the B vitamins?
Since finishing treatment, I have been taking a B-complex '100' supplement daily, along with 10 other vitamins/minerals/herbs/supplements. I researched each of these carefully....except the B-complex. I think that I figured B would give me increased energy and the more B, the better. But lately I've been questioning my own logic and now wonder if any of the Bs have any known negative effects, especially if taken in large doses. Does anyone have any knowledge on this that they can share?
~Marin
Comments
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Marin- When I first finished treatment I did take a B complex thinking it would help my neuropathic issues after my falls, shoulder replacement and subsequent brachial plexus stretch and the resultant RSD.
I stopped taking the complex however, because I was leary about such a high dose of thiamine. I still take some Bs but individually. There is also some controversy about Folate because of all the Folate we are getting in fortified and enriched foods.
From what I've gleaned it says if you take a multi with 400 mcg of folic acid---don't eat any cereal,
energy bar or other food that contains 400mcg in the serving you eat.
Joel Mason, director of vitamins and Carcinogenisis Laboratory at the Jean Mayer USDA Human Nutrition Research Center of Aging at Tufts University in Boston says--Colorectal Cancers rose soon after companies started adding folic acid to foods but that still has yet to be proved.
Seems that they have compelling data that getting adequatefolic acid protects against certain cancers but an abundant quantity may accelerate carcinogenisis.
Here is the deal--The Ovarian Cancer Screening trial found a 19% higher risk of BC in postmenopausal women
who were taking at least 400mcg from supplements.
But, in Sweden another study showed a lower risk of BC in women who took the most Folic Acid 380 to 400mcg a day.
But here is the big difference why this is misleading.
Flour is not fortified in Sweden where they are getting much less folic acid.
So getting more is still much less than we get from our diets!
The thought is that "maybe folic acid only enhances the growth of tumors when you exceed the threshold."
This has left experts unsure of the wisdom of adding folic acid to flour, "especially when some advocates of reducing birth defects want it raised" when colorectal, prostate and breast cancer increase as we age.
We could be harboring precancerous lesions and folic acid may fuel their growth.
And since we are getting all this additional involuntary folic acid we may be benefiting some and harming others.
Also, the article talked about the follow-up of a three year trial that had given a placebo or 1000mcg of folic acid to 1000 people who already had a precancerous polyp (adenoma) removed from their colon or rectum.
"we saw an increased risk of advanced adenomas in people who got folic acid," says co-author John Baron,
a professor of medicine at Dartmouth School of medicine. And more Folic Acid Takers (10%)than placebo (4%) had at least 3 new adenomas and more folic acid takers (11%) than placebo (6%) were diagnosed with cancer outside the colon or rectum.
Linus Pauling institute says this about thiamine:
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Thiamin deficiency has been observed in some cancer patients with rapidly growing tumors. However, research in cell culture and animal models indicates that rapidly dividing cancer cells have a high requirement for thiamin (27). All rapidly dividing cells require nucleic acids at an increased rate, but some cancer cells appear to rely heavily on the TPP-dependent enzyme, transketolase, to provide the ribose-5-phosphate necessary for nucleic acid synthesis. Thiamin supplementation in cancer patients is common to prevent thiamin deficiency, but Boros et al. caution that too much thiamin may actually fuel the growth of some malignant tumors (28), suggesting that thiamin supplementation be reserved for those cancer patients who are actually thiamin deficient. Presently, there is no evidence available from studies in humans to support or refute this theory. However, it would be prudent for individuals with cancer who are considering thiamin supplementation to discuss it with the clinician managing their cancer therapy.
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also this :
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Wow, Susie, that is all pretty fascinating and I'm very glad that I posed the question! Maybe I'll look into supplementing B6 and B12, but steer clear of the complex. I already take a ton of biotin for my hair.
Thanks, Susie....you rock!!
~Marin
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Because the B's are water soluable, they flush through your system quickly. They are also fragile and easily compromised in the digestive system. Buying good quality B is really important. When you shop for your B-12, be sure to get the Methylcobalamin form of B-12, it is more easily used by the body. Many brands don't have this form, they use the one cheaper to make, it's Cyn...something. I used to work in vitamins and really researched the B's for myself. I love Jarrow the best for brands and their B-Right product, which is a B complex is my fav.
