Able to undergo all screening assessments outlined in the protocol. Any uncontrollable intercurrent illness, infection, or other conditions that could limit study compliance or interfere with assessments. Lack of availability for follow up assessments Able to understand and willing to complete symptom assessments using a patient reported outcomes instrument Lack of availability for follow up assessments Lack of availability of study subject for immunological and clinical follow up assessments Active other malignancy requiring treatment that would interfere with the assessments of response of the lymphoma to protocol treatment and would interfere with follow-up assessments through year 5 Able to provide informed consent, adhere to the study schedule, and complete all study assessments. Patients (female or male) must provide informed written consent and must complete all screening assessments as outlined in the protocol Inability to complete neurocognitive assessments per investigator discretion Current or recurrent disease that could affect the action or disposition of IT-141, or clinical or laboratory assessments. Patients must complete all screening assessments as outlined in the protocol Patients must complete all screening assessments Geographical accessibility and willingness to return to FCCC for all preoperative and postoperative study assessments Any conditions that would preclude a patient from completing all study assessments Willing to return for all required study assessments Screening laboratory assessments: Adequate baseline laboratory assessments Adequate baseline laboratory assessments Lack of availability for immunological and clinical assessments or post-study follow-up contact to determine relapse and survival. Be willing to complete Quality of Life assessments during the study Notes: subjects may not have had a transfusion within 7 days of screening assessments; concomitant elevation of bilirubin and AST/ALT above the IULN is not allowed Patients must have at least one metastatic lesion that can be followed on baseline imaging obtained no more than 28 days prior to beginning study therapy. Baseline and follow up radiological disease assessments must include bone scans performed with 99mTc labelled diphosphonates Lack of availability for immunological and clinical follow-up assessments. Satisfactory completion of dosing & efficacy assessments in ISIS 420915-CS2 Lack of availability for immunological and clinical assessments or post-study follow-up contact to determine relapse and survival Completion of screening and baseline assessments Acceptable laboratory assessments obtained within 14 days prior to Randomization Adequate baseline laboratory assessments, including Lack of availability for immunological and clinical follow-up assessments. Patients must complete all screening assessments as outlined in the protocol Symptomatic orthostatic hypotension that in the medical judgment of the Investigator would interfere with subject's ability to safely receive treatment or complete study assessments Adequate baseline laboratory assessments Grade 3 or 4 eye disorder at study entry, unless stable and longstanding (>3 months) and unlikely to interfere with protocol-required ophthalmology assessments. Able and willing to undergo frequent MRI or CT assessments and complete symptom assessments using a patient-reported outcome instrument Lack of availability for immunological and clinical follow-up assessments. Completion of screening assessments (Refer to protocol for further details) Adequate baseline laboratory assessments, including: Adequate baseline laboratory assessments Willingness to participate in Patient-Reported Outcomes assessments Has completed study 3200K1-4000-WW, including 2 weeks of therapy and completion of all post baseline efficacy, safety, and health outcomes assessments. Have a willingness to comply with follow-up HRQOL (health related quality of life) surveys and PSA assessments Patients must have the psychological ability and general health that permits completion of the study requirements and required follow up; patients must be willing to complete neurocognitive assessments at pre-specified time points outlined in the protocol Willingness and ability to participate in study assessments and the eight-week intervention Able to complete study assessments, including keeping a daily diary In the judgment of investigators/consenting professionals, able to comprehend English to complete study assessments Able to complete study assessments Able to complete study assessments Cognitively able to complete assessments as judged by the study team Patients who are able to complete the assessments Other injury or condition that prevents ambulation or completion of study assessments Able to complete study assessments Able to complete study assessments Ability to complete the 4 or 6 weeks of acupuncture and follow-up assessments English insufficient to complete baseline patient-reported outcomes (PRO) assessments Willingness to comply with all study interventions of acupuncture and follow-up assessments Patients must complete all pre-entry assessments PHASE II: Able to complete all study assessments and procedures in English Must not have visual problems that in the investigators opinion would interfere in the completion of the study assessments Must not have visual problems that in the investigators opinion would interfere in the completion of the study assessments FOLLOW-UP ASSESSMENTS: FOLLOW-UP ASSESSMENTS: Must be non-adherent for CRC screening at the time of the educational program FOLLOW-UP ASSESSMENTS: Self-identify as African American FOLLOW-UP ASSESSMENTS: Agree to providing consent for release/review of their medical record With evidence of visual or auditory impairment that would preclude completion of the assessments, as per medical records or patient report Lack of availability for follow-up assessments Any condition conflict based on the investigation’s clinical judgment that would prevent the patient from completion all trial assessments and visits Are willing and able to complete all procedures and assessments in accordance with the clinical protocol; and, Subjects must complete all baseline screening assessments Willingness to provide multiple contacts (i.e., phone numbers, addresses of close others) if not reached for follow-up assessments Be willing and capable of completing the assessments and adhering to protocol requirements.