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| By Dr. Ronald Hoffman
Recent articles have hailed progress on the war on cancer. Experts point to statistics they say reflect rising survival rates and falling death rates from “preventable” cancers, such as breast and colon. Nevertheless, cancer remains a big killer, recently surpassing heart disease as the No. 1 cause of death in Americans younger than 85.
Critics of the new-cancer optimism emphasize that seeming advances in cancer treatment may be inflated. Ralph W. Moss, Ph.D., author of Questioning Chemotherapy and developer of the website www.cancerdecisions.com (a leading online cancer information and referral service) points out that recent boosts in the five-year survival rate of many cancers are artifacts of “lead-time bias.” That is, our ability to detect cancer very early has been vastly improved with PSAs (prostate specific antigens), mammograms, colonoscopies, PAP smears and other sophisticated imaging techniques. Thus, patients with cancer may only appear to live longer because they were diagnosed earlier. Many aggressively screened and treated patients also have slow-growing, very early prostate and breast cancers that probably wouldn’t curtail their life span anyway, even if left undiscovered.
Even more vociferous is Clifton Leaf, executive editor of Fortune magazine and himself a Hodgkin’s survivor, who recently wrote: “Optimism is essential, but the percentage of Americans dying from cancer is still what it was in 1970 . . . and in 1950.” Leaf contends that cancer researchers have taken a simplistic approach, driven by drug companies seeking a profitable “magic bullet,” and calls for changing how we think about cancer. And while some oncologists envision a time when cancer ultimately follows in the footsteps of AIDS, morphing into a treatable, chronic disease that responds to a “cocktail” of targeted drugs, the idea is to nip cancer in the bud well before it turns malignant and deadly.
The Technicolor Diet
Though a foolproof cancer diet doesn’t exist, there are some foods that seem to confer a protective effect. I recommend seeking out brightly colored fruits and vegetables from the entire color spectrum. Those bright pigments are signatures for antioxidant-rich plant compounds called phytonutrients, including carotenoids (yellow, green, orange and red) that act in concert to inhibit tumor progression, and anthocyanidins (blue and purple), which are among nature’s best cancer fighters. Eat the following foods on a daily basis or as often as you can:
Other cancer-fighting foods to include at mealtimes:
Exercise and Alcohol
The word isn’t completely out yet, but many studies show that exercise is an important hedge against cancer and can even help prevent its recurrence. Hence, those cancer walks held across the country to raise funds and awareness may actually bestow health benefits to survivors as well. It’s not clear exactly how exercise fights cancer. One theory suggests that it boosts insulin metabolism. Another hypothesizes that it may moderate excess levels of cancer-promoting sex hormones such as estrogen. Still others suggest that it enhances immunity or even provides more oxygen to tissues. (Lack of oxygen in cells is believed to foster cancer growth.) It’s a fair bet, then, that along with heart benefits, adopting a fitness regimen will give you some cancer protection as well.
Moderate drinking offers some heart benefits, but when it comes to cancer, the plot thickens. We know that among alcoholics, especially those who smoke, cancer rates soar. And studies show that as few as two or three drinks per week increase women’s risk for breast cancer. The reason is that even moderate consumption of alcohol robs the liver of some of its estrogen-metabolizing efficiency, thus exposing some drinking women to a higher risk of hormonal cancers.
Insulin Resistance and Cancer
Insulin resistance, or syndrome X, also may be a culprit in cancer. Remember that insulin resistance is reduced sensitivity in the tissues to the action of insulin, whose job it is to bring glucose in for energy. In turn, the body overcompensates by secreting more insulin from the pancreas, which eventually can result in high blood pressure, high blood glucose, elevated triglycerides, low levels of high-density lipoprotein or “good” cholesterol, and extra pounds (particularly around the waist).
Studies clearly show a higher cancer rate in overweight people. Type 2 diabetics, who are awash in excess insulin, also have far higher risk of malignancy, particularly gastrointestinal and reproductive cancers.
Insulin resistance seems to encourage cancers in several ways. One is by simply providing too much nutrition to cells–including fast-growing cancer cells. Another is by hiking levels of cancer-promoting estrogen (engorged fat cells act as tiny estrogen factories). On top of that, high insulin levels at cell receptor sites, particularly in the colon and breast, seem to promote growth of pre-cancerous cells. In addition, the excess pounds that are a hallmark of insulin resistance may signify overconsumption of unhealthy foods laced with environmental carcinogens that are retained in fat cells. And, finally, insulin resistance seems to encourage chronic inflammation.
The solution? Follow my heart-healthy Salad and Salmon diet, which may offer substantial additional protection against cancer. (For more on the diet, check out www.drhoffman.com/page.cfm/21). Also, ramp up your exercise routine, which makes cells more responsive to insulin.
CHEMOPREVENTION
While it might sound far-fetched that medical science may soon head off cancer in its earliest stages before it turns lethal, think of what we’re doing to curb heart disease in this country. Patients are being aggressively screened for risk factors–diabetes, hypertension, high cholesterol–and remedial action is being undertaken before the disease advances.
