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    Update on Kayli: Walking Forward in Faith for Such a Time as Now Dear Friends, Family, and Prayer Warriors, We wanted to share an important and hopeful update on Kayli’s journey. This road has brought mountains that seem impossible to climb, but we are continually reminded that we do not walk it alone. **Because of Him**, Kayli continues to show up every single day with incredible strength, resilience, and grace. Even through CNS relapse, radiation, and managing complex baseline conditions, her spirit remains a beautiful testament to God’s sustaining peace and perfect timing. ⏱️ Trusting His Provision: For Such a Time as This We are leaning heavily into our faith as Kayli is admitted to the hospital, purposefully this time, to begin a highly specialized combination of therapies: *Venetoclax and Calaspargase-peg* When leukemia manages to hide in the central nervous system after traditional treatments have done all they can, it can feel like options are running out. But God was already preparing a way. We firmly believe that this specific, cutting-edge treatment became a proven option for Kayli *for such a time as now*. Because Kayli’s care involves a precise balance of multiple health needs—so, initiating this new protocol requires 24/7 inpatient monitoring. It is a heavy step, but we trust God and the hands of her medical team, knowing that God is the Great Physician guiding their wisdom and decsions. The Science and The Blessing: A Newly Available Breakthrough We praise God for the incredible medical advancements that make this uniquely tailored protocol possible. **Venetoclax (Stripping the Shield):** Leukemia cells survive by overproducing a "shield" protein that prevents them from dying. Venetoclax is designed to strip away that shield. Clinical breakthroughs have newly proven that this medication actually crosses the blood-brain barrier, reaching the exact levels needed to clear disease in the central nervous system. * **Calaspargase-peg (Metabolic Starvation):** Leukemia cells cannot create their own supply of a crucial nutrient called asparagine—they have to steal it from the bloodstream to survive. Calaspargase acts like a vacuum, sweeping through the blood to destroy that supply, effectively starving the cancer cells while sparing her healthy cells. We are praying boldly and specifically that God uses this combination to completely and permanently clear her central nervous system of this disease. How You Can Stand with Kayli Managing round-the-clock hospital stays and the daily overhead of complex cancer care takes a tremendous physical and financial toll. Yet, God has continually provided for us through the overwhelming generosity and prayers of this community. You have been our anchor. If you feel led to help support our family during this inpatient stay, here is how you can continue to stand with Kayli: **Pray:** This is our greatest request. Pray for her complete healing, for these new medications to work exactly as intended without severe side effects, and for the medical team’s continued precision. **Donate:** Any financial contribution directly assists with medical expenses, specialized care needs, and the unseen burdens of this hospital admission. **Share:** Sharing this update with your network keeps Kayli’s story in front of a community that continues to lift her up to the Lord. Thank you from the bottom of our hearts for being His hands and feet. Thank you for believing in Kayli's strength, trusting God's perfectly timed plan for her life, and walking beside our family every single step of the way. With immense love and gratitude, Kaymi & Kayli's Family
    UPDATE: Update on Kayli: Walking Forward in Faith for Such a Time as Now Dear Friends, Family, and Prayer Warriors, We wanted to share an important and hopeful update on Kayli’s journey. This road has brought mountains that seem impossible to climb, but we are continually reminded that we do not walk it alone. **Because of Him**, Kayli continues to show up every single day with incredible strength, resilience, and grace. Even through CNS relapse, radiation, and managing complex baseline conditions, her spirit remains a beautiful testament to God’s sustaining peace and perfect timing. ⏱️ Trusting His Provision: For Such a Time as This We are leaning heavily into our faith as Kayli is admitted to the hospital, purposefully this time, to begin a highly specialized combination of therapies: *Venetoclax and Calaspargase-peg* When leukemia manages to hide in the central nervous system after traditional treatments have done all they can, it can feel like options are running out. But God was already preparing a way. We firmly believe that this specific, cutting-edge treatment became a proven option for Kayli *for such a time as now*. Because Kayli’s care involves