Natural estrogen blockers

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Opale
Opale Member Posts: 40

Has anyone had experience using natural estrogen blockers (eg. herbals, supplements) that they can share? Wondering if that might be a route to explore to avoid some of the side effects of AI medications. QOL is very important to me especially after getting thru treatments for advanced cancer.

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  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited March 2017

    An AI specifically inhibits the production and impairs the function of the liver enzyme “aromatase." Even without ovaries, we still make estrogen when our fat cells & adrenal glands make an androgen and then the aromatase chemically converts the androgen into an estrogen. It isn't the active ingredient in an AI drug itself that causes the side effects, but rather what an AI drug is designed to do—drastically reduce the amount of estrogen in the body. An AI's side effects are basically an “encore" of menopause, only the “encore" is louder and lasts longer than the “concert."

    So even in the extremely unlikely event that a natural substance can be found that blocks estrogen—and I wouldn't believe a word of any claims unless they describe in detail the actual biochemical process by which it's supposed to work—it would likely cause the same effects of estrogen deprivation as does an AI. So long as you have estrogen-sensitive invasive BC tumor cells (and despite how early the stage and all treatments, there are likely to be some microscopic ones that got out into the body even before diagnosis & treatment and will lie low for years), you will need to minimize the amount of estrogen in your body and therefore starve these cells.

    There are supposedly “natural" supplements that stimulate the immune system, create an environment hostile to tumor cell division, etc. I say “supposedly" because no scientific analysis or trials have been done on them (yeah, I know the old chestnut that “there are no trials because drug companies can't make money off it" but I take nothing on faith) and there is no proof—just anecdotal reports (that may or may not be true), and the power of the placebo effect. (If you see scholarly articles that purport to be studies, know that those are always done by analyzing data gathered after the fact—and since much of that data is based on responses given by people as to what they did or didn’t eat or take and may even never have been recorded in real time, its accuracy is suspect).

    Those ER+ women who skipped AIs in favor of “natural" substances and are alive & healthy today years later would likely have done just as well skipping AIs without taking those “natural" substances—some people are just genetically lucky and outlive the tumor cells' eventual re-emergence (which could be 10, 20, even 30+ years post-treatment), dying of whatever would have killed them had they not had cancer.

    If you want to avoid the side effects of AIs, you have to realize that you are rolling the dice about recurrence. You might win, you more likely would lose. As the patient, you are the boss, and it's your choice. But harbor no illusions that if you do well it's because the “natural substances" you took “block estrogen." (And most herbs, if they have any effect at all on estrogen-sensitive tumor cells, have an estrogenic effect). Best you can get from “natural" substances are those nutrients from food that benefit everyone's overall strength & health.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Thanks for your detailed response. I really appreciate your input and the information that you provided. I've had blood tests that measure estrogen levels so it should be relatively easy to check if any natural substances are maintaining the current levels that I have on AI. I agree that removing estrogen from the body (natural or otherwise) can cause a whole bunch of side effects. I'm exploring those details right now with a professional medical advisor. I'm getting less and less interested in adding more drugs into the mix to control side effects because they give me new unwanted side effects. Thanks again for your help! It gives me food for thought.

  • dtad
    dtad Member Posts: 2,323
    edited March 2017

    Opale...I am using natural methods to lower my estrogen levels. I have refused the conventional anti hormone therapy. I have lost 30 pounds since diagnosis and exercise daily. I take DIM, melatonin, mushroom extract and glycol X which mimics Metformin. I'm 2 years out from diagnosis. My decision was multi faceted. I already suffer from a debilitating autoimmune disease that affects my QOL. Just not willing to take anything that could impact my QOL even more. I also believe weight loss and exercise is huge in reducing recurrence rates. The aromatase inhibitors often make both very difficult. The sad truth is estrogen is good for almost every other organ in our bodies, just not hormone positive BC. Its a very personal decision and I support and respect all that are made.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Hi dtad, thanks for your response. Yes, all these decisions are very personal. Glad to hear your story. QOL is very important for me too. I also exercise regularly. Fortunately I've done that all my life and carrying extra weight is new for me. My challenge with AI is that I feel like I'm dragging myself around and have depression. I've lost my spark and joy. Things they didn't tell you when they saved your life from cancer.