The idea behind chemoprevention is similar. Like heart attacks, tumors aren’t the first sign of disease. Both are the result of accumulated genetic and environmental processes that may take years to manifest as a full-blown disease. Researchers increasingly believe that these and other diseases of aging may be linked by common pathways, such as inflammation, that can be disrupted by taking a daily pill or other therapy.
Toward this end, a wide array of natural and designer compounds are currently being investigated for their potential to prevent cancer, augment standard treatments or prevent cancer’s recurrence. A leader in this area is the University of Texas M.D. Anderson Cancer Center. Researchers there have begun identifying preventive therapies for people who are genetically at risk. These include retinoids (compounds related to vitamin A); the green tea phytonutrient EGCG; nonsteroidal anti-inflammatory drugs (NSAIDs); curcumin (one of the main spices in curry); and selective estrogen receptor modulators (SERMs) such as raloxifene and tamoxifen, which occupy estrogen receptor sites and block the body’s own harmful estrogens from promoting cancer.
TELL YOUR ONCOLOGIST ABOUT THESE:
Few conventional doctors can refute the promise these natural therapies hold for preventing and treating cancer:
Fish Oil
With its omega-3 fatty acids (good fats), such as EPA (eicosapentaenoic acid), fish oil deserves a place of prominence due to its multitude of synergistic cancer-fighting actions:
Supplementing with fish oil has a place in both prevention and treatment of cancer. Note: if you’re having cancer surgery or a biopsy, tell your doctor you’re taking fish oil. Because of its blood-thinning properties, he or she may ask you to discontinue using it for a couple of weeks beforehand and a week or so afterward, to avoid bleeding complications.
To prevent cancer, take two 1,000 mg (milligrams) capsules of fish oil with EPA/DHA daily. For treatment, take four to six capsules per day as tolerated. (Some patients may experience nausea, especially if they’re undergoing chemo.) A packet or two a day of a tasty, custard-like emulsified fish oil, called Coromega, provides an alternative for some finicky patients.
Phytonutrient Supplements
In addition to eating plenty of the cancer-fighting foods listed earlier, talk to your doctor about also incorporating these antioxidant-rich, plant-based supplements into your cancer-prevention or treatment regimen:
InflamaSYN contains curcumin, green tea, ginger, oregano, rosemary and other inflammation-fighting and cancer-preventive herbs. It’s currently under study at Columbia Presbyterian Hospital for its effects on prostate cancer. Take one twice daily for prevention, two twice daily for cancer.
Phytoguard contains green tea, broccoli extract, curcumin, quercetin and additional phytonutrients valued for heart-protective and cancer-preventive effects. Take one twice daily for prevention, four to six daily for cancer.
Selenium
A 1996 study at the University of Arizona Medical School confirmed the dramatic cancer-preventive effects of this trace mineral. Participants who took 200 mcg (micrograms) of selenium a day cut their risk of colon, prostate and lung cancer by half. I recommend the same daily dose of selenomethionine. Food sources include Brazil nuts and fish.
Vitamin D
One of the most riveting new stories on the cancer front involves the vitamin D connection. Interest in the possibility that vitamin D deficiency and cancer are linked first arose in the 1980s when Dr. Cedric Garland of the University of California at San Diego noticed that colon cancer was more a disease of temperate climates, north and south of the equator where sun exposure is less during the winter months. Similar trends were seen for osteoporosis and multiple sclerosis.
This led to the theory that time in the sun offers protection against these diseases. It also led cancer researchers to vitamin D (long believed to mainly strengthen bone), since it’s made in the skin in response to sun exposure. Subsequent studies have confirmed correlations between adequate levels of vitamin D and protection from prostate, breast, colon and skin cancer.
A recent melanoma study even revealed a surprising paradox: Survivors of this potentially deadly skin cancer, which may be initiated by overexposure to the sun early in life, survived longer with additional sun exposure.
Many doctors warn patients against sunning themselves because of cancer risk and are uncomfortable prescribing higher than minimal doses of vitamin D due to its known risks of calcium overload and kidney stones. However, patients can easily be tested for vitamin D with a test called 25-hydroxy D. When I supplement cancer patients with vitamin D, I aim for high-normal values and test frequently (every six weeks or so) to see whether I might be undershooting or overshooting the mark.
Like many complementary physicians, I recommend natural vitamin D3 (cholecalciferol) at doses up to 4,000-5,000 IUs (International Units) per day as opposed to multivitamins and calcium combination products, which typically contain no more than 400-800 IUs of vitamin D.
Tocotrienols
The latest in the fight against cancer, the constituent of vitamin E identified as tocotrienols appear to have a suppressive effect on the growth of cancer cells, thereby inhibiting angiogenesis. Current research indicates tocotrienols are up to 60 percent more effective than tocopherols in disease prevention. Take one 270 mg softgel twice daily.
More research needs to be done, but the preponderance of evidence and 20 years of clinical experience with cancer patients suggests to me that supplements have a place in cancer treatment. However, as I frequently reiterate on my radio show, there’s no one-size-fits-all approach. Nutritional therapy needs to be carefully individualized to a particular condition so it doesn’t conflict with conventional treatment. I also remind callers that just as they spend hours consulting with their oncologist about conventional strategies, they should also consult with a qualified nutrition professional who is aware of potential interactions.
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