a precise balance of multiple health needs—so, initiating this new protocol requires 24/7 inpatient monitoring. It is a heavy step, but we trust God and the hands of her medical team, knowing that God is the Great Physician guiding their wisdom and decsions. The Science and The Blessing: A Newly Available Breakthrough We praise God for the incredible medical advancements that make this uniquely tailored protocol possible. **Venetoclax (Stripping the Shield):** Leukemia cells survive by overproducing a "shield" protein that prevents them from dying. Venetoclax is designed to strip away that shield. Clinical breakthroughs have newly proven that this medication actually crosses the blood-brain barrier, reaching the exact levels needed to clear disease in the central nervous system. * **Calaspargase-peg (Metabolic Starvation):** Leukemia cells cannot create their own supply of a crucial nutrient called asparagine—they have to steal it from the bloodstream to survive. Calaspargase acts like a vacuum, sweeping through the blood to destroy that supply, effectively starving the cancer cells while sparing her healthy cells. We are praying boldly and specifically that God uses this combination to completely and permanently clear her central nervous system of this disease. How You Can Stand with Kayli Managing round-the-clock hospital stays and the daily overhead of complex cancer care takes a tremendous physical and financial toll. Yet, God has continually provided for us through the overwhelming generosity and prayers of this community. You have been our anchor. If you feel led to help support our family during this inpatient stay, here is how you can continue to stand with Kayli: **Pray:** This is our greatest request. Pray for her complete healing, for these new medications to work exactly as intended without severe side effects, and for the medical team’s continued precision. **Donate:** Any financial contribution directly assists with medical expenses, specialized care needs, and the unseen burdens of this hospital admission. **Share:** Sharing this update with your network keeps Kayli’s story in front of a community that continues to lift her up to the Lord. Thank you from the bottom of our hearts for being His hands and feet. Thank you for believing in Kayli's strength, trusting God's perfectly timed plan for her life, and walking beside our family every single step of the way. With immense love and gratitude, Kayli's Family ~~~~~~~~~~~ Kayli's Story Since the age of 8, I have been a fighter. I was first diagnosed with Acute Lymphoblastic Leukemia (ALL) nearly two decades ago. I have faced this disease head-on multiple times, undergoing a CAR-T 19 therapy in 2018, proton radiation in 2019, and a life-saving Bone Marrow Transplant in 2023. Each time, I fought my way back to remission. But recently, the battle took a terrifying new turn. What began as a routine follow-up turned into a nightmare when we discovered the leukemia had moved from my spinal fluid into my brain tissue. I was rushed into emergency care with brainstem herniation and a 5.2 cm hemorrhagic mass pressing on the most vital parts of my brain. The last couple of weeks have been a blur of my ICU stay, intensive radiation, and high-dose steroids. Just days ago, I faced a life-threatening crisis where my breathing stopped while I slept—a terrifying sign of the pressure on my brainstem. I am also currently battling 10/10 bone pain and a new DVT in my arm, all while my mother stays at my bedside 24/7 to act as my monitor and advocate. Why We Need Your Help: Fighting a reoccurring life threatening illness for 17 years has taken an unimaginable toll on my family’s finances. We are now facing mounting costs for: Uncovered Medical Bills: Intensive ICU care, specialized radiation, and life-saving medications. Daily Survival: Travel to and from the hospital, maintaining my siblings housing while my mother is at my bedside 24/7, and basic needs while she is unable to work. Long-term Recovery: Post-hospitalization rehabilitation and the specialized care I will need once I am stable. I am 25 years old, and I am not done living. I want to see a future beyond these hospital walls. Every donation, no matter how small, goes directly toward giving me a fighting chance to overcome this relapse and allows my mother to be with me for my final fight. If you cannot donate, please consider sharing my story with your network. Your prayers, thoughts, and support mean everything to us. With hope and gratitude, Kayli Manning & Family "I am Kaymi Manning, Kayli's mother and long-time advocate. I am managing this campaign and all funds on her behalf so she can focus 100% on her recovery and finishing her remaining radiation treatments. Every donation will go directly toward her ICU care, medical bills, and our family's survival during this crisis."