Metformin and Breast Cancer
Comments
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Chris: I totally agree with you on the sugar! It is our enemy and we should avoid it at all costs. Being dx with bc and continuing to eat a diet of sugar and carbs that convert to sugar is akin to the definition of insanity..."doing the same thing over and over and expecting different results". There are no guarantees, regardless of what we do, but the odds are that the elimination of as much sugar as possible from our diets is a benefit, and if the addition of Metformin would assist that along, so much the better. I don't understand the hesitation on the part of doctors to prescribe it. I have an app't with a new MO in March to discuss further.
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I'm not sure how we get BC. I'm really not sure if sugar causes it but I know sugar feeds it.
Chris, your wife is a lucky woman to have you.
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Chris: You said you started giving you wife Metformin on your own. How were you able to obtain it without a prescription?
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I got it through a friend who had some extra.
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Chris very happy to hear your story and wish your wife a very healthy life ahead and stablility for a very long long time..
here is a article that explains very well the role of glucose and metformin in cancer..it also talks about Dichloroacetate and how this inexpensive drug is finding itself popularised in use for cancer..it is thought to play a role in the same glucose uptake for cancr cells..
http://www.nytimes.com/2010/11/30/health/30cancer.html?_r=1&hp=&pagewanted=all
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Chris- a friend from the Triple Negative thread copied your post and sent it to me. I also have tried every chemo there is including repeating a lot of them like carb Gemzar and recently even tried Cisplatin/ cetuximab ( off label and out of pocket) all the taxols etc. Not any have worked for me more than 5 weeks. Some worked great for this time but then my cancer has over road them. I am currently taking Halavan for the 2nd time for 4 weeks now and have had a fabulous response with tumors shrinking and skin mets decreasing just as you have described with your wife. My tumors are close to the surface in my arm pit area, clavicle and sternum so they are easy to feel. The tumors under my armpit are wrapped around nerves which has taken away the use of my left arm because of the pain. I am currently taking 60 mg. of time release morphine and 30-60mg. every 4 hrs for breakthrough pain. The cancer has moved to my left side in the lymph nodes under my right arm now. I called my onc's office on Friday and they have refused to prescribe metformin because the
Halavan is currently working. I have a client who is a doctor and she is the first person that brought metformin to my attention last fall and has said she would prescribe it to me off label. After reading your post I plan on starting it without my onc's approval this week. I too have been given just a couple of months to live on numerous occasions but this Halavan is it for me. There is nothing else left for me to try after this. I'm hoping the metformin will work for me too. I'm so happy to hear about your wife and wish you both a long life together. One thing really interesting is that I have never really craved sugar except when I've done this Halavan and other taxol chemos. My sugar cravings are powerful. I think there is a correlation. Thank you so much for posting. -
laurajane: I pray that the Metformin and Halavan work to heal you. So glad your friend found this thread for you!
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Good luck to all here, Im thinking of going for it too, my GP is willing to prescribe it...we dont have much to lose xx
I have one query, have I missed any posts explaining the effects of metformin on someone who isnt diabetic?..if they are minor, Im going for it.
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Thats-life - the side effects are very minimal, which is why they can use it in clinical trials for thousands of non-diabetic cancer patients. It is one diabetic drug that doesn't cause hypoglycemia, which would be a big concern for non-diabetics.
I hope you go for it, and I hope it does the trick for you.
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Thanks, I think I will..
One more Q...AA and others have alluded to the possibility of it working only for certain BCs...Is ER+PR+ worth a try? I struggle going through detailed info lately, so a shortcut (asking here) would be very appreciated
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I believe it's being used in the clinical trial for all hormone statuses.
http://www.clinicaltrials.gov/ct2/show/NCT01101438?term=breast+cancer+and+metformin&rank=6
This clinical trial is being conducted with Stage IV patients to combine metformin with various chemos.
http://www.clinicaltrials.gov/ct2/show/NCT01310231?term=breast+cancer+and+metformin&rank=4
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Laura Jane-
Halaven was the last thing my wife was one before this current Carboplatin+Gemzar+Metformin treatment. The Halaven didn't do anything for Abby at all. I'm glad it's working for you-it seems all of these chemotherapies have like a 30% success rate...it was so frustrating that we never could seem to be in that 30% over dozens of treatments.
