Complementary and integrative approaches

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  • sam52
    sam52 Member Posts: 950
    edited July 2011

    Thanks for the clarification,2tzus...........Looks like for many of us, the treatment is a bit of a crap-shoot, thenFrown......

    It can only said to be working if we do not relapse;I have experienced many oncs simply going by 'the guidelines' and never questioning what they are prescribing.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Sherri, that,s cause for a malpractice suit. I worked many years for a defense lawyer in what we call here Health Law, and I can assure everyone here that the Firm made a whole lot of money in defense of physicians. I have seen enough to make me very very prudent. The real good think about it was i had access to all the defendants' files across the country and when seeing a doctor the first time I would casually drop the name of the Firm, and boy did they become thorough and "concerned", almost laughable



  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    For those of you who are on an Al what kinds of natural remedies have you found for side effects?

  • Yazmin
    Yazmin Member Posts: 840
    edited July 2011

    Luan: thank you for your kind words, and your valuable information.

  • otter
    otter Member Posts: 6,099
    edited July 2011

    Britchick, you said, "By the way, AIs are effective for premenopausal women as far as breast cancer is concerned." 

    That's a curious statement, considering that the AI's are not used for BC treatment in premenopausal women unless they've been surgically or chemically oophorectomized.  OTOH, letrozole is used (off-label) to induce ovulation in women with PCOS and other ovulatory disorders (e.g., http://www.ivfnewsdirect.com/?p=182 and http://www.fertstert.org/article/S0015-0282(00)01705-2/abstract).

    So.... I would love to see the evidence on which you've based your statement.  I'm not trying to be argumentative -- I just really like to read stuff like this.  I've read quite a few of the original, pre-marketing studies documenting the pharmacologic effects of the AI's and their benefit against BC.  I've never seen any trials showing that letrozole is "effective" against breast cancer in premenopausal women.

    Thanks in advance!  And, I'm sorry if I'm not keeping up with the discussion.  I'm trying to pay attention to the FIFA Women's World Cup soccer final.  Japan just tied the score at 1 - 1.

    otter

    [And, Merilee, I apologize for contributing to this off-topic discussion about AI efficacy, which has nothing to do with the subject of your thread.]

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Thank you to so many of you for sharing, big hugzzz. If you don,t mind, i will print your testimonials and WILL HAVE MY ONCO SQUIRMING IN HIS CHAIR AT MY NEXT VISIT !!!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Yazmin, hugs sweetie ;)

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Feel free, LOL

     I went through tow teams of Oncs before I found a good fit. In addition, I have my naturapath monitoring me as well which feels like an extra pair of safety goggles.

  • Yazmin
    Yazmin Member Posts: 840
    edited July 2011

    Luan: I wished I were a little mouse in the corner of the officer when you go to show all these posts to your onc.........LOL LOL LOL

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Have any of you done any reading on using diet to bring estrogen down?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Hey, you,re all invited to my neck of the woods for a big party !

  • sam52
    sam52 Member Posts: 950
    edited July 2011

    AI's cannot be effective for pre-menopausal women since they work by preventing the enzyme aromatase (in the adrenal glands) from being converted into estrogen; premenopausal women, of course, have a far more potent source of estrogen - from the ovaries, which an AI would not affect.

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Well where is your neck of the woods Luan, if it is on a beach, I am there lol

    I live in Michigan where we only have use of the beaches in the summer

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    I did try the DIM and it did not work for me.

    Luan, pot luck or will you be cooking and what? I am a bit picky about what I eat these days LOL

  • mollyann
    mollyann Member Posts: 472
    edited July 2011

    2ztus

    Have you tried raising your vitamin D levels? An article came out this week showing higher vitamin D levels reduced AI- induced arthralgia.

    Also, years ago, I took a similar pain med (naproxen/Aleve). The doctor suggested I take an over the counter Zantac at the same time to keep it from upsetting my stomach. It worked.

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Oh that's a good tip, I would not have thought of taking a Zantac at the same time.

