Breast Cancer Awareness Month, or Pinktober, is here again. Amid the skeletons and jack-o-lanterns, pink ribbons and cutesy slogans are here to remind you that a disease that kills roughly 40,000 per year exists. You know, in case you were unaware.

While it’s cool people and companies are also taking this time to raise funds alongside that oh-so-important awareness, I think there’s more we can do.

For instance, we’re all aware this disease exists. But did you know it presents in a number of ways that don’t include lumps? Ways that sometimes don’t show up on mammograms? Scary but true. I recently wrote a piece for Healthline on this very thing. Did you know skin dimpling can indicate breast cancer? You can learn more about the signs in my piece, as well as at Know Your Lemons (a fab resource).

Here’s another thing you probably didn’t know: Metastatic breast cancer is the only kind of breast cancer that kills. Meaning, once cancer metasticizes (spreads), it can and often will kill. Here’s the even scarier part: Even early stage cancers that are successfully treated can metasticize. There goes the assurance that catching it early automatically means you’ll be fine.

This is the fear every breast cancer patient and survivor lives with. Will it come back? Will it spread? Will I die?

Which brings me to my second point in how to truly make the most of Pinktober: Donate to Metavivor. Stage IV or metastatic breast cancer is the least-funded type of breast cancer research, even though it’s the only type that kills. Metavivor is the only organization dedicated to metastatic breast cancer research, as well as supporting MBC patients. And all donated funds go to that mission—you never have to worry about shady dealings filtering your support. I donate to Metavivor every year, and I encourage you to, as well. Every penny counts.

Last but not least, be gentle with the breast cancer survivors in your life this month. Pinktober is incredibly triggering for us, and throwing a pandemic on top of it doesn’t help. Just remember the fear of illness you’ve lived with these past few months has been our reality for a while, and while a vaccine will one day stop COVID, there’s no silver bullet to kill our boogeyman.