As far as Folate, I don't eat packaged foods, or flour, for that matter (gluten-free) and all those products that are fortified are not good for you in my opinion. If you eat a good balanced whole foods diet, you should not need much in the way of vitamins...except those that support our nervous system...because we are living in a stressful world that our bodies were not designed to deal with, in my humble opinion. I'm not a doctor, but my naturapath agrees. I take a B-complex and extra B-6 and B-12.
Now when cancer enters the picture, clearly the body is in trouble, so in our cases, I think some vitamins will be helpful. But the best antioxidents are still straight from food itself.
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Susie, as usual, you are an abundance of info with your research. Thanks! TwirlGirl thanks for all your insight into the vitamin business. It is nice to get info from someone who was on the inside.
I have been adding a bcomplex to vitamin regime, so now you all have me confused. I do not eat anything fortified, except a high fiber breakfast cereal, so is this all the B I need? I am pretty much gluten free also. It sounds like these studies are about cancer growth, so I am wondering about those of us, who have had our tumors removed and now on a prevention track. What is best for us? Any insight?
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I like to save my B12 for when I think I need it. It too has its bad press. The theory is it can help an already existing cancer grow. I guess tumors need vitamins too. B6 @ 100 mgs so far gets good press until someone finds out I take it, then I'll see headlines. That helps to keep away that crazy thumb that a lot of the women get. And it helps with magnesium absorption.
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You know when I was first treated I in 2003 I took every supplement known to man. I ordered enough from Life Extension LEF to sink a ship.-A multivitamin powder with everything under the sun.
Thankfully my pocketbook wasn't deep enough to keep it up. Thankfully, because the damn thing had broccoli extract and as I have been taking Femara for the past five years according to Constantine I would have been making it less effective!
I also became more hesitant after hearing Dr. Larry Norton the head of Memorial Sloane Kettering Oncology talk at a BCO Ask-the Expert night.
Although the evening was about metastatic disease this took me back.
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this is what Dr. Norton said at the October BCO ask the expert conference from the transcript.
October 2007: Living with Metastatic Breast Cancer
Question from Lisab:
What are your recommendations as far as taking vitamins during chemo treatment?
Answer:
Larry Norton:I actually have very strong views on this. The only vitamin supplementation I recommend is Vitamin D. I am advising Vitamin D-3 at 2000 units a day. It may turn out that higher doses are actually preferable, but we do know for sure that 2000 units is safe. Almost everybody in the world who does not live at the equator is Vitamin D deficient. Vitamin D is made by the skin by exposure to the sun, but those of us in the far north or far south and who wear clothes do not have enough skin exposure to make enough Vitamin D. I do not advise excessive sun exposure because of risk of skin aging and skin cancer. Hence Vitamin D supplementation makes sense. 2000 units a day is not a very big dose. If one takes one's shirt off and goes in the sun for half an hour, your body will make 10,000 units. We do not find toxicity from Vitamin D until people take hundreds of thousands of units for prolonged periods. I used to prescribe a multivitamin, but I no longer do so. This is because of evidence that multivitamins may actually have adverse affects on the growth of cancers- prostate cancer as well as breast cancer. You are much better off getting your vitamins from healthy food instead of pills, except for Vitamin D. Eat a good healthy plant-based diet, lots of vegetables, some fruit. Look at the breastcancer.org Nutrition section.
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I am NED but the prospect of fueling anything gives me pause. I do take supplements in fact 4800 mg vit D3 daily and quite a few others--CoQ10, magnesium,curcumin, Sam-e, melatonin, a few of the B's
Just a little more leary these days.
Just not as gung ho anymore.----More questions than answers
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Rosemary-I cut back on the B12 too but now that I am back on Aciphex I may have to supplement because the Proton Pump inhibitors can cause deficiencys.