    My Naturapath has me on 10,000 IUof D3. I take 5,000 twice a day.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Gurlzzz, no beach, sorry, I wish !!!! Merilee, pot luck, u can bring some of that oil ;), 2tzus, bring your dancing shoes



    For the girls with the aches and pain, have you tried boswelia, there,s a thread where many stage iv women swear by it, i take it and it works wonders

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Hi Ladies,

    New to this thread. It's great for us to share knowledge and information with each other. I have learned so much from BC.org, it is unreal.

    A while ago, someone posted asking about soy. The info I have on soy from my oncologist is that up to 3 servings per day is safe, preferably tofu or natural soy, vs. Processed soy. I don't go out of my way to eat it, but after reading the latest info that soy may actually be helpful, I don't go as crazy trying to avoid a little soy as an ingredient in something, even an occasional serving of tofu ( went to The Block center, where they push a lot of soy, and had a dessert made with tofu and grain-sweetened chocolate chips - so good!!). It is the isoflavones in soy that are controversial, and I was told they are not present in soy sauce or in sufficient quantities in soy lecithin or in foods that may contain soybean oil, etc, to be of concern.

    On the issue of estradiol and hormonal therapies, I am not an expert in all the studies, etc, but I would just like to share my own experience. I was 40 when I started on tamoxifen in Feb. My hormone levels are all over the place. My Obgyn admits she doesn't fully understand how tamoxifen affects hormone levels, and I want to say this is the case across the board. The answer is not so black-and-white as we'd like it to be. There are lots of gaps in the data. My Obgyn told me I was in menopause, as my LH and FSH would indicate such, but my estrogen level is off the charts high. I got scared and contacted my oncologists ( have seen one at MD Anderson so I asked him too). He said that just means the tamoxifen is doing it's job. The theory that I found on this is that there is some sort of up regulation of estrogen because the estrogen-blocking effect of tamoxifen causes the body to think that there is a deficit. Other studies purport that women with higher levels of estrogen after breast cancer don't do as well. Great. I don't know how to lower my estrogen level, my Obgyn thinks I am in menopause, my regular onc says, no way, ovaries are still producing estrogen, and she's seen chemo-induced menopause reverse even three years out, and wouldn't change my treatment unless I was 1 or 2 years out with strong evidence of menopause.

    So, not scientific literature, just my own experience. I welcome any ideas that you ladies have tried that could result in lowering estrogen levels. Btw, my onc doesn't measure them. My Obgyn does to try to figure out what the heck is causing my symptoms (ovarian cysts, missed periods). I go to a well-respected center in the southeast, and they don't measure anything unless there is strong scientific evidence to drive treatment decisions based on the measurements, including tumor markers.

    Thank you all for listening.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Welcome PinkButterfly.!. Thanks for sharing your info. Great, our bodies producing more estrogen because of an upregulation mechanism....I have not found the secret in trying to lower estrogen except to try to avoid as much as possible phytoestrogens, environmental estrogens, etc. Logically, i think we should try to maintain as much as possible our estrogen/progesterone ratio on an even keel. Maybe if a few of us could report back on our findings,we could arrive at some kind of conclusion. What i do not understand is the fact that they bothered to biopsy my tumours for both er and pr, but seem to be totally ignoring the pr factor. One has to conclude that if our estrogen is being wacked around by tamox or AIs, our progesterone is also being affected. PS, i no longer bother asking my onco, his answer is always the same "we don,t know"

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Hi Pink butterfly

    I know that we all metabolize things differently and that is why one thing will work for some and not others. One interesting thing I recently learned is that fiber can play a role in moving extra estrogen out of the body. I had not heard that before but the video I watched had a very nice visual explaining it. Now I make sure I have fiber of some sort in me at all times.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Thanks, Luan and Merilee.

    Exercise is the big one, as far as I can tell. I was completely sedentary before my diagnosis, and I strive for at least 30 min everyday ( but I usually miss one, so I make it 35 minutes) but I am hoping I can manage to do more. Hard with a full time job and 2 young kids. Oh well, we do the best we can.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Merilee, i would be careful with too much fiber, as it will flush out essential nutrients as well, i.e. vitamins. If you,re already eating the bc diet, i don,t think u would need to use a supplement

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    Luan, I am not using a supplement for  fiber, just eating lots of it. Someone on one of these threads said that they were making sure they get 3 colors of fruits and veggies at each meal.

