Alcohol consumption--do I have to limit for the rest of my life
Comments
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Don't laugh, but I am trying to find some silver lining in this dark dark cloud. Any upside at all would be nice. So, I was wondering was whether it would be harmful if I could resume drinking alcohol normally (daily cocktail or two) after this whole mess is over with. By mess I mean bilat mx, chemo, etc. For the last several years I have been limiting my alcohol consumption in an attempt to prevent the onset of cancer. Now that I have it, and will be having bilat mx and chemo to get rid of it, will it increase my risk of recurrence going forward to resume drinking alcohol? Anybody know?
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I don't recall seeing any conclusive proof that alcohol consumption causes breast cancer. Some were even allowed to drink in moderation during treatment. It depends on your doctor. Please ask your oncologist what he thinks.
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Alcohol can increase your risk for breast cancer. It may have something to do with weight gain and estrogen storage in fat tissue.
I see it as a lifestyle choice. I have chosen to drink in moderation, eat pretty well, and get exercise and sleep.
And, as you know, even when treatment is over, cancer never really seems to be for us. So, make a decision--as informed as you can--then don't look back and kill yourself with "what-ifs" if something unexpected happens.
I raise my glass to you as you struggle through this issue!
Anne
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You know, as a former party girl...I had big issues w/ this and was truly considering going Christina Applegate partly for that reason. I ended up doing lump and radiation and my margins were clean. I have become obsessed w/ how all the hormonal, diet issues work etc...and because I've now read at least a few articles daily for the past 3 mos......here's ACS's take;
Use of alcohol is clearly linked to an increased risk of developing breast cancer. The risk increases with the amount of alcohol consumed. Compared with non-drinkers, women who consume 1 alcoholic drink a day have a very small increase in risk. Those who have 2 to 5 drinks daily have about 1½ times the risk of women who drink no alcohol. Excessive alcohol use is also known to increase the risk of developing cancers of the mouth, throat, esophagus, and liver. The American Cancer Society recommends that women limit their consumption of alcohol to no more than one drink per day.
Additionally I read another nutrtional article that basically said alcohol consumption may indirectly raise estrogen levels due to the fact that your liver is tied up metabolizing the alcohol....and if you have hormone recepetor pos bc...this isn't so great...the good news is once you cut back you become a really cheap date, will probably lose weight and won't be nearly such a sloppy drunk!
NEWSFLASH! You should increase your folates if you do consume alcohol...easy if you're loading up on leafy greens...seriously....more plant foods, whole grains and fiber is better......I really believe some big news/breakthru will(already has) show SO much of this cancer (or now for us prevention)may be linked to lifestyle, diet, etc .... Folates help repair the damage you cause in your dna from alcohol...if not by diet then by supplement Dr. Blaylock recomends 800mcg/day....but getting it from the plant source is best............broccoli (Idc3) EVERY DAY man!
bottoms up!
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The big issue I have with alcohol is that oftentimes a daily drink, or two is really two drinks on a regular day and the whole bottle on the weekend.
It adds up and as others have mentioned it's empty calories that tend to make you eat otherstuff and next thing you know you're complaining you don't fit into your pants anymore.
without knowing any actual sources I am under the impression that alcohol is one thing that actually is linked to breast cancer. I read some book that suggested that the difference in Asian and Caucasian women't bc may be soley the difference in their alcohol intake as Asian women are more sensitive to alcohol and don't drink that much at all.
I say, try to stick to a weekly drink or two.
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The recommendation is no more than 1 drink a day. Just be sure you know what "drink" means. It's been a while since I looked it up (and I have no brain left after chemo and menopause, not to mention the 4 head injuries before all that) but I think that means 8-12 oz beer, 4 oz wine, 1 oz hard liquor. I don't know how you se it but 4 oz wine is a very small amount.
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Ok, so what if I go 2-3 months without a drink, and then one night have a good time and have say 3 or 4 drinks? How does that work? I'm all confused.
