January 3rd, 2010
When considering natural therapies for breast cancer, it is important to understand what medical or research-based evidence exists that shows which natural therapies are effective and for what circumstances. While there are many claims made on packages and the internet about herbal formulas, special diets, or new-fangled technologies, the evidence for natural therapies that work to cure breast cancer on their own is paltry, at best.
However, natural medicine truly shines in supporting oncology patients so they have the best results through surgery, radiation, and chemotherapy. The options to reduce adverse effects, improve outcomes, and help cancer patients feel well are diverse. When used in this way, the goal of natural medicine is to support conventional treatment approaches without interfering its effectiveness and to address concerns as they arise; natural treatments are tailored for each individual set of circumstances. Here are some examples of my favorite approaches.
Glutamine is an amino acid (protein building block) that high doses helps to improve recovery from surgery and helps prevent nausea, ulcerative lesions in the mouth and digestive tract, and neurological toxicity from some chemotherapy drugs.
Ginger is an excellent and safe way for chemotherapy patients to prevent nausea. Using capsules, liquid herbal extracts or even lollipops made by a compounding pharmacist are options that support easy compliance for the patient.
Doxirubicin is a common chemotherapy drug that is used to treat breast cancer. However, one of the most serious adverse effects of doxirubicin is toxicity to the heart. Coenzyme Q10 and L-carnitine are nutritional supplements that have been shown in medical research to reduce doxirubicin related heart damage without interfering with the drugs ability to kill breast cancer cells.
Another common concern for oncology patients is maintaining their immune function and white blood cell status. Some approaches that are promising in this area include maitake mushroom extracts, ginseng (a popular Asian herb), ashwaganda (an herb from India), and vitamin E supplementation.
It is clear that natural therapies have a supportive role in cancer treatment. But, if not used wisely, natural medicine can have negative effects. For example, studies show that the herb curcumin (turmeric) can decrease the cell-killing effects of some chemotherapy drugs like cyclophosphamide and doxirubicin (both are used in breast cancer treatment). Other dietary supplements that may reduce chemotherapy effectiveness include coenzyme Q10, glutathione, and cysteine. The most effective and safest way of using natural therapies is to consult with your oncologist and work with a qualified professional.
Tags: Ashwaganda, Breast Cancer, Coenzyme Q-10, Complementary Medicine, Curcumin, Cysteine, Ginger, Ginseng, Glutamine, Glutathione, L-Carnitine, Maitake, Mushroom, Natural Therapies, Vitamin E
Posted in Cancer, Digestive, Menopause, Over 50, Prevention, Treatment, Wellness, Women | 1 Comment »
January 3rd, 2010
In a previous article, I discussed the recent changes to mammography recommendations. This week I’ll share what women can do to reduce their risk of breast cancer.
First of all, it is important to acknowledge that cancer statistics are very complicated; the most recent research study may have results that contradict the one before. This explains why it is easy to get confused by the divergent information about cancer in the news media. I will try to provide some clarity.
Put simply, being at a healthy weight significantly reduces the risk of dying from breast cancer. Numerous medical studies indicate that maintaining a health weight (BMI between 20 and 25) is the most important lifestyle factor in affecting breast cancer survival.
The healthiest way of achieving optimal weight is to eat plenty of vegetables and fruits and to exercise regularly. A 2007 study published in the Journal of Clinical Oncology indicates that breast cancer patients who eat these healthy foods and exercise reduce their risk of dying from their cancer by up to 50%.
While having a glass of wine every day seems to prevent cardiovascular disease and decreases the rate of death from all causes, this amount of alcohol seems to increase breast cancer risk. If you are concerned about breast cancer because of your personal or family medical history, avoid alcohol. If cardiovascular disease seems more important, a few glasses of wine can be an enjoyable and healthy choice.
Hormone therapy with estrogen and/or progesterone for menopause increases the risk of women getting breast cancer. While the increased risk may be small, it is real: a 24% increase in risk. Natural treatments for menopausal symptoms work well. Some of the best therapies I recommend include herbs like black cohosh, chaste tree, and St. John’s Wort. Preliminary research indicates that black cohosh can even be helpful as an add-on treatment for breast cancer.
One of vitamin D’s roles in the body is helping to make sure that cells grow to be healthy and mature. Because dangerous cancer cells are immature, vitamin D status may be important in all forms of cancer, including breast. The best way to know your vitamin D level is to get a test from your doctor called 25-OH Vitamin D. Insufficiency is defined as less than 30ng/mL and optimal levels are about 45ng/mL. If testing is not available to you, taking 2,000 IU of supplemental vitamin D3 each day is a safe approach.
