What complementary tx can I take with Tamoxifen?
Hi girls,
I'm interested in doing everything I can with complementary tx. Can I do this while taking Tamoxifen?
I don't want anything to interfere with the effectiveness of Tamoxifen.
I will start Tamox next month and wanted to know what are the best things to start taking.
Diane
Comments
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Diane, What I suggest is for you to do lots of research. I recommend Dr. Patrick Quillin's Beating Cancer With Nutrition. He is former VP of Cancer Treatment Center of America. His book is very helpful and based on your supplemental needs, helps you to prioritize including when money is an issue. He tells you, for instance when money is an issue: take A, B, or C, and tells what things may be most beneficial.
For me, since I have fybrocystic breasts, I am also taking Lugol's iodine which has been proven to erradicate fybrocystic breast. My oncologist approves of this and in fact said she thinks the Lugol's may be responsible for my lumps being smaller in my remaining breast.
You may also want to check out Susan Weed, who is an herbalist. Trust that the right information will come to you.
I have a friend who is a 12 year survivor who did it holistically. She had surgery and then refused chemo and rads and did alternative things.
Good Luck in your research and remember to trust your heart.
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I did some research and was ready to start taking Curcumin ( after I talked to my onco) but found some trials where it interfered w/Tamox. So, I'm not going to do that. I did find some research that said Flaxseed Oil worked well w/Tamox. I asked my rad/onco and she wants me to hold off during radiation - except she liked the study about the red wine and said I could have a glass while doing radiation. She said to "live your life". So, I have a glass of red wine on weekends and one mid-week. Good luck. Karenanne
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Melatonin, green tea extract and palm oil derived tocotrienols all have some suggestion that they act to improve the effectiveness of tamoxifen. The green tea extract (ECGC) and tocotrienols appear in vitro ("test tube" studies) and animal studies to act synergistically with tamoxifen. Clinical data is awaiting review before publishing on the palm oil tocotrienols. Melatonin has some laboratory and case studies showing its effectiveness, but no clinical trials as far as I know.
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Read the thread on Vitamin D3. Get your levels above 60 ng/ml
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hi ladies - fyi I just discovered that Walgreens are having their flax seed powder on sale for half the original price. I purchased 8 bottles!
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What's the latest on flaxseed and ER+ BC? Are oncologists still worried about it taking away from the tamoxifen or promoting ER+ BC?
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Timothy, my onc said stay away from both flax and soy, I am still doing my own research on both of these, I just don't know......
L
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Hi,
I am new on this forum and this is my first post. I was diagnosed with breast cancer months ago, had a lumpectomy and finished the radiation last week. I am supposed to start taking tamoxifen this week.
Although I planned to start taking it today I am still thinking about what to do: my body says go with the naturopathic approach and acupuncture. At the same time because there is no guarantee with the naturopathic treatment my logic says at least try the tamoxifen and see if you can tolerate its side effects. What if cancer comes back and you regret not trying the tamoxifen. But there are so many side effects I don't like and so many questions still unanswered.
While reading on this website, which I only discovered days ago, I realized I am not the only one going through the same story. Since it helped me to see what other people think, live and choose to do I decided to share what I`ve learned so far:
My naturopath suggested a list of things to do if I decide not to take tamoxifen and if I decide to take it. Here it is what I've got. This hope answers Diane`s question as well.
Not taking tamoxifen and instead following the naturopathic treatment means that I have to:
- - Balance estrogens through vegetarian diet mostly, flax seeds, supplements like DIM, reduce exposure to plastic; maintain a healthy weight, exercise every day.
- - Incorporate natural-inflammatories stuff in diet such as turmeric ( 5tbs per day), fish oil.
- - Regulate growth of cells by taking Vitamin D3, Melatonin, green tea extract.
- - Get antioxidants: raw vegetables and fruits, dark chocolate, vitamin C and E.
- - Manage stress, exercise daily, sleep well.
- - Accupuncture.
Taking tamoxifen and fighting its side effects as well as the remaining % risk of cancer recurrence:
- - Manage hot flashes: acupuncture, flax seeds (2 tbsp day).
- - Protect the liver (supplements) and support the thyroid ( tablets).
- - Manage vaginal dryness with cold pressed almond oil.
- - Melatonin, Vitamin D, anti-oxidants.
