can we talk about soy...again?
Comments
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I know this topic gets kicked around on a regular basis but I wanted to bring it up again- see if anyone has anything new to offer- research you've read- etc. I have stayed away from soy (except for the odd bowl of miso soup, couple bites of tofu, and soy sauce) since being dx with ER+ BC. I feel pretty clear from what I've read that highly concentrated or processed soy products are bad news. I am not so sure re: traditional soy foods and still wonder (as I think may do) whether they are more beneficial than harmful and that perhaps I'm missing out unnescessarily.
Have any of you read anything on this topic/heard any thoughts on this from oncs, dietitians, etc.? I know there are some science minded bc.org members out there who might weigh in on this topic as well. How do you other er+ women handle the soy dilemma?
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Before dx, I was a huge consumer of soy products....ate tofu for lunch every day and when I used milk, it was soy. I thought I'd perish when my onc told me to desist (uh, guess she was trying to help me avoid perishing?) and I mourned the loss terribly (
). She conceeded that eating tofu twice a month would probably be okay and, so, I look forward to indulging every 2 weeks. I suspect that it will be found to be the processed soy products that are questionable, rather than the purer stuff common to Asian diets but, unfortunately, I'm partial to the extra firm packaged tofu and I'm sure that what's used in restaurant Mo Pa Tofu isn't "pure" either.
I wouldn't have minded giving up fried foods or high fat products, but my tofu....
????? Sigh........
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Hey, Marin - how did you fix tofu that it had any flavor. Do you just eat it out of the package? My onc also said to give up soy. As you can tell, i have never tasted tofu, just heard it was flaverless (is that a word?)
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Hi,
I am lactose intolerant. I started using soy cheese and ice cream many years before my dx and I love miso soup. I am still indulging, but not as frequently. It does get kicked around and there are women on these boards that believe it is a huge no-no. I am not in that school of thought, but I do feel guilty (!!!) if I have my soy products. It's bad enough that I can't have any milk products, but it hasn't been proved 100% that soy products cause BC. Until they can prove it, I will continue to indulge myself.
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I went through a phase of being paranoid about soy. One day I spent 20 minutes on the bread aisle looking for anything without soybean oil in it. I left emptyhanded. When I posed this dilemma here, some people said we'd be more likely to develop a heart condition from all the soybean oil in food than grow a new tumor. And for things like soy sauce, it's so heavily processed that it's unlikely for phytoestrogens to survive.
As I mentioned in other threads, I eat flaxseed for breakfast in spite of it having phytoestrogens while I'm er/pr+. I've read that plant esters are weaker than what our bodies produce. One theory says we benefit from phytoestrogens because they will bind to the receptors but they are too weak to feed a tumor. I wonder how anyone can really know that the phytoestrogens are beating our own bodies estrogen to the punch when it comes to binding with receptors, but we all make our choices in what we believe. For now, I'm staying away from supplements that contain phytoestrogens, but I'll eat things as food even if it contain phytoestrogens.
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Has anyone seen actual statistics from real data to show correlation between soy ( real products not overly processed stuff) consumption and tumor growth. I understand the theory, but also know that traditional asian diets seemed less likely to lead to breast cancers. Is the tofu no-no a theory or established
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In an article on soy allergy, the Mayo Clinic identifies products known to contain soy. Some of them, like MSG (which I'm actually allergic to and always try to avoid) and vegetable broth, really surprised me:
http://www.mayoclinic.com/health/soy-allergy/DS00970/DSECTION=8
As for making tofu flavorful, it can be marinated in a soy sauce/garlic/ginger/olive oil mixture and then sauteed with fresh veggies, then served over brown rice or quinoa. I just like it plain, drained and cubed though. It doesn't have a strong flavor, but I love its texture. My favorite tofu dish is the Mo Pa Tofu though....sauteed tofu and broccoli in a spicy, Asian sauce. YUM!
~Marin
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12954, I was just thinking the same thing as I read your post. Asian countries, who have traditionally relied strongly on soy products have had extremely low rates of cancers. When these cultures adopt western style diets, the incidence of cancer rises.
Each day newspapers publish the results of studies that suggest that something causes cancer. One of the strongest links seems to be alcohol and yet whenever this topic is raised, there is a general resistance from those who enjoy alcohol to give it up. Yet, when the soy link came up, most people were very quick to avoid it. This is understandable - a glass of wine makes us feel relaxed and is a big part of our culture. Mention tofu and most people say "yuk - tasteless muck - give me a steak any day " so no wonder there is so much more antipathy towards the poor bean!
I still eat small amounts of tofu, soy beans (just soaked, cooked and curried, in soups etc) and alternate soy milk with cows milk but I avoid concentrated soy products - I think they are often listed as soy isolates. I had er+pr+ bc last year.