Be well,
Richard Malik, ND
Tags: Alcohol, BMI, Breast Cancer, Diet, Estrogen, Progesterone, Risk Reduction, Vitamin D, Vitamin D Testing, Weight
Posted in Cancer, Menopause, Over 50, Prevention, Wellness, Women | 1 Comment »
January 3rd, 2010
For women, breast cancer is the second most common cause of cancer and according to the Centers for Disease Control 41,000 women die each year from the disease.
Breast cancer has affected many women in every community in America. Some women have themselves been diagnosed; but even when a relative or friend gets the news, it still can be a very personal experience for everyone involved: spouses, partners, children, parents, and friends.
Even for the health care community, breast cancer can be a very sensitive topic. A recent article in the Journal of the American Medical Association encourages doctors and health care authorities to rethink cancer screening guidelines and the U.S. Preventive Services Task Force has actually changed mammography screening recommendations. You may have heard about these changes on television news or in the New York Times. The outcry from the media, legislators, and doctors has been substantial.
It certainly is a good time to take a careful and reasonable look at breast cancer issues. This week, I will outline the screening recommendation changes and their reasons. In following weeks, I will discuss approaches to breast cancer screening, prevention and treatment that make sense from a mainstream medical and naturopathic perspective.
With the changes in recommendations, no one is disputing whether mammography works for detecting early stage breast cancer; it does. The concern is that all of the suspicious lumps found by mammogram result in many unnecessary biopsies and unnecessary worry - at some point the cost outweighs the benefit. According the best statistical evidence, for women 40-49 years old it takes screening almost 2,000 women to identify one cancer that would be helped by treatment. For women 50-59 years old the number falls dramatically to about 1,300 women screened to identify one cancer helped by treatment. For women 60-74 years old, the numbers get even lower.
The bottom line is that there are potential benefits and costs to any health care choice. With the guidance of your physician, you get to choose the approach that makes sense to you; - every woman has different risk factors and concerns.
Next week, I will discuss prevention and other screening options.
Be well,
Richard Malik, ND
Tags: Breast Cancer, Mammograms, Recommendations, Screening
Posted in Cancer, Menopause, Over 50, Wellness, Women | No Comments »
March 3rd, 2009
I just ran across an interesting study that, through statistical analysis, comes to the conclusion that the incidence of several types of cancers are lower when people have higher vitamin D blood levels. Their recommendation is for people to maintain vitamin D levels between 55ng/ml and 90ng/ml. These levels are between the standard mainstream medicine reference ranges of above 32ng/ml being optimal and above 100ng/ml being toxic.
These researchers are recommending vitamin D intakes between 2,000 and 10,000 IU per day. Current recommendations are 400-600 IU per day.
Vitamin D levels are accurately assessed with a test called 25-OH Vitamin D. If taking high doses of vitamin D, please have your vitamin D levels checked by your physician after 3 months of supplementation to ensure your safety.

Vitamin D3 5,000 IU
If you are deficient in vitamin D, supplementation will likely improve bone health, blood pressure, and possibly mood and immune function.
Here is the highest qualtiy and most affordable Vitamin D supplement I have found; tested for identity, potency, purity, and label claim to expiration date. Taking one capsule every third day ensures a daily dose below the Institute of Medicine’s conservative upper intake limit of 2,000 IU per day. At this dose, one bottle lasts about 9 months!
Be Well,
Richard
Tags: Breast Cancer, Cancer, Colon Cancer, High Dose, Prevention, Vitamin D
Posted in Cancer, Heart, Infections, Men, Mood, Osteoporosis, Over 50, Prevention, Supplements, Wellness, Women | No Comments »
January 12th, 2009
Previous and recent findings from the Women’s Healthy Eating and Living Trial (WHEL) indicate that many women diagnosed with breast cancer do better with a diet rich in vegetables and fruits. Most recently, researchers have found that women diagnosed with early stage breast cancers have up to 31% fewer new cancers (either breast or in other locations) if they consume a diet consisting of 5 servings of vegetables, 3 servings of fruit, 16 ounces of vegetable juice, and at least 30 grams of fiber each day. This 31% reduction is in comparison to women eating the 5 servings of vegetables and fruits (combined) and at least 20 grams of fiber per day.
Women in the study were followed for, on average, over seven years. The women with the greatest protective effect were the ones that did not experience hot flashes after breast cancer therapy. It seems experiencing hot flashes after breast cancer treatment may confer some protective effect on its own.

The Bottom Line:
Eating plenty of vegetables, fruits and their juices seems to substantially reduce the risk of new cancers in some women with history of breast cancers.
Tags: Breast Cancer, Cancer, Fiber, Fruits, Juicing, Vegetables
Posted in Over 50, Prevention, Treatment, Wellness, Women | No Comments »