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I struggled with this question when I was first diagnosed. I was 26 and still liked to go out and party with my friends. Idk, sometimes I wonder. I hear stories about people who are health nuts and get cancer and people who do not take care of themselves at all and live until they are 90. I started stressing myself out about what to eat, what not to eat etc. Bottled water, tap water. Diet soda, artificial sweetners etc. The best advice I can give is the advice I follow...ANYTHING IN MODERATION..... If you party from time to time is going to kill ya (Not literally
) Well, if you don't, will it save you?.. ENJOY YOUR LIFE! Do what makes you happy. As we all know, at a flip of a switch your life can be turned upside down. I would hate to have turned away from indulging on the things i enjoy from time time and it not make a difference in the end
Hope this was helpful -
Youwearpink, you are right.
My best friend is coming to town tommorrow and has planned a "night out" for the two of us. I think I'll enjoy it
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Enjoy yourself!!!! I enjoyed myself and I doing fine!!!!! HAVE FUN!! You deserve it!
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All the studies do seem to clearly indicated alcohol raises the risk of bc. However, my mom died from bc and she NEVER drank. Prior to bc, I drank wine every day. Chemo has destroyed my taste for wine, cannot even stand the smell. I sincerely hope this is temporary!!!!!
lexislove, have a great time!!
Lisa
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I mentioned this on another post, but I'll repeat it here. I read on a post a couple months ago how sugar "feeds" cancer and it so grossed me out that I haven't had a drink since before my surgery!
My husband and I used to drink a litre of wine (big bottle) with soda EVERY night. That's a lot of calories, alcohol and money.I've gone 2 years without alcohol a number of times and never lost an ounce. I'm hoping it will work this time....sigh.
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I gotta say, I feel much like Lexislove on this one. I don't drink my wine every day. When I do, generally on weekends, maybe one weeknight if I'm in need of spoiling, I have more than 1-2 nearly always. So if I have say, 6-8 drinks a week, does that average out to one per day or not?
ARRRGGHHH!
Until chemo starts I'm not going to worry about it. I've given up soda. Monday I give up my smokes. If I want a glass or two or three of wine before then, by cracky I'm gonna have it. Once chemo starts tho, I'm going to baby my liver. Chemo is toxic enough all by it's lonesome.
However, if "sombody" in research could please work with real people maintaining real lives, I sure would apprecate it! Sheesh!
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Lisa, my mother was a teetotaller and she also died from bc -- in fact, she had none of the risks associated with it. The more I read about bc, the more I'm convinced that it is largely fate which determines who gets what illness, even with certain diseases which have a genetic component. We can drive ourselves nuts trying to figure out "Why me?" and "How can I prevent a recurrence?" Every time a new study comes out, we're concerned that we did (or didn't) do the right thing to prevent our cancer, forgetting that each of these studies is but a very, very small piece of the puzzle -- and, in the end, may not even fit into the puzzle.
For me, the rule with alcohol is simply -- moderation. Lexislove, enjoy your night out!
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Thanks everyone..I will!
Webwriter, before the BC diagnosis I enjoyed my weekend drinks, here and there. Once chemo started the smell of anything alcoholic was crazy! I went through chemo during the winter and around Xmas time tried to have a small amount with Xmas dinner. Well let me tell you, I ran to that bathroom soo fast...lol.
In June I finished with rads and in September me and my best friend hit Las Vegas fo 4 days. MMMM...$1 Margaritas.
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I was going through a couple of months of blood test results with my onc and kept nagging him about my liver enzyme (not sure which one) number which was way up. He wasn't concerned but still I persisted. He said, "Look! It's really nothing to worry about. If you had a few glasses of wine it would be way higher than that." That really surprised my and he reiterated: alcohol is extremely toxic to the liver. Sigh....
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The research evidence is definitive in showing a link between alcohol and breast cancer- the more alcohol consumed, the greater the risk.
That said, we can all think of women we know who are heavy drinkers and haven't gotten breast cancer, as well as women who never took a drink in their lives and got breast cancer or even died from breast cancer.
I was a regular drinker prior to my bc diagnosis. I quit drinking the day I got my final pathology report and learned that my cancer was ER/PR+. By that time I had learned that alcohol increases estrogen levels which can fuel ER+ tumors, especially after menopause.
The silver lining for me was discovering that I LIKE AND PREFER life without alcohol. Too bad I had to get breast cancer in order to make this discovery, but oh well. I enjoy my life 10X more(at least) than I did as a wine drinker.