Also, I believe that cancer is caused by a variety of things. We had a nutritionist, genetic researcher and a few other guest speakers at my bc support group last year and all agreed that this was the case.
Interesting discussion ladies. I enjoy reading everyone's responses.
gb
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gb- very interesting point re: the similarity between soy and alcohol issues with ER+ breast cancer. The Asian diet studies are hard to evaluate since Asian diet differs in several other important ways than just the frequency of soy consumption. I deal with it kind of like you do- have soy rarely- maybe 2x a month or less- no soy milk however- switched to almond milk and lowfat organic cow's milk for my coffee. No wine for me however- since my ideal serving size is at least half a bottle- preferably a whole bottle
- my former idea of dessert! I also was a heavy consumer of all things soy- milk, bars, beans, tofu, edamame, cereal, burgers, etc. I know the concentrated stuff is supposed to be the worst and I certainly (not knowing this at the time) ate my share of it. I just wish a believable news bulletin would appear announcing that traditional soy foods are good for women who'd had ER+ bc. It would allow me to eat a more varied and enjoyable diet.
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I posted a study out somewhere (food board?) about at least one study showing that soy with tamoxifen amplified tamoxifen's effects...similar to flax seed.
www.cancerrd.com is a site from a dietitian who is a 3 time cancer survivor. She posted that she ate soy 3x/day all the while she was on tamoxifen and she is at least 18 years out from her 3rd cancer. She had a childhood cancer, then 1st breast cancer and 10 years or so a second primary (very aggressive) on the second breast. I think she's been thru chemo 3 times (maybe twice) and tamoxifen the last go-around....all the while, eating soy.
Her site gives meal examples and she answers some questions as well on there.
I eat soy, but not as much as I used to (I too love the stuff).
Soy OIL probably has nothing in it remotely with isoflavones...it is a highly processed oil.
For example, even people with mild peanut allergies (MILD!!), can consume peanut oil because it barely resembles the product.
Best to you.
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"There is in vivo animal data suggesting the phytoestrogen genistein (from soy) may interfere with the inhibitive effects of tamoxifen on breast cancer cell growth."
Or, eating soy could have that effect on tamoxifen users.
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Rosemary
Everything has soy in it! How do we stay away from it? It is in Promise spread, and I think just about ALL the veg. oil spreads!
What is a gal to do?
Harley
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Harley,
Eat flaxseed to offset the genistein problem. They researched the two together and flax did work to do that. What a life we have, we have to eat foods to stop the damage that other foods can do instead of just getting rid of the offending food that's in everything out there.
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Rosemary,
Thanks... I thought that flaxseed was bad for us ER+ gals, too! Man, I am so confused!
Harley
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I love TOFU!!!! I'm also lactose-intolerant so I've been drinking soy milk for many years. I stopped after dx. I still have bags of edamame in my freezer, and instant miso soup. It's hard to give it up! I read an article on the breastcancer.org home page about it, but can't remember what it says.
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Believer,
I wouldn't give up what you love unless your on tamoxifen. Then it could be a problem. It's the every day use that could get us into trouble, not the I have to have it every so often.
Harley,
They don't use us in research, so no one can say if flaxseed is good or bad for us after we've been dx'd. So far the research on rodents looks good. I don't shy away from foods with flax, I just wish they'd research us who are willing to eat it daily, and see what happens. Again, we're on our own.
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Rosemary,
So...what do we do?? Flaxseed is bad and so is soy...so why would I take Flax to counter the se's of the soy, if they are BOTH bad for us?
Thanks.... Very confused!
Harley
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Harley,
There doesn't seem to be bad news about flax except for it being a blood thinner, so people should be wary if they're taking meds for that.
They just don't do the research to know what it will do for us after being dx'd. If your getting soy that you don't want, flax offsets it. No one can say it's bad for us though because they haven't done human research.
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I think that IF there is a connection between soy and increased incidence of cancer in the US then it probably is from soy grown in the US which is often genetically modified. I eat soy products (tofu, soy beans, soy sauce) but only buy made-in-Japan products where they don't grow the GMO stuff. I stay away from processed spreads and dressings anyway.
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Before we give soy a really bad name. It doesn't cause cancer, it could help feed a tumor. That's what they found in research which lasted for longer then 13 weeks. First the tumor shrank, but when the test went on, the tumor came back with a vengence and grew even larger.
Why it works so well in Asia is because the people there eat it early in life, we don't. We found it later, so it could be a problem for us if we have a tumor that we aren't aware of.
The suggestion is that we feed our adolescent girls soy so they can get the protective aspects of it, as they do in Asia. But our soy products aren't processed the same way they do in Asia, so I wouldn't give my grandchild soy unless it was soy beans or something that isn't processed here.
