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Special Considerations 180,183 Avoid strenuous exercises during acute flare-ups.

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Treatment for cancer may involve surgery, radiation, chemotherapy, hormones, and immunotherapy. In the process of destroying cancer cells, some treatments also damage healthy tissue. Patients may experience side effects that limit their ability to exercise during treatment and afterward. These long-term and late effects of cancer treatment are described elsewhere 178. In the following sections, we use the National Coalition for Cancer Survivorship definition of cancer survivor; that is, from the time of diagnosis to the rest of life, including cancer treatment 193.

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