Alcohol
Do any of you ladies still have your daily glass of wine? Even during treatment ?My oncologist said no wine, but it is part of our nightly routine and highly enjoyable. I just hate to think that I am increasing my odds of a recurrence by 7% with each glass I have! Would love to hear your experience. 💕
Comments
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So many things to think about with all of this. I had cut back on drinking before my dx, but I think it's important to do what you need to to help you through chemo. For me, it was chocolate chip cookie dough ice cream every day. If you could consider a mid-ground, maybe make it a smaller glass? Cut with some bubble water? I stuck to my same self-imposed "rules" when I was doing chemo (for the last few years I only drink when we're out or when we're entertaining), so I definitely drank.
Nobody is going to judge you. I think it's so important to be gentle with yourself through chemo. Treats help.
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I see an integrative naturopath oncologist and she supports 4 glasses of wine per week but encourages me to drink less as the liver is already taking a strong hit. She also recommends dry wine only.
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I didn’t have chemo or radiation but limiting alcohol is recommended for all bc pts. I was a one glass of wine per night prior to dx. Now I drink 1/2 glass per night. Of course, at that rate a bottle goes bad before I can finish it so I’ve been going w box wine (OMG). Bota is quite drinkable and glad I found it.
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Maria, It is very much recommended for everyone to cut back as much as they possibly can. Especially when facing BC. There are a number of risks associated with alcohol use (BC and otherwise).
That being said, life is really damn short (BC or not!) and I think if you want to have a glass of wine, or piece of chocolate cake for breakfast, or have a cheeseburger at your favorite fast food restaurant, you should be free to do so without judgement. Everyone makes the best decisions they can for themselves every day. I had my wine during chemo, and continue to do so. I should cut back or stop, but it's my vice and coping mechanism, and I'm probably not going to. I still smoke, drink coffee, drink bottled water, eat frozen pizza, buy cereal with BHT added to the packaging, work in my garden and forget the sunscreen, eat processed meat and red meat, fly on airplanes, etc., etc., etc. I accept the consequences of my decisions and refuse to live a life wrapped in bubble wrap. Just my viewpoint, others will disagree strongly.
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I usually only have a wine on holidays, not that I am against having it, I just don't think of it. When I was going through chemo I remember my mother asking me and my siblings what wine she should get for whatever holiday was coming up, and then saying that I could not have any. I asked my Oncologist if I could have wine. He said yes, and then jokingly, said not the whole bottle.
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I have a glass of wine or a drink most every night - but I like the suggestions about a smaller glass and that's what I usually do. I asked my MO about gin & tonic. He told me the story of a patient who is a doctor who left the infusion center every 3 weeks after chemo and immediately had a gin or two. That said, he recommended maybe I didn't drink the same day as chemo. I followed that protocol, but when I finally felt a little better after day 3, I resumed my evening ritual - ONLY when I felt like it, but whenever I felt like it.
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I think everyone should indulge in moderation and even have some cheat days!
I am just having my first glass of wine in 4 weeks.. Yayyy! Cheers ladies
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My old habit was a nightly drink or 2. Now I rarely drink. (I smoke pot if I am in the mood for some mild inebriation.) I do not miss alcohol at all which really surprised me! Because before, I loved it!
My Integrative MO told me to drop alcohol (along with anything else that was not nutrient-dense/ fuel). My POV during chemo was not to give my liver any harder of a time than it was already having, and to fortify my system as much as i could, so that advice was easy to follow. Then once I dropped it I did not miss it.... so I figured it could stay dropped. I'll have a small drink when I feel like it but that feeling is pretty rare now, maybe once or twice a month.
I follow a very clean eating plan and feel very good. Like LLL, I will indulge here and there (WITH FULL ENJOYMENT!), but my normal routine is very healthy.
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The research on alcohol and breast cancer recurrence is all over the map. I think that this article, from Oncology Nutrition, states it well:
https://www.oncologynutrition.org/erfc/healthy-nutrition-now/foods/alcohol-breast-cancer
"Before you decide you should give up alcohol, it is useful to note that some recent research has suggested moderate alcohol consumption actually improves survival after a breast cancer diagnosis. Considering this along with the earlier studies, we end up with a somewhat confusing picture. This is because all of these studies are what we call "observational," which means none of them can, by themselves, prove cause and effect. However, it can be helpful to consider all of the studies together. When we do this, we don't see a strong pattern one way or the other. That is, some studies show alcohol slightly increases risk of breast cancer recurrence, while others show it decreases risk. This suggests that if there is an effect of alcohol, it is probably very small, regardless of whether it is protective or harmful. And if alcohol does turn out to increase risk of recurrence after breast cancer, the studies suggest the effect is likely to be strongest for overweight and obese women."
My Oncologist is perfectly fine with wine however from an overall health perspective, looking beyond just breast cancer, he suggests 3-4 glasses per week for women, and 5-6 for men.
My philosophy is "everything in moderation". Yes, I've had breast cancer but I'm not going to obsess or spend time figuring out the perfect diet to reduce recurrence risk because I've done enough digging into the research to know that the effect of diet changes is small at best. We all know what is a healthy and what isn't healthy, so I aim for healthy diet but I refuse to give up the things that may be less healthy that give me pleasure - I simply consume these items in moderation. The way I see it, breast cancer has taken enough from me without my offering up more - especially when the science isn't clear and the benefit, if any, is small. So I happily eat cheese and chocolate and I drink wine. In moderation.