    Somehow that simplified it for me and I have been trying my best to do the same.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    That,s great advice sweetie, thanks :)

  • Merilee
    Merilee Member Posts: 3,047
    edited July 2011

    You're welcome. I am actually slowly trying to get off all my supplements and get what I need from food and other holistic methods. It is a process.

  • ElaineM
    ElaineM Member Posts: 81
    edited July 2011

    I am seeing a naturopathic physician in addition to seeing my M. D.s.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited July 2011

    britchick, thanks for your note about a day ago, that's it's the metabolite of tamoxifen that does the work (the lock and key comparision makes sense for me. The metabolite of tamox sits in the estrogen-receptor of the tumor). It sounds like you already know this, but when my hubby did some research on the chemistry of tamox, he was suprised at how long those metabolites can stick around (plug up the estrogen receptors). He'd been skeptical of the some of the studies we'd read (one showed that taking tamox for 5 yrs can reduce the risk of recurrence in the 10-15 yr range) but now that he understands the chemistry of the drug, it make sense to him + me.

    merilee, that's great that you're reducing supplements and getting what you need from food.  I'm need to do that too. All this discussion caused me to review my notes from my meeting with the nutritionist at the Stanford Cancer Center, and that's exactly what she recommended: get it from food.   I've behind reading this thread (so this may be have been discussed) but she recommends a plant based diet (6-9 servings of fruits and veggies a day), low on meat and dairy, high on fiber. I have a note that says "go beyond whole wheat pasta" (ha!)  Despite all this, she's a fan of not getting stressed out by this, and recommends trying something new at the grocery store every week. (a new grain we'd never heard of before, etc). Thanks for starting this helpful thread.

  • ktym
    ktym Member Posts: 2,637
    edited July 2011

    Luan, I was thinking of you today (because I think of you when I make a good vegetarian dish since you posted all those great websites).  I made a really good tomatoe and garbanzo bean sauce on whole wheat pasta.  Boy that was good.  Froze some away for lunches to take to work.  (As hot as it is here right now I wouldn't mind holding them on my neck to thaw out let me tell you)

  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited July 2011

    From the Mayo Clinic website:

    Red yeast rice is the product of yeast ( Monascuspurpureus ) grown on rice, and is served as a dietary staple in some Asian countries. It contains several compounds collectively known as monacolins, substances known to inhibit cholesterol synthesis. One of these, "monacolin K," is a potent inhibitor of HMG-CoA reductase, and is also known as mevinolin or lovastatin (Mevacor®, a drug produced by Merck & Co., Inc).Red yeast rice extract has been sold as a natural cholesterol-lowering agent in over the counter supplements, such as Cholestin TM (Pharmanex, Inc). However, there has been legal and industrial dispute as to whether red yeast rice is a drug or a dietary supplement, involving the manufacturer, the U.S. Food and Drug Administration (FDA), and the pharmaceutical industry (particularly producers of HMG-CoA reductase inhibitor prescription drugs or "statins").

    The use of red yeast rice in China was first documented in the Tang Dynasty in 800 A.D. A detailed description of its manufacture is found in the ancient Chinese pharmacopoeia, Ben Cao Gang Mu-Dan Shi Bu Yi, published during the Ming Dynasty (1368-1644). In this text, red yeast rice is proposed to be a mild aid for gastric problems (indigestion, diarrhea), blood circulation, and spleen and stomach health. Red yeast rice in a dried, powdered form is called Zhi Tai. When extracted with alcohol it is called Xue Zhi Kang. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2011

    Hi Elaine, that,s great you found a good naturopath, i have to shop for one :)



    2tzeus and Sherri, are you factoring in HDL and LDL to obtain that number ? great info that red rice yeast works that well, have not had basic numbers checked in a couple of years, will be seeing a new family doctor soon, as the one i had just found was a young nitwit who refused to do my D level, when i insisted because of BC, she said it was an urban legend. Well i thought, i,m certainly not going to educate you ! You,ll all think we have pretty bad doctors in my neck of the woods...i,m tkinking all the good ones are already taken....

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