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marin, i realize that there are many differing opinions concerning supplements yes or no. most of these vitamins can be tested for. i have always tried to eat a balanced diet and am known for consuming lots of veggies and fruit. so i was quite suprised to learn thru blood tests that i was seriously deficient in folic acid and had to be put on a script for that. this past year i was found to be very deficient in Vit D and was told to take a 1000mg supplement. recent testing showed that although improved i was still deficient so was told to take 2000mg daily. every doc i've ever been to has suggested a B-complex including my onc when i asked after chemo. there are many reasons why the body does not properly absorb these nutrients. i'm not advocating taking or not taking...my only point is that we don't really know our status without being checked. i guess diet doesn't do it all especially when the body has been assaulted by chronic disease. there are some labs that do have panels for these things. recently while in the waiting room at sloan kettering waiting for my daughter i picked up a flyer for spectracell laboratories who do according to the brochure advanced clinical testing. it was an interesting read and at some future point i might just ask one of my docs to have these tests done on me. you can check out their website www.spectracell.com. i think in the future this type of testing could well become standard and then people could just take what their bodies need.
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JerseyMaria--I agree with you about testing. My PCP has been doing them since I started taking what he thought was a shocking amount of D3. (Now he's testing all his patients and is thrilled with my levels LOL) Aside from Vit D levels he also checks my Folate, B12, magnesium, calcium. a few others I can't remember. I think its very important.
Don't know how often insurance will pay.
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B-12 is something that I have very strong feelings about as well......When I asked my medical team they didnt seem to think that it had any connection with my BC but after researching it via the internet I DO find connections and believe entirely that B12 DOES aid in the the growth of bc tumors. Here is why:
In Feb of 06 I had been involved with some work where my left hand was submerged in winter cold river water....that night when the rest of my body thawed out and my hand was still numb I thought maybe potential mild frost bite so didnt think much about it....
Two weeks later when I realized the numbness & tingling was still there I went to my PCP.....she ran some tests and couldnt figure it out so sent me to a neurologist thinking that even though she didnt believe it was carpal tunnel she wanted testing for it.....the neurologist is highly specialized so had to wait a couple of weeks to get into see him....so watched and documented the numbness/tingling and how it was reacting and moving.....he couldnt figure it out by his battery of testing so put a call into the University in Seattle and sent all testings to them......they called within days and asked for DNA testing because they couldnt figure it out.....about a week later I got a call saying that I needed to leave work immediately and that the doc was waiting for me....I got there and he tells me that my B-12 level is dangerously low (142, and is suppose to be above 400) and wants to put my in the hospital over it...I turned down the hospital stay but agreed to b-12 shots beginning that day....I took 1000 mg shots for 6 weeks as well as a 1000mg tablet daily for the next 6 months to barely get the level to 200.....once the University ran their tests they said I have whats called Pernicious Anemia....my body can no longer obsorb b-12 and a couple of the other B's from food so will forever have to watch the levels and take shots when needed.....
Fast forward-Nov 06 during my daily shower I found a lump.....this was measured at 2.4 cm at surgery....the thing seemed to grow over night...I find it extremely hard to believe that I wash that area of my breast daily and did not find it....it was very easily found by others who didnt even know it was there..so upon that I found that I had IDC, stage 2, highly er/pr+, her2-......
I know what they say about it was there for a minimum of several years, one doc even told me he believed it was there for at least 6 before being large enough for me to find it.....I honestly believe that my experience with B-12 made the tumor grow like that....it makes sense to me that if you are boosting your motabolizm so drastically that is surely does make things grow under the right conditions!!!!!
Fo awhile I was taking the 1000mg tab daily, but at my last b-12 testing the level was 475 (took almost 2 yrs to get it above their targeted level of 400 or more) and now I find myself slacking on taking that pill daily and between me and my PCP we have decided that she will run a blood work every 3 months and if it starts to drop I will do ONE b-12 shot to help it stay stable.
Dont know if my experience or ramblings here will help anyone, but I would sure research this issue AS MUCH AS POSSIBLE if you are considering or currently taking doses of B-12 as a supplement....
Jule
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Hi Jule,
This is helpful information particularly for my aunt who is currently taking B12 daily. I'll pass this info to her.
Thanks for sharing.
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Annie
I hope it is helpful for you and your aunt...I truely believe that B-12 aided the growth of my tumor...which for me I dont feel is a bad thing as it might have been at a further stage when found......I was 45 yrs old and had never had a mammogram but did have one scheduled for the month after I found my tumor....obviously it was done right away and then I started my journey.