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Still - this all goes in the direction of "anything in moderation". Any woman is at risk, and as BC survivers we are at even greater (although, hopefully moderate) risk.
Personally, alcohol is not a huge issue for me as I never drink cocktails nor beer - but wine is. Wine is part of my lifestyle, of my pastimes, of my pleasures. And giving it up would mean - well, I don't want to go there. Simply, it is not the getting "high".
True is that since a while, I went from the one-two drinks daily - and admittedly more on the week-ends, to no drinks during the week, and only a bit during the week-end. Hey, its a start.
I'll add that with the approval of my onc, I happily had a glass of wine per day through chemo. And I cheer to Youwearpink!!!!
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I agree with Lindasa as far as fate deciding who will and will not get bc. I know many women who never drank, exercised and they still wound up with bc. I drink, I like to think in moderation, but I did stop during my treatment. I would like to stop smoking, though, for more reasons than just bc. I hope the lady going out with her friend has a wonderful time. Sometimes we just need to let loose.
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Does anyone know if the alcohol studies differentiated between wine and other forms of alcohol? I know there are studies re:reservatrol (found in grapes and red wine
) and breast cancer prevention. I too enjoy a glass of good red wine- gave it up the first 4 months after diagnosis but now drink a glass or so on the weekends, but want to make sure I am not causing myself any harm as was estrogen + . -
I think about it this way...I was ER+ and have since had Tamoxifen, total hyst, and Arimidex. I can tell that there is VERY LITTLE estrogen left in my body. Therefore, I think I can balance the risk in my head and have a glass or two of wine! I hear that 1-2 a day is a lot less bothersome than bingeing on the weekend and having a whole bottle of wine, so...I will have one or two on the day I drink wine and not worry about it!
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Laura, I like your attitude!
In the breast cancer risk table on the Komen site, they say that drinking alcohol results in a "Slight increase in risk". (http://ww5.komen.org/BreastCancer/BreastCancerRiskFactorsTable.html). Here's specifically what they say about alcohol consumption:
Many studies support a link between alcohol intake and an increased risk of breast cancer. One analysis pooling the data from 53 studies found that for every one alcoholic drink consumed per day, the relative risk of breast cancer increased by about seven percent (a 1.07-fold increase in risk) [82]. Overall, women who drink two to three alcoholic beverages per day have a 20 percent greater risk of breast cancer (a 1.2-fold increase in risk) than non-drinkers.
Alcohol may increase the risk of breast cancer in a number of ways. It can alter the way a woman's body metabolizes estrogen [83], causing blood estrogen levels to rise, which may in turn increase the risk of breast cancer. Drinking alcohol can also reduce blood levels of the vitamin folic acid. Folic acid plays a role in DNA synthesis and repair. Low levels of the vitamin may make it more likely that DNA is incorrectly copied when cells normally divide. Such errors can lead cells down a pathway to become cancerous.
Although you shouldn't drink a lot of alcohol, for people who have one or more drinks a day, getting enough folic acid may help reduce the extra risk linked to using alcohol [84]. Taking a daily multivitamin is a good way to get adequate folic acid, (often called folate on nutrition labels). Oranges, orange juice, green vegetables and fortified breakfast cereals are great food sources of folic acid. http://ww5.komen.org/BreastCancer/DrinkingAlcohol.html
Keep in mind that a 1.2% increase in risk is an increase relative to the base level of risk. So for someone with no significant risk factors who has a base risk of about 5%, alcohol may increase risk to 6%. What is very interesting is a comment on Dr. Susan Love's website which says that "We also don't yet know whether alcohol increases risk if you are already at risk or of having a recurrence. This study couldn't tease out what a woman's actual risk was. It just compared drinkers to non-drinkers." So this means that for those of us who've already had BC, basically, they don't have a clue whether alcohol affects us or not. http://www.dslrf.org/breastcancer/content.asp?L2=1&L3=4&SID=130&CID=1404&PID=4&CATID=0
And then there is the affect of folic acid. The well-known "Nurses Study" found that "although high folic acid intake reduced breast cancer risk in all the women, it was most protective in those who drank more than one drink a day. It reduced the higher risk caused by their drinking." http://www.cancer.org/docroot/NWS/content/NWS_2_1x_Study_Folic_Acid_Vitamin_B6_May_Protect_Against_Breast_Cancer.asp
This was confirmed more recently by a number of other studies, including some which actually suggest that BC risk may be lower for women who consume alcohol and take folic acid, vs. those who don't consume alcohol at all:
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1246078
http://hormonenegative.blogspot.com/2008/02/folic-acid-can-reduce-risk-of-breast.html
And here's a good summary of the research on this: http://www2.potsdam.edu/hansondj/HealthIssues/1104371314.html
So, even though I had just a single mastectomy and am not on Tamoxifen, having done my homework, I'm comfortable that as long as I take folic acid, I increase my breast cancer risk very little, if at all, by drinking wine. I figure that breast cancer has messed with me enough - I'm not going to let it take away my enjoyment of life - and one of the things I enjoy is a glass (or 2) of wine!
