I guess one would start counting from end of rad & chemo? I don't know, nor does it matter much. All I know is I have had to start watching what I eat again to maintain my young man physique I've developed over the last year & a half or so. LOL! Things are good & life is sorta back to normal as far as no fear & loathing. I take it day by day though. It's weird the things you can get used to. I just ate a bunch of that new Hagen Dass Mayan Chocolate & managed to breathe some in a couple of times & coughed like hell! Damn it was good though!