I would definitely take the Metformin script from your client. As long as your endocrine system is working well, it's a reasonable risk/reward. It might just throw the whole thing in reverse like it has for us.
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LuvRVing-
I don't know that the Metformin by itself is the best idea...it seems like doubling down with a chemo regimen that is complimentary is the best plan. Of course, I'm no doctor, it would just make me leery. It's good that they're suddenly taking this seriously though, I think it could really help some people.
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As we have discussed on a number of threads, it is almost impossible for a trial of a 'new' drug to be run without chemo or a standard treatment, as it is considered unethical to do so. So it could very well be the Metformin working. When results come out of trials saying that bla plus chemo worked better than chemo alone, it doesnt necessarily mean that the combination worked, just that the drug made a difference....So I will have a quick discussion with my GP on your mention of 'the endocrine system working well' Chris, and also the lactic acidosis 'risk'..and then bite the bullet I think if I get the go ahead.
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p.s. thanks RV for those links, I appreciate it
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Chris_Meck - they are giving metformin to thousands of breast cancer patients as an alternative to an AI to determine if it is just as effective. For triple negative cancer patients, it offers a potential long-term treatment that we don't currently have. This particular trial is being conducted in hundreds of cancer centers across the US and Canada. Someone thinks it's a good idea.
I think one could argue that if you have Type 2 Diabetes, your endocrine system is not working well. Metformin is the first line of defense in treating Type 2. It's the oldest, cheapest and one of the safest drugs on the market for this purpose. Lactic Acidosis is a very, very rare complication (5 in 100,000).
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LuvRVing: This just shows how ignorant my MO is! He had no idea when I showed him the study on Metformin that there were any clinical trials being done on it. He basically blew me off and said that it was a diabetic drug for over weight people of which I was not. Then he prescribed tamoxifen which I am reluctantly taking:( I would much rather take Metformin instead. I have an appointment with a new MO in March and I will talk to her about this.
Again, you have to be your own advocate when you navigate through this bc process!
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I had an MO in Kansas City who completely discounted the idea. But I've had three others since (one in KC and two affiliated with Dana Farber) who are totally 100% onboard.
One thing to keep in mind is that MOs who specialize in breast cancer treatment are more likely to be aware of leading edge research for their specialty. MOs who treat various types of cancer have an overwhelming amount of new information coming at them for every kind of cancer. I don't think it's humanly possible to be current on everything.
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LuvRVing-
I hear you on the endocrine system health...I've heard if your liver or kidneys aren't running right that it's dangerous is all I meant.
and we're in KCMO too, at KU Med.
Kaara-take MORE studies in to him. I took almost 100 pages of unique information, some were clinical studies underway, some were preclinical studies. they're running trials everywhere from the Mayo Clinic to Harvard medical on Metformin. good luck!
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LuvRVing & Chris: Yes, thanks to your suggestions, I went to the clinical trials site and found that they were being conducted both in Fl and in NC where we spend the summers. I am going to call and see if they will enroll me in one.
As for my current MO, I have lost confidence in someone who has no knowledge on what clinical trials are being run on newer more positive drugs for preventing bc recurrence, and if he knew that and didn't share with me, that is even worse! I have an app't with a new MO in early March, and will be taking as much information with me as I can.
Happy Valentine's Day!
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For me that was the most discouraging thing about "standard" treatment, really. In talking with providers it was clear to me that so many are just influenced by the past and the reputations of those who promote the past dependence on tinkertoy science, and aren't keeping up with anything but that. I could buy into it better IF we had an endocrinologist trained to specialize in dealing with cancer sitting on our tumor boards. But right now we have nothing but surgeons to cut it out, radiologists to cook it out, and oncologists to experiment with toxic therapies with total control over medical management.
(It reminds me too much of the overconfident management worldwide of our economic systems during the "real estate bubble"!)