Cheers!
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During that looonnnng process from mamm to surgery to having a plan, I drank quite a bit, thank you. During chemo, I didn't drink on tx day, but after that I would usually have 1-2 glasses of wine at night. Sometimes I'd have vodka and "unusual" juice. (I like OJ, but like more exotic juices too.) I also know that I can't/don't/won't believe a whole lot of crap on this subject. Sorry about that you stoopid medicos--you've lied to people as long as I can remember to make your point, because for you, the end (getting people to behave like YOU want) is more important than the means (something called honesty.) So, I just don't believe ANY of this anymore. (Remember when bacon caused cancer? Yeah, that's why Jewish women have higher odds of BC; you know they eat a lot of bacon.) Remember all those 'scare stories' they told us about drugs? And how much of it was lies? (See Reefer Madness) Fact is, illegal drugs are bad for you and they could have stuck to the facts. But they blew all their credibility.
I like wine, preferably the bubbly kind. I like to have a cocktail when I go to dinner. I am going to die anyway (and probably die overweight as well.) I don't want them sticking the bottle of Dom Perignon under my arm in the casket unless it's empty. I keep thinking about a letter I read from a woman whose sister died and went to help her BIL gather up her "outfit" for the visitation. In her sister's lingerie drawer was a beautiful silk slip the deceased had bought in Europe. It was still wrapped in the tissue and bag from the shop. Her sister had been keeping in for a "special occasion." Beyond ironic.
My body was given to me to USE, not to sit and atrophy. Becoming a beautiful corpse is NOT my goal. I plan to make a screaming slide into that ultimate rest stop with a drink in one hand, chocolate in the other and whatever of my parts I have left, saying "Boy, was that ever one helluva ride!"
Dona Nobis Pacem,
Beth
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Beth- you're right, never really thought about it from that angle before. Thank you!
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Beth, I'm with you on the drink in one hand (a glass of wine for me, please) and chocolate in the other! And I agree with you about what we are told by the medical profession, in part at least. I do think that sometimes the reason we hear one thing and then hear something completely different later is because new information or new studies have become available. But I also agree that some of what we are told is garbage and we are being told these things because they seem to be the right things to say, rather than being the truth.
When it comes to alcohol consumption, I find it very interesting that most of the supposed experts tell us that alcohol consumption is bad bad bad when it comes to breast cancer risk - and yet the facts tell us so much more than this. First, while it does seem to be fairly well proven that alcohol consumption increases BC risk, most studies have shown that it only increases risk by a relatively small amount - as the Komen site says, alcohol is a low risk factor. But that's not the message that we usually get, is it? Second, many of these same studies have confirmed that by taking a folic acid supplement, you can completely reverse the negative impact of alcohol consumption - and in fact you may be able to reduce your BC risk to a lower level than if you didn't drink at all. This is something that is very rarely mentioned when we are given all the warnings about alcohol consumption and BC risk. And it's not as if this finding about folic acid comes from one little study with 50 women. These findings have been confirmed over and over again in a number of very large studies - studies with thousands & thousands of women over many many years. I simply think that doctors find it a lot easier and a lot more palatable to say "don't drink alcohol - it will increase your BC risk" versus saying "it's okay to drink 1-2 glasses of alcohol per day if you consume at least 400mc of folic acid". The first statement is what a doctor is supposed to say; the second statement, although true (based on current research) is not a message that many doctors feel right about. Alcohol = Not Good For You. That's the medical community's approved message, so that's what we hear.
