Curcumin and First Line Herceptin Monotheraphy
Comments
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I have also printed another study from Clinical Cancer Research
entitled : Curcumin inhibits tyrosine kinase activity of p185 and also deplates p185
the study says: overexpression of p185 in breast cancer is known to be a poor pronostic factor.
is p185 same as Her2? or a derivative of Her2?
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Nanay,
Oncs don't give doxirubicin at the same time as Herceptin due to increased risk of heart issues. If you are looking for a possible chemo, you may want to consider TCH - or TH (in clinical trials now). TCH is easier to tolerate than AC TH and I sure TH would be easier still.
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in Dr. Aggrawal's interview he also said that he is studying other natural compounds in garlic, black pepper .. he also mentioned emodin (a substance in alove vera).
WOM, posted about emodin several times as well..
can you ask him as well -- if he has published the status of his study on black pepper, garlic and emodin?
my mother told me that he remember his father (my grandfather)-- asking them to chew on garlic everytime they have an infection and use the leaves of aloe vera for wounds and cuts..please tell Dr. Aggrawal that we have so much respect for him here in Singapore-- lots of Indians here are telling me how proud they are of this Doctor/Biochemist/Endocrinologist.
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windlass,
in that case, in view of orange post.. add the following combinations as well (for comparison)
- Herceptin + TCH + curcumin
- Herceptin + TCH only
orange,I wonder then why Dr. Love talked about doxorubicin in her interview-- when the question was about Her2 being an indication of higher risk of recurrence.. I dont see how doxorubicin correlates to the subject of the interview.. anyway, thats the beside the point.
hope Dr. Aggarwal have answers for us-- including the statements from Dr. Susan Love.
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Nanay - Standard care for HER2+ve node positive (as in your mother's case) is AC-TH. Andriamycin and carboplatin together x 4, then 12 x weekly Taxol with herceptin - then herceptin continues for the remainder of 12 months every 3 weeks. TCH is usually given to node negative patients (like myself) 6 x taxoter, carboplatin with herceptin, then herceptin continues forthe reaminder of 12 monhts every 3 weeks.
Sue
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node negative or node positive suepen, I still do not know how TCH or AC+TCH is doing for Her2 positive women..
all I know is that these chemo are killing both good and bad cells.. not really targeting what causes these cells to grow, multiply and invade tissues (and hence become a tumuor).
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hi windlass,
it seems I found the answer to my own question
1. Herceptin blocks the ability of cancer cells to receive chemical signals that tells it to grow
2. Tykerb blocks certain proteins (kinases) that helps cancer cells to growh rapidly..
if p185 and Her2 is the same, it seems Curcumin does the work of both Herceptin and Tykerb. Can you please ask Dr. Aggrawal too?
in terms of diagnostic tests
FISH -- looks for gene abnormality
while IHC indicates the amount of Her2receptor proteins present in tumuors.
I wonder what kind of proteins are called Her2receptor proteins-- and if Tykerb is some form of enzymes that metabolises this proteins..
and if these enzymes-- present in Tykerb is also naturally present in Curcumin..
I bring up the subject of enzymes because I know at least 3 natural enzymes that helps digest carbs, fat and proteins..
1. Amylase-- digests starches, glycogen and other carbs
2. Lipase- digests fats
3. Protease- digests proteins..
I wonder what kind of protease is naturally available in Curcumin and synthetically made available through Tykerb.
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Nanay, I hope you were joking about calling the doctor and pretending you are a journalist. An oncologist/researcher has better things to do than spend his time with someone who is lying to him. Contact him honestly -- e-mail might be best -- and I suspect he or someone on his team would respond.
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Nanay: I have a media background and have had success contacting other BC researchers to ask questions. They are not often in the limelight, so they are usually willing to talk about their work. If you would like, you can private message me a list of specific questions, and I will see if I can get them asked. I'll pass on your kind words, too.
I just did the first of four founds of Adriamycin (doxorubicin) plus Cytoxan (cyclophosphamide). I decided to do this "standard" chemo because in my case, I believe it will make a huge difference in my outcome. Though I suspect someday we may be looking back on this era and saying "Can you believe they gave women all those toxic drugs when these simple nutrients would have worked instead?"
Trouble is, we aren't quite there yet, and with my terrible lymph stats, I can't take any chances. I need every advantage I can get. So I am doing both curcumin (turmeric juice) *and* AC. (And everything else I can throw at it too!)
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hahahha
MOC! yes, I was joking about pretending to be a journalist-- but only to get the operator to put the doctor on the phone (you know how gatekeepers work right?)
anyway, I am just joking.
windlass
thanks! that's about it at least for now.. all the questions I listed in this thread are for Dr. Aggrawal..and also anyone who would care to put their few cents worth.
I appreciate your good natured way of posting your preference (AC + Herceptin) and also being open for new ideas and represent my questions without bias.
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actually my mother was also prescribed AC with Herceptin... when I asked her original oncologist to explain this combo-- he did not answer the question.. instead gave me monetary figures attached to the treatment as if I was haggling for fish/veggies in a wet market.. he said something like this..
