows the topic like no one else I know.

On Monday, I will ask a few questions. I will ask about tumor markers, about why I am not tested for these indicators of tumor growth, a standard option for my co-writer and co-cancer survivor Kristina Collins. I will ask about Zoloft, about how long I should continue taking this anti-depressant and how to best wean myself from this drug when the time comes. I will ask about the flu shot, about whether or not I can get one during this same appointment.

And that's all. For now. Until three more months pass and my calendar tells me it's time to return for this recurring appointment that takes me closer to the five-year mark.

Two years ago, my father was diagnosed with prostate cancer. Shortly after he began radiation and hormone treatment for his cancer, I got an interesting call from him. He was suddenly experiencing symptoms normally associated with menopause -- in particular -- he was having hot flashes. He knew I had been suffering through hot flashes as a result of chemo-induced menopause. It's an interesting, if not unusual, father-daughter bonding when they both can share the trials and tribulations of menopause. Our telephone calls became conversations of possible solutions and relief during the sleeping and waking hours of a personal summer not in sync with the seasonal temperature outside. In the middle of winter, I joked my hot flashes were saving me money on my home heating bill.

Yesterday, Vicki posted tropical vacations and hot flashes, in which she shared a few natural herbal remedies for women suffering from hot flashes associated with menopause. For many women breast cancer survivors, chemo-induced menopause is a real problem. Today, I will share some of the natural remedies for men suffering from hot flashes associated with prostate cancer treatment and male menopause. Yes, it's a real condition. Jed Diamond, author of Male Menopause, offers these herbals as possible relief from male menopausal hot flashes:

• Wild Yam for hormone building assistance.
• Black cohosh for a relaxant and normalizer.
• Damiana as a prostate tonic, antidepressant and nutrient for sluggish sexual organs.
• St. John's Wort and Oat for nerve tonics to help deal with any depression and other stress due to the changes.
• Saw Palmetto for a reproductive system nutrient.
  

Of course, if you have been diagnosed with prostate cancer, you need to speak with your oncologist and primary care physician concerning the safety of combining herbs with any drug treatment you are currently prescribed. In addition, the Mayo Clinic did research that suggested antidepressants can alleviate the severity of hot flashes for men. My father has reported some relief from both herbs and antidepressants, but he still has a personal summer now and then.