Best wishes to both of you
Jule
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The only period I had remission for my aggressive bc I was using Bcomplex (long with many other supplements.) I sorry I don't buy this latest news. Next year it will change again. Again most of us do not take enough through our body to change much of anything. Look at research history on so many other vitamins. Vit E Or Vit C...my bc surgeon only told me to stay away from vitamin E? My oncologist just don't take large does of anything.
I give vitamin D three years and it will fall out of favor.
Flalady
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When I was treated in 2005, all of the doctors who treated me said not to take any B-12 supplements...take it in only through whole foods. I researched in the journals and posted the question here on the boards, but at the time, no one knew much about it. I listened to the doctor's advise though and found only some references that Rosemary mentioned above.
The supplement stories are a lot to get your mind around because of the variables. Blood labs and a good guardian angel help. It's my suspicion that the values of vitamins and holistic care are only recently taking center stage in US healthcare, so the information we find there will reflect that fact.
I'm eating beets for folate, I sun-dry and eat mushrooms for vit D as well I'm in the garden a lot and walks with the dog, I take magnesium (pidolate) supplements....dark chocolate on occasions--especially in gelato...red italian wine mostly in the winter...some chilled lambrusco in the summer...cutting down on the bread and pasta and I'm losing weight ever so slowly....drying herbs (parsley, oregano, mint) during the summer for the winter....canning/freezing pesto and tomatoes...just doin' the best I can.
"Never run faster than your guardian angel can fly"
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I find this topic very interesting. I am currently NED. I've been getting monthly B12 shots from my doctors for about three years. This was before my breast cancer was discovered. My pc told me that I could eat a truck load of B12 or B12 supplements and it would'nt help me, seems my body doesn't make B12. When I first started getting the shots, I had to get one a day for a week then one a week for one month, now I'm down to one shot every month. I never dreamed that there could be a connection between the shots and breast cancer. Now I find myself thinking, what did I do to myself? And more importantly why would my pc and my onc continue to give me the shots?
Thanks for the information.
Susan
Just passed my two year mark.
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Susan
It sounds to me like you have the same issue I do with my body no longer obsorbing the B-12 using the Intrinic Factor(something in the stomach lining). Apparently once that Factor stops working your body can no longer obsorb the B-12 and that is why they do the shots.
When I was first dx'd with Pernicious Anemia I did the same as you. One shot weekly for 6 wks then once monthly.
The specialist that finally dx'd the PA said that the normal levels of B-12 are above 400 and mine was dangerouly low at 142. He also told me that it takes a very long time for the body to loose that amount of the vitamin and it takes just as long for it to raise the level even with the 1000 mg shots weekly. It took me 2 yrs to get mine to 475 and I feel wonderful now. I was also taking a pill of 1000 mg of it daily as they said they hoped that at least a small bit of it would find its way into my blood stream.
When I was dx'd with IDC obviously I researched the crap out of IDC and found articles (although not many) on the connection between B-12 and cell growth. Which (in my mind) makes complete sense once you research what B-12 does in your body. When I asked my team of Docs no one really had an opinion one way or the other and all of them stated the fact that there hasnt been any substantial research done on the connection but they could see my theory and so when I refused to continue the shots and pills they agreed to test the B-12 levels every 3 months and I will do one shot at that time if the level drops below the magical 400 mark.
I have some research documents that my Drs gave me about the PA...if you would like links or copies of them PM me here and I would be happy to share them with you.
Best of luck
Jule
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Jule,
A very good response, if I might say. We need and want to do what is best for our body and this is very individualized. It was not my intention to scare off anyone from B-12, but to make note that it may not be the best answer for everyone. We continually address the issue of "one size does not fit all".
It's encouraging to hear your results.
Best wishes
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Interesting....in the past nurses used to administer B12 shots ALL the time when one had a terrible cold or going through any type of cancer to "boost" your system...Now you ask for ONE and they say NO w/ no explanation. My mothers husband is undergoing chemo for lung cancer...and he used to get B12 shots and feel awesome...now he is beyond tired/listless and asked several times for a B12 shot...they said absolutely not....It makes one wonder !????
Much LUV
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