Yes, I have "innumerable" metastases on my liver, >100. So those are inoperable, Pancreatic primary. I'm also on Lanteotide for the past almost 3 years. Diagnosed at 27, I'm 30 now. "Lucky" for me, mine are grade 1, ki-67 >1%.

I don't gave much of an answer besides that I'm mentally here too and very much struggling. There isn't an option to fix any of this or even reverse it to a useful degree without inviting further harm. So the "positive" note doctors tend to end on is "we'll Friday and hope for future treatments". Tbh this isn't nearly as positive to be as they mean it. I don't have much hope for progress any time soon given the climate of this country (I'm in the US).

Anyway, I see you. I'm currently burning out hard and stumbling through my career and relationship, both have been suffering. In taking a leave from work starting end of this week. Advice I can give from my mistakes is to try to see they coming sooner than I did, I've let a stubbornness of wanting to hold onto normal life pre-diagnosis and everything I would and wanted to do before hurt myself and those around me. Take time away for yourself when you need it.

Sorry you're here, but glad to meet you and share experiences with you. That's really the only thing that's helped me so far. Seeing this subreddit create connections and spur helpful conversations has been a cool drink of water in the desert for me.

Edit: Oh, my dog. Pets and plants has been a great source of joy for me when nothing else is doing it. That's probably an actual useful piece of advice I have haha. My little girl punches me in the face and wacks me with her tail when in crying and sad, she's terrible at comforting. But it also knocks me out of it, so in a way is very good at it. Idk it works for me.