  • Icantri
    Icantri Member Posts: 93
    edited March 2017

    Question for Sandy,

    In your reply you mention survivors who did not take hormone medications being "genetically lucky and outlive the tumor cells' eventual re-emergence (which could be 10, 20, even 30+ years post-treatment)"

    -- is that a fact that any rogue cells will eventually grow cancer? you also said that it is very likely that we all have these rogue cells.

    I am aware of the possibility, and am doing all I can both with medication and lifestyle, but I thought these random cells were a small possibility if caught early and your words make me feel a hint of despair. Is Recurrence truly eventual if we live long enough?

    Is medication just delaying the inevitable? I thought it was explained to me that these cells might die off if starved of estrogen and surrounded by a well maintained immune system. Your post suggests they live on and on. ?

  • labelle
    labelle Member Posts: 721
    edited March 2017

    Most women with early stage breast cancer will be fine with or without Tamoxifen or AI. Ask your doctor about your own statistics, but surgery alone would be enough for most of us. I've never seen where anyone with early ER+ positive BC has been told they have more than a 50% chance of a recurrence. Even my mother with a large tumor and several positive nodes was given better odds than that. My OC says my chances of a recurrence w/o anything but surgery and rads are about 15-20%-that means an 80-85% chance that all will be well for me with or without more treatment.

    Most of us with early stage BC have a better than 50% chance that we will not have a recurrence, no matter what we choose to do in terms of adjuvant therapy. Most ER+ women who skip AI or Tamoxifen and are just fine, are fine not because they are just lucky but because the odds were always in their favor. This said, these drugs do reduce the risk of recurrence considerably-by about 50%. In my case, that means the odds of me staying recurrence free go from around 80% to around 90% (very good indeed) if I take my Tamoxifen-too bad it makes me feel like shit! Anyway, I don't believe any rogue cells we have will necessarily cause a recurrence someday. The odds says even if we all have these rogue cells (which no one seems to know for sure) most of us (+50%) will never be bothered by them no matter what we do or do not do, other than having surgery-definitely the most curative part of the treatment plan.

    This is another reason why we can't ever say Tamoxifen, or an AI, or DIM (there have been studies done suggesting both DIM and melatonin might be helpful for those who've had BC), or exercise, or herbs, or whatever definitely prevented a recurrence. Nothing is 100%, plenty of women taking Tamoxifen and AIs do have recurrences anyway, and lots of women taking these drugs would not have had a recurrence anyway-as evidenced by the odds we are given. The big problem has always been determining who will actually benefit from them, who would be fine without taking them and who really needs them. Because they can't sort that out, they recommend them for all of us with ER+ positive BC. It's all about extra the insurance, minimizing the odds, rolling the dice, weighing the expected advantages against the discomfort of any side effects you experience. Some say it's all a crap shoot, but really with early stage PR+ BC the odds are in your favor no matter what you do-as long as you have surgery. Without that, the odds become very long indeed.

  • Icantri
    Icantri Member Posts: 93
    edited March 2017

    Sorry Opale, we got diverted a bit.

    I do not have experience to share with using natural methods instead of meds, but I have certainly thought about it! I take Tamoxifen because I am perimenopausal.

    I can tell you that the nutritionist I saw said that's soy acts like Tamoxifen. ER+ cancer cells have receptors that estrogen binds to and that is what helps it grow. Soy (like Tamoxifen) binds to these cells too so that the estrogen cannot. Whole soy (tofu, edamame, soy butter) not protein powders or other soy products. 1 or 2 servings a day.

    She also said that flax seed boosts the effect of Tamoxifen. So that may work in the same way. I can't remember but you may add that to your diet as well. Up to 2 Tablespoons per day.

    I think these recommendations would apply even if you aren't taking Tamoxifen.



  • Opale
    Opale Member Posts: 40
    edited March 2017

    Thanks lcantri. I actually was told to stay away from soy. I understood that soy mimics estrogen. I never heard that it reduces it.. I'll have to do some more research on that.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Hi Labelle, thanks so much for your response. I will check in with my doctor on applicable stats for my BC. Good suggestion! It was Stage 3 when I was diagnosed so unfortunately I'm not in the early BC group. Although the chemo FEC-D (along with unmentioned herbal supplements) reduced my big tumor from 7.5 cm to a mere 0.05 cm and the 1 lymph node with cancer was clear too. Hoping the odds are in my favor as I make some decisions on my further hormonal treatment options. Appreciate your response. Best, Opale.