You need AC (explained what the abreviation meant)-- it will cost $12K SGD for a 6 to 8 month treatment plan, if money is an issue, you can take 4 cycles instead which will cost $4.5KSGD.. then add Herceptin which will cost about $45KSGD == all in all about $48.5KSGD to $55KSGD for the first year of treatment.
Then I probably have stared at him blankly (in my mind I was thinking-- what is this doctor talking about? if he really thinks my mother will be cured, it does not matter if he told me it will cost $47.5K or $55K sgd in the first year-- I will knock on heaven's door to get that money..
however, he sound as if AC is optional because he kept haggling the price for me, but it seems he was firm that my mother needed the herceptin which costs about $45KSGD.
I did not argue with him though...when I still stared back at him, without an answer, he said to me finally-- if money is really an issue-- at least give your mother Tamoxifen it costs $10 dollars only per month..
by that time, I told him-- Doctor, money is not the issue-- do you have anything else for my mother? We will give it a thought and let you know in a week's time.
he said, your mother also needs Radiation. then, I asked, is it true that radiation also causes cancer? He said, yes, but it will take 15 years for it to become a full blown cancer, by that time your mother is already 74 years old..
I asked him, what do you mean by that? Is it ok for my mother to have another cancer due to radiation when she is 74 years old? I want her to live until she is 80 or 90.
Then he said, if you don't do radiation now, she will have recurrence in 5 years time..
I am just sharing this story ok-- yes I was dissappointed by this particular onc, but I did not stop there.. I looked for other oncologist.. only to be told that Herceptin has to go with chemo either during or before the infusions..
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Naynay: That's quite a story about the oncologist you met with. I am glad you persevered and did your own research. You're clearly very articulate and well informed. What do you do for a living?
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windlass,
I PMed you about what I do for a living...I have to resort to diagrams (collected this since March 2010)-- as my mother is inquisitive..
imagine that simple conversation with the oncologist-- took us about 30 minutes, as I have to explain to my mother in our native language.. then have to wait for my mother to process the information and then retranslate her question/response to the oncologist.
however, the clinical trials on curcumin -- I have only found out lately-- I must admit that her turmeric juice is something that I accepted without too much qualms-- as I thought it would do her no harm. its probably instinct..
I am also glad that people keep challenging our decisions-- so that I could also ask myself the hard questions and not be complacent..despite my mother's good response to alternative theraphy.
I have not really made the correlation between Her2+ and curcumin until this past few weeks..
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nanay I visited your blog and saw this posting..
"(apple) I think amazing progress has been made in the fight against breast cancer. With every drug that is researched and we take, we learn more. apple, still alive today... and yes, dead sooner than not, because she started her fight at such a late stage. and yes, a bit concerned that misinformation spewed, can cause real harm."
Nanay - there is no way in hell that I will register on your blog. Please revise that posting immediately. You do not have permission to use any of the posts that I make at BCO on your blog. that is super uncool to talk about my death or use any of the posts that I make here on your silly blog.
I am really pissed.
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Hi apple,
I am sorry for quoting you on my blog. I have removed your nickname and links to the survivor thread. It was not meant to offend you-- I only shared the quotes to show that with all of our differences there are at least 10 similiraties amongs us.
We have shared a few good moments in the BCO thread sharing about music, our kids... hope we can get back to that..
you know, I will always be here for you== feel free to correct me anytime via PM... sorry when you posted this 4 hours ago I was asleep..
I am sorry.
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I am stage one, but thought I would pass on what my oncologist (I interviewed 3 and two out of three had the same protocol and answers-the third was very young and her treatment recommendation was more of that for higher stage) said concerning her2 positive combinations.
Without going into detail on types of chemo recommended, they both said that herceptin, being reasonably new, was mainly tested in trials in combination with chemo. Therefore, they recommend a chemo blend until further long term testing may or may not show it is or isn't needed. Both oncologists are highly respected-one is with a University program and specializes in only breast cancer oncology-so I felt pretty comfortable in their answers.
Someone asked earlier if herceptin is a chemo. It is an antibody that targets and surrounds any rogue herceptin cells, killing them. Hopefully it finds them all.
My treatment is with Taxol/Herceptin. So far after 4 it has been very easy with few side effects.
I wish you all much health and long life.
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fluffqueen - interesting you aren't getting carboplatin. I was also stage 1 triple positive and had TCH x 6, then the rest of the year on herceptin.
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Nanay I'm not sure you understand that using her nickname was only part of why Apple is offended but worse was the substance of what you wrote, the musings about her death. not nice.
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"...the musings about her death. not nice."
And THAT is the understatemet of the year. Nanay did the same thing earlier in another thread, mockingly posted links about another stage IV person entering palliative care. Wow.
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suepen-there are lots of people on different message boards on this site with this same protocol. I asked my oncologist and he said because it is more for insurance than treatment, they are using taxol. The med center person said the same basic thing. It is the addition of chemo to the herceptin that helps. My surgeon said I had the best possible pathology report with no evidence of anything near the biopsy site, completely clean margins, etc. I can only hope they are correct.
I also had BMX so not sure if that makes a difference either.
I am working on letting go of control and allowing the experts to be experts. LOL. Not so easy for me!
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fluffqueen - I was grade 3 - maybe that made a difference. I do know they use different protocols everywhere. One lady I know had FEC + H which was really weird.
Sue
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