A.A.
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Kaara,
They provide the med for you, which is nice. Be sure to ask, though, what you will have to do for testing as part of the trial.
A.A.
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Well the Halavan stopped working at the 5 week mark. Any of the chemos that worked just can't get past that 5 weeks. My onc agreed to giving me the prescription so I figure even though it probably works best with chemo since there aren't any more chemos it can't hurt to try it on it's own. My client wants to give me a glucose test kit and carry glucose pills just in case. Has anyone else had to do this? Has anyone else heard of anyone benifitting from this by itself?
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It is in clinical trials now for non diabetics. The question is...does anyone really know that it is the chemo/metformin combination that is helping when all else failed, or just the metformin alone? That remains to be seen, and to me it would be worth taking a small risk to do the metformin alone.
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I am now on the trial I am doing for myself, 2500mg / day taking prior to meals. Am also keeping the glycemic index of food choices way down. Did you know that millet even w its B17 is one of the highest grains on glycemic index? WTH and I was using it for my main grain all summer. And the glucose feeds the cancer. It is a vicious cycle.
The metformin, being for metabolizing glucose efficiently, while eating low glycemic foods, no meats, never refined sugar. So a buckwheat pancake with dense flour, not fine, organic ground seeds in it and organic hormone free butter and dribbles of agave nectar - think about it, yummy and so healthy even for us.
I am also taking DIM and Breast Balance w DIM and working on hormone levels. I think both are necessary, IMO, just makes sense to me that the metabolism, though under control of hormones such as thyroid, is still needing addressed. And the hormones are in need of their tweaking if an individual needs that. My thyroid had been not only not working but was working against me, everything turned to fat, and my T scores were horrible, TSH huge, cannot remember. But my nurse practitioner caught it and saved my life - and she then also got me on Metformin 500 mg at each meal. She said that would keep my sugars down while my body healed and adjusted to thyroid hormone changes, which it did.
Before Metformin, after eating a wonderful, healthy meal, I would be completely starved in 30 minutes or so, to the point sometimes I would cry from this horrible emptiness. Mind you, I spent years in Overeaters Anonymous because of this emptiness. Really. I was undiagnosed my entire life - even in elementary school I remember the hunger.
On Metformin - no more hunger and emptiness. I would eat and be all right. Naturally have an appetite when it was time, relief for first time in 52 years.
When I got the BC, I went off the Metformin because I was suspect of everything, what did this and how to stop it. Then researched the Met and realized it is derived from French Lilac, right? anyone? and that studies were being done for cancer, as it controls the glucose uptake. The point is to starve the cancer cells which are utilizing like 10x more sugars we take in than our normal cells. That's a hard one for me because I do like food. I do overeat when there is a cheesecake in the house. I told Hubby, I am literally eating myself to death because this is feeding the cancer. So we are REAL about it now, very serious. Sometimes later on, I can eat what I want, but not now, and I must always be on maintenance for prevention of reoccurence, I realize.
I set my food protocol for two weeks at a time, not more then I feel like I can get to the next point and retest for changes in menu. We use kinesiology and it has been a wonderful experience to see the truth after the testing, even when I did know the answers when questions are asked.
The Met needs monitored - the kidneys are the part of us that takes a hit if out of balance. And potassium gets leached for some reason I think, throwing it out there but am in too much a hurry to look that up. Just know my practitioner was always checking kidneys, potassium for some reason, think that is it.
AND IF YOU ARE ON METFORMIN YOU MUST TELL THE TECH BEFORE AN MRI - PLEASE DO NOT HIDE IT IF YOU ARE TAKING THIS ON YOUR OWN, as I do realize some are trying to take it w/o an Rx. After the MRI you cannot take Metformin for 48 hours, you have to have the kidney test first for whatever reason or you could end up with renal failure. So pass this info on, please.
Yes, Met is 'safe' but there are always consequences to not following protocol for any supplement or Rx and this is the one I know for Metformin.
