alcohol and ILC
Just wondering what you ladies have been told alcohol and ILC. My oncologist wasn't overly concerned other than to say, 'everything in moderation'. I would appreciate input on this issue.
Comments
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During my chemo, all I drank was 1 or 2 glasses of red wine a week. My Oncologist said no more and didn't want me consuming anything other than red wine...and frankly, I forget why?
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During chemo, your liver is being made to work overtime to process the toxic effects of the chemo, so you shouldn't add to its load by consuming alcohol. I remember my onc saying -- stay away from any alcohol, unless you're going to a party/wedding etc. Then, just ONE glass of champagne! So I was a good girl and only drank soda water
.As for alcohol after chemo (well after!) -- there were studies done in England that showed any booze - including red wine -- was contraindicated for BC patients. But then another study done in France (where consumption of red wine with meals is the norm) showed no such problems in recurrence and mortality.
Of course these studies don't often take into consideration diet, exercise etc. I agree -- everything in moderation, including food (good, nutritious, wholesome food*) and alcohol (preferably red wine for the benefits of resveratrol), seems to be good advice.
*"Eat food, not too much, mostly plants" -- good advice from author Michael Pollan
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Hmmmm - is this also the case with Tamoxifen? I think I read that it puts a load on the liver as well...
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Kleenex -- Google Tamoxifen and liver function. You'l find quite a few sites that talk about this. From what I've read (so far), it's unlikely to have much effect, and usually only if there are other factors involved. However, as it is an endocrine agent, it does have "some" effect on liver function. I would imagine oncs do lft's on their patients who are using tamox -- and if they aren't, they should!
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Thanks for the input. I am almost two years out from diagnosis and I struggle when my husband and go out on Friday night. I like to have a couple beers (not a wine drinker here)and an appetizer. It seems I always hear conflicting information regarding recurrance and alcohol.
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Leslie -- Enjoy your Friday nights with DH and remember - beer is plant-based
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My Mom, diagnosed with Stage 3 ILC just asked her oncologist this question at her last appointment since she likes her glass of wine during dinner. The doc said 3-5 drinks per week is OK. (However, I'm don't know if this applies during chemo treatment...My Mom is currently on hormones for tumor shrinkage.)
Mercury
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The liver needs to process toxins. Alcohol is a toxin so if the liver is busy processing alcohol, it can''t handle other things like chemo or excess estrogen. I really miss my wine but I would miss my life more.
Roseann
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Well, I asked my oncologist last Monday about alcohol and he told me everything in moderation (doesn't that sound familiar) but no alcohol on the day of chemo. So, I enjoyed my first two glasses of wine at dinner the other night. It tasted better than I remember. Heather
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Thank you everyone for your opinions on this topic. It seems everywhere I look I get different feedback!
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Hi Ladies,
I've been told by my docs more than once not to change anything based on one study, but read on for some scary info. Angela
(Dec. 13, 2009) - Moderate to heavy consumption of alcoholic beverages (at least three to four drinks per week) is associated with a 1.3-fold increased risk of breast cancer recurrence. Women who are post-menopausal or overweight may be most susceptible to the effects of alcohol on recurrence. Drinking less than three drinks per week was not associated with an increased risk.
Marilyn L. Kwan, Ph.D., staff scientist in the Division of Research at Kaiser Permanente, Oakland, Calif., presented detailed results of this study at the CTRC-AACR San Antonio Breast Cancer Symposium, held Dec. 9-13, 2009.
Based on these findings, Kwan suggested, "women previously diagnosed with breast cancer should consider limiting their consumption of alcohol to less than three drinks per week, especially women who are postmenopausal and overweight or obese."
Previous research has shown that consumption of alcohol is associated with an increased risk of breast cancer, but there are limited studies to date about alcohol's role in patient prognosis and survival among those already diagnosed with breast cancer. Kwan and colleagues examined the effects of alcohol on cancer recurrence and mortality in the Life After Cancer Epidemiology (LACE) Study.
LACE is a prospective cohort study of 1,897 early-stage breast cancer survivors diagnosed with early-stage invasive breast cancer between 1997 and 2000. The researchers recruited participants from the Kaiser Permanente Northern California Cancer Registry.
Information on wine, beer and liquor consumption was documented via questionnaire. Each year, participants also filled out information on health outcomes, including recurrence of breast cancer, which was then verified by their medical records.
After eight years of follow-up, Kwan and colleagues found 349 breast cancer recurrences and 332 deaths. Among drinkers (50 percent of the study population), wine was the most popular choice of alcohol (90 percent), followed by liquor (43 percent) then beer (36 percent). Increased risk of cancer recurrence was most predominant among those who consumed two or more glasses of wine per day.
The increased risk of recurrence appeared to be greater among participants who were postmenopausal and overweight or obese, and was present regardless of type of alcohol. Alcohol consumption was not associated with overall mortality.
"Considering the few studies that have addressed alcohol and its influence on breast cancer prognosis, and that the increased risk of recurrence was observed in only some subgroups, our results should be confirmed in other prospective studies. Yet, these results can help women make a more informed decision about lifestyle choices after a diagnosis of breast cancer," said Kwan.
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I remember asking my surgeon if I had to give up my wine and he said no. I agree with the everything in moderation philosophy. I can't help thinking that all female alcoholics should have BC if alcohol is so bad. I have many friends that can drink alot more than me and yet I had the BC. I say....enjoy the drinks with your husband and try not to think about BC while you are having them!
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I think I have come to the same conclusion ktn! I have many friends who are out all the time and drink a lot more than I do. None of them have breast cancer. Plus, as you say, shouldn't there be an obvious connect of women alcoholics and breast cancer if this were true? I'll continue to enjoy weekends with my husband over a few cocktails and a night out!
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My mom enjoys an occasional glass of wine; she had ILC many years ago and is now a survivor of over 23 years without a recurrence. I think moderation is the key.
Anne
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refuse to give up my red wine....some nights a couple glasses and other nights none...BC has taken enough away from me.....and I refuse to give up things that I enjoy...yes moderation is the key to everything in life
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