🥂
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Why is it that the vast majority of women here are so health conscious, yet all have bc. Of course that is because this is a bc forum. But yet I am surrounded by women who follow nothing healthy and so few have bc. I believe the studies, but struggle with the reality I live in. Perhaps I am in an unhealthy community. But bc does not seem to be prevalent at all. Diabetes is the health risk instead. Alcoholism is rampant. Perhaps death from diabetes precludes bc dx. But the facts and studies just do not seem relevant at all in my life.
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Thank you all for your responses. Moderation it is!!
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Also it is going to really depend on how you are feeling. The A/C chemo made me feel like I was hung over so the last thing I would have wanted was a glass of wine or beer. During Taxol often my tastebuds were often pretty dead so no point in wine I couldnt enjoy the taste of-- so you may not even want any wine in the evening.
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If you follow the "cancer is a metabolic disease" model, then of course anything that promotes diabetes would also promote cancer. Cancer likes to grow where there is inflammation.
We cant change our genes and our childhood exposures. But we can change our diets or exercise routines. Some people feel better doing the things they CAN do, even if the effect is not 1:1.
For people not wanting to eliminate less nutritious foods, intermittent fasting is a good way to bring down inflammation while continuing to eat them.
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I do the intermittent fasting. Skip dinner and just drink the bottle of wine!!!
Here's the thing. No one really knows what to tell you, and if they did we wouldn't be here discussing it. I did recently have my A1C checked and thankfully below the score of getting a diabetes diagnosis. I think we all try to take care of ourselves but as long as booze and smokes are legal, when I want some, I'm gonna have it. Lung cancer is still one of the highest death rates, yet tobacco is legal. Go figure. I've been quitting for over 4 years now. A BC diagnosis in 2017 and a husband with lung cancer still isn't enough is make me completely quit. It's an insane addiction/vice/coping mechanism. I should be over it by age 60. That's my next quit date. Two years from now.
Don't get me started on the drinking. Back in the day hubby and I partied pretty hard. Thankfully it has less of hold on both of us and he hasn't had a beer since October and so it's easier for me to not drink so much at home. I do have 1 or 2 wines every other night or every 2 nights. I also use smaller glasses now (8 oz. ones) don't fill it up all the way and I can stop at 1 or 2 which is keeping it under 16 oz. Yea me. But, lookout when company comes over, or I go out to dinner with family/friends. Can't stay within range then. Best I can do and that's what I tell anyone that asks!!
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ctmbsikia, I laughed at your description of how you've cut back on wine. I can identify with that!
For the sake of our general health, both my husband and I have cut back considerably on our nightly wine. For me, it's more about maintaining my weight than anything else. But if I want to have wine with dinner, I have it, although the less often I have it, the less I feel like having it. The exception comes when we go away. It happens that we live 90 minutes from the local wine country, where there are 50+ wineries within a very small area. It happens that this is our favorite place to head to for a mini-vacation, so we end up there several times a year. Dinner out in wine country without a bottle of wine? Not going to happen. And thankfully so. What's life without enjoyment?
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ctm - so if you quit smoking at 60, you'll be able to come to my Party back east when I turn 80. Actually you could come even if you were still smoking. I still like the smell 12 years later. But I do hope all the great ladies we shared with on the 'quit smoking' thread remember - meeting on the east coast 2024
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Thank you all I really enjoyed reading all of your comments! I always like the movies that show a group of women sitting around talking sharing a bottle of wine. I would need more than one bottle for each person.
In all honesty I think a dry robust red wine, a glass with dinner on occasion is healthy because of the resveratrol. Moderation indeed, but why bother at all?
I rationalize by not having any for a while and when I do I just drink the entire bottle to catch up.
Don't do as I do.
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Dear Bessie,
I too have read all that research. Even on this website under alcohol and research, the studies are not conclusive on alcohol and recurrence risk even for estrogen positive people. I am specifically talking about large valid studies. Meta analysis? Can’t think of the word with my chemo brain....
I enjoy my daily wine. I bought some glasses with ounces sketched on them and I use them to make sure I don’t pour myself an 8 ounce glass!!! I will continue to eat healthy foods and exercise , but I’m not giving up my wine 🍷
Salud!!
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Maria - salud back at ya. I never gave up my wine - all through treatment. Six years after the last treatment now, I'm still sticking to it.
I pour 6 oz glasses. Unless I get involved in a conversation on the phone and inadvertently pour another glass while I'm talking. That's easy to do when the phone is the only way to keep up with friends & family just now.
I have been writing down all my food intake since 2/29 - preliminary to a discussion about cholesterol with my PCP in August. So I'm also writing down all the alcohol. Interesting exercise - but of course these results are in the middle of the shelter in place virus so habits have definitely changed.
It appears I always have a drink at the end of the day now. Sometimes gin & tonic, sometimes wine. Maybe once a week I'll also have an evening toddy - a shot glass of Tia Maria, Amarula, Tuaca or other liqueur around bed time.
Stay safe
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