Definitely, test blood sugars while using if you are not diabetic, it cannot hurt, and be prepared for crashes, have a can of juice, some glucose pills, a butterscotch. BUT ALMONDS, organic, natural, not irradiated fumigated ones AUGH, the natural ones are good to keep blood sugar normal. No, cancer people cannot actually digest almonds, an old homeopathic truth, but if you chew them really well and have a few every hour, you can stabilize blood sugar with or without Metformin. But the almonds are not a replacement for Met to see if it backtracks the cancer, almonds are just for nutrition and blood sugar. So if someone is not supposed to be on Met but using it for cancer and having issues w blood sugar, the almonds are worth the try, instead of higher sugared fruit juices and food and sugar snacks which go against what we are trying to accomplish.
I am so relieved to find anything that does not KILL cancer cells, but actually causes them to starve or heal themselves one way or another. This is exactly what I am online to learn and be a part of.
Hope some of this helps. Am learning a lot from everyone and appreciate the feedback and experiences so much!
I am with all of you, let's see if this works.
Diane (Essa is my nickname but you can call me whatever)
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I've been taking Metformin for 10 years, I am diabetic, and I've never had a low blood sugar episode. Metformin does not typically cause low blood sugar. It helps your cells to use glucose more effectively and it suppresses the production of glucose by the liver.
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Exactly, LuvRVing - it's that some doctors seem to be concerned about low blood sugar episodes for those who do not have blood sugar challenges to begin with, so these are ways to be prepared.
I have loved Met from the beginning, I went from hypoglycemic with a next to dead thyroid and congestive heart failure to a normal person in a few days.
From the first post
"It's thought the drug works by targeting a cancer tumour's stem cells which, if not killed off, can allow various cancer cell types to regenerate.
"It's not killing them; it is actually suppressing their growth and without growth, the cells eventually die," explains Vuk Stambolic, a cancer researcher at Princess Margaret Hospital in Toronto"
I think the researchers may be overcomplicating the theory?? But their jobs are to figure out exactly what is happening, so onward.
I am trying to figure out that since I was on Met, why did I get cancer, but I think I know I was still eating wrong for me, and Met can only do so much. Since I was not diabetic, and since I do love food, Met gave me a license that was not to my benefit, and I knew it. I am hoping the higher dose and the new food plan will turn this around. I am also using the right fats, and less since some cancer masses are all about the fat with only a few cancer cells involved, mine had 60 c cells in a 1-inch actual tumor, and the tissue around it was taken too at 3-inches. My tumor blossomed, afte rit had been getting so much smaller from the alternative protocol I seet for myself , it blossomed when I was emotionally eating while deciding chemo or not, surgery or not, mastectomy or not, double mast or not, rads or not, ICE CREAM, I was eating everything I think. I don't do that often, but this was a time I did and am so regretting it, because maybe the protocol could have done its work if I had let the food also be the medicine.
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Thank you so much, Essa, for the good information.
It's wonderful that so many here have studied the information independently and made a decision about Metformin. I would never risk my life in a placebo group of the trials with such a harmless drug.
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Essa: I'm reading a wonderful book right now by Dr. Christine Horner called "Waking The Warrior Goddess". It's all about bc and the foods and supplements that work to prevent recurrence. Also how they can be used to complement conventional therapy. For instance, those with HER2+ who are taking Herceptin can take a lot of olive oil which helps the Herceptin work more effectively. That is just one example.
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Wowza, this thread is really interesting!
I was diagnosed with Diabetes T2 in late June last year. My GP said that if my blood sugars were not kept under control with a healthy diet and regular exercise she would put me on Metformin. I switched to a low GI diet immediately, and upped my exercise regimen.
Since then, I have lost about a third of my weight. Every 3 months I have bloods taken for an HbA1c test (which measures blood glucose over several weeks), and mine has been within the normal range each time. So my GP hasn't put me on Metformin... yet.
But I am now really interested in how Metformin could potentially help me as a breast cancer treatment, and I will definitely talk about this with my GP. I will be starting chemo in ten days, so it might be a good time to start Metformin.
If anybody has links to other study results, please post them or PM me. I would be most interested in reading them / printing them to show my doctor. Thanks.
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