  • 9lives70
    9lives70 Member Posts: 127
    edited March 2017

    this was VERY informative thanks for sharing. The next phase of my treatment is definitely going to be the recommendation of tamoxifen which scares the shit out of me. But other than that, and maybe even with that, this all seems like a crapshoot to me. Some will get lucky, some won't I hope I end up on the good side of the numbers and of course wish the same for all of you as well :-)

  • gardengypsy
    gardengypsy Member Posts: 769
    edited March 2017

    Hi Opale,

    Stage 3 BC is considered early-stage.

    Wishing you all the best.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Hi gardengypsy, is the definition of "early stage" different in research studies? I didn't think believe stage 3 is considered "early stage". From the national breast cancer org

    "Stage 3 (III) A, B, and C

    Stage 3 breast cancer is considered advanced cancer with evidence of cancer invading surrounding tissues near the breast."

    They designated stage 1 and 2 as "early stage".

    Let me know. Thanks! Opale


  • Icantri
    Icantri Member Posts: 93
    edited March 2017

    To be clear, I didn't mean that soy reduces estrogen. Rather, it binds to the cancer's hormone receptors and then the estrogen can't.

    Tamoxifen works the same way. What I don't understand though is why it gives symptoms of low estrogen when actual estrogen levels are unchanged.
  • GeraniumRose
    GeraniumRose Member Posts: 7
    edited March 2017

    hi Icantri

    I seem to have come in at the end of a discussion about soy, as you started "what I meant was...". I've read that there are some cancers soy is good for, and others bad. Am I reading you right that with estrogen positive BC I CAN drink soy milk ? My naturopath is dirty on it. My doctor wouldn't know or care about nutrition beyond 'eat healthily' I expect. They're just about all like that in New Zealand.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    The site has a recent article on soy and soy supplements. http://www.breastcancer.org/research-news/soy-may-...

    Sounds like it may be an option for estrogen-negative cancers. Hope that helps clear up the issue. Best, Opale


  • Icantri
    Icantri Member Posts: 93
    edited March 2017

    I saw a nutritionist a couple weeks ago and soy was one of my questions after reading articles like this one. She explained to me that the isoflavones were found to cause cancer in mice. But they were giving the mice these isolated proteins, not whole soy.

    She also talked about the study on Asian women where those who ate the most whole soy had lower rates of cancer.

    I think each of us needs to do what he/she feels comfortable with. I am sorry for muddying the waters, I only meant to share some natural ideas, based on what I am doing, based on what I was told. I have hormone receptor positive cancer and trust that as she said, the overall health benefits of whole soy are good and may help prevent a new breast cancer. When soy acts like estrogen, it is good if it hooks up with the cancer instead of real estrogen.

    It is an issue of much confusion, even with docs, as the article explained. Don't eat it if you don't trust it. :)
  • Icantri
    Icantri Member Posts: 93
    edited March 2017

    Here is an article that might explain better what I was told.

    http://www.mcancer.org/support/symptoms-and-side-e...


    But I respect if you aren't convinced! I probably wouldn't do something just because every I read it here. But I did ask more questions after reading about it. :)

    Opale, I sincerelywish you all the best and hope you find a treatment plan you are comfortable with.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Thanks lcantri, that article follows what Princess Margaret Hospital cancer centre says: "Soy Products and Phytoestrogens Phytoestrogens, also called plant estrogens, are substances found in plant foods that may act like the hormone estrogen. The main food sources of phytoestrogens are soybeans, soy foods (such as tofu and soy milk) and ground flaxseeds. Other plant foods may contain phytoestrogens, but not in high amounts. Breast cancer patients often believe they should avoid dietary soy foods due to their naturally occurring phytoestrogens. It is safe to include two servings of soy-based, phytoestrogen-rich foods daily in your diet. Serving examples include: ¾ cup (150g) tofu ¼ cup (60mL) of soy nuts 1 tablespoon (15mL) of flaxseed 1 cup (250mL) of soy milk We DO NOT recommend taking soy, phytoestrogen or isoflavone supplement products in pill or powder form because the phytoestrogen levels in such products are too high." What it doe not say is that soy foods reduce cancer risk for estrogen positive cancers. Did you review the article on this site from March 2017 that I posted? I guess it is everything in moderation. Thanks for all the info! Appreciate the support! Opale

  • dtad
    dtad Member Posts: 2,323
    edited March 2017

    labelle...great post, as usual. I think you stated the facts very simply. Hopefully this will help us make informed decisions about our treatments. Thanks so much for the information.