Finally I would like to add that acupuncture was my best fried during this whole process, radiation included. It has been giving me tonnes of energy and the positive feeling that I am fighting the cancer. Most important, and I strongly believe that, is that it reduced in half the size of my tumor. Therefore, instead of me having to do chemo as I was told when diagnosed I only had to do radiation after the surgery. From the tumor size my surgeon mentioned when I was diagnosed based on the MRI scan results, the tumor size found after the surgery was half. The only things I did within the three months between being diagnosed and having the surgery were acupuncture (5 times a week) and positive thinking with visualizing my tumor being recycled in something better. My surgeon does not believe in acupuncture reducing a tumor size but had no explanation either for why the half size: ``Something happened`` was the best explanation he could have.
Good luck to everyone.
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WadiRum, thanks for your detailed post!
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wadirum -- i LOVE the onc's answer to your tumor shrinking --- "something happened".. with all due respect to our wonderful and lifesaving oncologists, that is just SUCH a familiar comment from a strictly medically trained doctor.. When you start throwing out nutritional/supplemental "stuff" at them, the eyes glaze over.. I love my oncologist, he's awesome, but when I start throwing my "natural" approaches at him, he just stares blankly, listens, and then changes the subject. It's actually quite hilarious!
I am doing all said above. Must admit, a little freaked out by the FLAX controversy - I'm downing the seeds by the spoonful each day. One thing I havn't started is DIM -- is this a basic item I should include in my toolbox ? Again, almost everything above is already in place (I am also on Tamox, and Zolodex for ovarian suppression), but I havn't gotten to the DIM yet.. Feel like I should ....
Godspeed!
JDjr
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Do you have links to or names of the studies showing conflict w/curcumin?
I came across this from SABC 2009:
[3098] Curcumin Modulates Tamoxifen Response in Resistant Breast Cancer Cells.
De Gasperi MJ, Cavazos D, deGraffenried LA University of Texas at Austin, Austin, TX
Despite significant improvement in both detection and treatment, breast cancer remains the second leading cause of cancer deaths for women in the United States. Tamoxifen is the most commonly used treatment for estrogen receptor positive (ER+) breast carcinoma, yet up to 50% of patients with metastatic disease present with de novo resistance to tamoxifen, and almost all patients will eventually become resistant to tamoxifen treatment. The mechanism(s) for this resistance appear to be largely dependent upon activation of growth factor signaling pathways. Aberrant activation of the PI3K/Akt and MAPK pathways and their cross talk with both the genomic and nongenomic activity of the ER is implicated in tamoxifen resistance. Breast cancer cell lines with constitutively activated Akt are characterized by high levels of the pro-survival transcription factor Nuclear Factor kappa B (NF-kB), estrogen-independent growth, and resistance to tamoxifen treatment. Studies have shown that curcumin, a polyphenol derived from the rhizome of the perennial herb Curcuma longa, is able to inhibit the activation of NF-kB, which is implicated as one mechanism by which breast cancer cells become resistant to tamoxifen treatment. Previous studies in our laboratory have demonstrated that inhibition of NF-kB is sufficient to sensitize MCF-7 cells that have constitutively activated Akt and elevated NF-kB levels to tamoxifen treatment. However, clinical NF-kB inhibitors such as Velcade generally involve suppression of the proteosome, leading to severe toxicities. Therefore, identification of alternative approaches for suppressing NF-kB activity in the absence of toxicity could prove beneficial for enhancing response to tamoxifen. In the present study, we assessed the efficacy of curcumin at inhibiting breast cancer cell proliferation and survival both as a single agent and in combination with tamoxifen in MCF-7 cells that expressed both "normal" levels of Akt (Control) activity as well as those that expressed the constitutively active form of Akt (myrAkt). As has been previously reported, curcumin treatment inhibited survival and proliferation in the Control MCF-7 cells, but importantly curcumin was also able to suppress survival and proliferation in the myrAKT MCF-7 cells. Curcumin and tamoxifen co-treatment was found to synergistically inhibit survival in myrAKT MCF-7 cells. These findings demonstrate that curcumin can sensitize myrAKT MCF-7 cells to tamoxifen treatment. This preliminary data suggests that the combination of natural NF-kB inhibitors such as curcumin with tamoxifen may be a viable strategy to either prevent tamoxifen resistant disease or to re-sensitize refractory disease to tamoxifen treatment.
Friday, December 11, 2009 5:30 PM
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