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Rosemary that makes sense. I guess sometimes we think too simplistically about these things- ie "people in Asia eat soy, bc rate are lower there (etc) soy must be good." I am going to continue to steer clear (except for the rare bowl of miso soup) unless/until soy is proven safe. I keep hoping that soy will be proven safe or beneficial even but no such luck...I guess it's something we should all be asking our oncs about, reading about, and being at the very least careful about until new info emerges.
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Allyson,
They also drink tea there that could also explain why their levels of BC is less. Plus, I found that white rice has something in it that could be a preventative also. So they're doing more unknowingly to prevent BC, on an everyday basis, then we even know about.
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Thank goodness the tea seems to be a good thing! I happen to drink lots of green tea, including the cold stuff in a can imported from Japan with added vitamin C which boosts the absorbtion of the antioxidant compounds of the tea- "Sencha Shot" is one brand. It's an aquired taste it seems- my stepfather is Japanese so I have had more than the usual opportunity to develop a taste for this and other non-Western foods (like tofu
, seaweed, and raw fish
). Interesting re: the white rice- I've backed way off on the carbs based on other reading and think of white rice as one of the baddest of the bad- maybe a little now and then in a nori roll isn't such a bad thing after all. I will say that with less carbs I feel so much better that it is unbelievable- finally I've beaten the post tx fatigue and then some.
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The head of the cancer institute here told me she thought it okay to eat soy, my own onc said in moderation. I have no idea. I usually have at least 1 fermented soy product - tempeh, yogurt, etc several times a week. From what I have read soy is not the culprit, but the concentrated extracts in pill form are.
I also eat flax every day.
You gotta wonder why there is no decision on these things after alll these years. Is it so tough to question women about it?
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Hi ladies! I just happened on this conversation. I am almost triple negative. Very weakly positive, and just had a lumpectomy in October. My mammo found it. So from July 06 to July 07 I developed the tumore. The only thing that I had been doing differently, was that I was drinking and eating more soy, over the course of that year. Not sure if that means anything, but I have stopped!! Not taking any chances!
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I believe the controversy about soy is only for ER+ women, those whose cancers are fed by estrogen.
I have read that soy (in tempah, miso and yogurt - fermented) is okay and better when flaxseed is added to your diet.
Joanne
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I hear you, but this is my thought, if it mimics estrogen, then why couldn't it help create a tumor in a negative person! Might be crazy thinking, but I will not be eating or drinking soy!
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The way I understand it is that receptors pick up the weak estrogens from soy so that there is no room for the stronger ones to dock. This seems to be a very controversial area. You would think by now someone would have a definitive answer.
Joanne
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I was surfing around pubmed and ran into this article---I think this was published last year.
Genistein sensitizes inhibitory effect of tamoxifen on the growth of estrogen receptor-positive and HER2-overexpressing human breast cancer cells.
Mai Z, Blackburn GL, Zhou JR.Nutrition/Metabolism Laboratory, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
Although tamoxifen (TAM) is used for the front-line treatment and prevention of estrogen receptor-positive (ER+) breast tumors, nearly 40% of estrogen-dependent breast tumors do not respond to TAM treatment. Moreover, the positive response is usually of short duration, and most tumors eventually develop TAM-resistance. Overexpression of HER2 gene is associated with TAM-resistance of breast tumor, and suppression of HER2 expression enhances the TAM activity. Soy isoflavone genistein has been shown to have anti-cancer activities and suppress expression of HER2 and ERalpha. The objective of this study was to test the hypothesis that genistein may sensitize the response of ER+ and HER2-overexpressing breast cancer cells to TAM treatment. The combination treatment of TAM and genistein inhibited the growth of ER+/HER2-overexpressing BT-474 human breast cancer cells in a synergistic manner in vitro. Determination of cellular markers indicated that this synergistic inhibitory effect might be contributed in part from combined effects on cell-cycle arrest at G(1) phase and on induction of apoptosis. Further determination of the molecular markers showed that TAM and genistein combination synergistically induced BT-474 cell apoptosis in part by synergistic downregulation of the expression of survivin, one of the apoptotic effectors, and downregulation of EGFR, HER2, and ERalpha expression. Our research may provide a novel approach for the prevention and/or treatment of TAM insensitive/resistant human breast cancer, and warrants further in vivo studies to verify the efficacy of genistein and TAM combination on the growth of ER+/HER2-overexpressing breast tumors and to elucidate the in vivo mechanisms of synergistic actions. (c) 2007 Wiley-Liss, Inc.
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Very interesting. So in essence this is saying it enhances the impact of tamoxifen in some women if I am reading correctly. I wonder if it does the same for AIs? Seems from what I read whole soy foods (not the soy burgers, etc.) generally are beneficial to breast cancer survivors.
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