  • Eleanora23
    Eleanora23 Member Posts: 91
    edited March 2017

    I won't get into the soy debate (I eat tempeh, edamame and some tofu, sticking mostly with the least processed kinds of soy) but I do want to add something many do not consider: In industrial meat-production (at least 95%+ of where Americans get meat) involves feeding (against the animals' biological design ) the animals soy-based feed. So if you are eating your hamburger daily, you probably want to consider what the cow was eating. This point often gets overlooked. Tons of info on soy in animal feed, just a google away. I won't even get started on dairy (and the anti-soy propoganda put out by the Dairy industry) Just know your sources and know your "foods" sources.

  • nervousnelly1958
    nervousnelly1958 Member Posts: 3
    edited March 2017

    Thanks for sharing, Iabelle! I just had a mastectomy of my right breast 12 days ago and am now facing the decision of whether or not to take Arimidex. I had Stage 1A breast cancer with no lymph node involvement. I am scared to take Arimidex because of the side effects. Am also bipolar and am very hesitant to take Arimidex because it changes one's body chemistry, which could be detrimental to mental health. Am seeing the MO next week. This decision is harder for me than it was in choosing a mastectomy over radiation. Quality of life is everything to me. Just really don't know if I should risk trying Arimidex. I

  • dtad
    dtad Member Posts: 2,323
    edited March 2017

    nervousnelly....Just want to let you know that I refused aromatase inhibitors due to a pre existing condition and QOL issues. I would be happy to discuss with you what I have done to reduce my estrogen levels naturally if you chose to go that route. Please feel free to PM me. Good luck with your decision.

  • Opale
    Opale Member Posts: 40
    edited March 2017

    Hi dtad, I'd also like to PM you about your approach. Let me know if that is ok. I'm seeing my cancer specialist today to discuss my options.


  • Opale
    Opale Member Posts: 40
    edited May 2017

    Here's something that's very interesting.  My estrogen level on letrozole was <40 (according to my doctor that means very little estrogen production) and after a 1 month break from letrozole, my level is still <40.  Hmmm.   My FSH was 54.4 with letrozole and came down minimally to 53.6.  I used the same lab for both tests to ensure they were comparable.  Sort of interesting. Makes me wonder whether I need the AI drugs at this point since my estrogen is so low naturally - at least at 1 month off the drug.  The drug did dramatically reduce my estrogen levels within a 1 month period when I started it 2 years ago. I'm going to check in with my doctors to see if the estrogen might take more time to increase as I wean myself off the drug for a longer period.   And, I lost a whole bunch of weight by stopping letrozole and really controlling my diet. That would reduce the estrogen in my system as well.   Best, Opale

  • gardengypsy
    gardengypsy Member Posts: 769
    edited May 2017

    Yes, Eleanora! One more reason to be vegetarian or eat local/grass-fed!

  • gardengypsy
    gardengypsy Member Posts: 769
    edited May 2017

    Opale~ I am still fairly sure "advanced" is stage IV only. The first three stages are considered early because it has not metastasized to another part of the body.

    "Stage IV describes invasive breast cancer that has spread beyond the breast and nearby lymph nodes to other organs of the body, such as the lungs, distant lymph nodes, skin, bones, liver, or brain. You may hear the words "advanced" and "metastatic" used to describe stage IV breast cancer.Jan 26, 2017 Breastcancer.or

  • dtad
    dtad Member Posts: 2,323
    edited May 2017

    Opale....of course! So happy you found a doc who would actually test your estrogen levels...

  • Opale
    Opale Member Posts: 40
    edited May 2017

    Hi gardengypsy the diagnosis was locally advanced cancer so that's stage 3.

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