Happy Valentines Day to all. Enjoy your chocolate!! And wine! -
I didn't have any choice, the chemo damaged my liver so no more
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I've had this really nice bottle of red wine sitting around for months.... I want a glass. I haven't had wine for ages. The news programs often regale us with the benefits of red wine (a drink a day is good!) and a month later tells us it is bad. Do I want to help my heart at the smallish (?) risk of my breast? Maybe.
I was horrified about the sugar info barbe posted a while back -- those sugary rich white vanilla grocery store cakes have been a comfort food to me. Scraping off the roses, running my fork along the icing and licking the fork clean, leaving just the right amount of icing for snarfing down the cake part....gawd, it's practically sex for me!! Yikes!!!
I talked to my onc about cake last week. Yes, it was a serious conversation. Since I'm considering quality of life stuff with everything else, it's OK to have cake, if the enjoyment for me outweighs the risks. So my cake, within reason, is OK-ed by my onc. That said, if I was an early stage-er with a cure in sight, I would definitely overhaul my diet, allowing occasional vices. I guess it's all context, your plan, expectations. Some pleasures, in my opinion and for me, are worth it. I forgot to ask about wine, but I think I will have one tiny glass of wine -- if it's turned to vinegar, oh well.... maybe marinade something instead, yeah, right -- down the sink!
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I remember looking up the incidence of breast cancer in places like Italy and France, where women drink wine from childhood. Guess what? The incidence wasn't any higher. I'll try to find that website again and post it.
What I do believe is that some of us have a predisposition to breast cancer. While others may be able to eat and drink what they want, and will never develop the disease, the same food and drink may push our bodies to create more cancer cells.
I agree with most of you: it's a quality of life thing. I'm not going to give up the things I enjoy. I've always practiced moderation. And since the tie with alcohol apparently is its ability to raise estrogen, and I'll be on an aromatase inhibitor, I figure the danger just isn't that great.
So the next time I'm offered a glass of champagne, I'll hold my hand out and accept it. Life is too short. And life is for living!
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I tried to paste a chart I found, but it didn't work right. Italy and France actually have a LOWER incidence of breast cancer than the U.S. Italy's was 74.4 per 100,000 and France's was 91.9 per 100,000. The U.S. is 101 per 100,000.
Breast Cancer Worldwide Breast (All ages) Incidence Deaths China
Zimbabwe
India
Japan
Brazil
Singapore
Italy
Switzerland
Australia
Canada
Netherlands
UK
Sweden
Denmark
France
United States18.7
19
19.1
32.7
46
48.7
74.4
81.7
83.2
84.3
86.7
87.2
87.8
88.7
91.9
101.15.5
14.1
10.4
8.3
14.1
15.8
18.9
19.8
18.4
21.1
27.5
24.3
17.3
27.8
21.5
19Note: numbers are per 100,000.Source: J. Ferlay, F. Bray, P. Pisani and D.M. Parkin. GLOBOCAN 2002. Cancer Incidence, Mortality and Prevalence Worldwide. IARC CancerBase No. 5, version 2.0. IARCPress, Lyon, 2004. -
I have really changed my eating behavior since dx. As for wine, I enjoy a glass or two on special occasions. I am not a 'regular' drinker. I am with those who believe that moderation is the key.There are several sites explaining the sugar/cancer relation as a myth. I really would like to believe this one. People with cancer shouldn't eat sugar, since it can cause cancer to grow faster.Sugar doesn't make cancer grow faster. All cells, including cancer cells, depend on blood sugar (glucose) for energy. But giving more sugar to cancer cells doesn't speed their growth. Likewise, depriving cancer cells of sugar doesn't slow their growth.This misconception may be based in part on a misunderstanding of positron emission tomography (PET) scans. Doctors use PET scans to help determine the location of a tumor and see if it has spread.During a PET scan, your doctor injects a small amount of radioactive tracer — typically a form of glucose — into your body. All tissues in your body absorb some of this tracer. But tissues that are using more energy — exhibiting increased metabolic activity — absorb greater amounts.Tumors are often more metabolically active than are healthy tissues. As a result, they may absorb greater amounts of the tracer. For this reason, some people have concluded that cancer cells grow faster on sugar. But this isn't true.
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