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Posts Tagged ‘Estrogen and Breast Cancer’

Progesterone and Breast Cancer

In Alternative Cancer Therapies, Alternatives Cancer Treatment, Alternatives to Anti-Hormone Therapy For Breast Cancer, Alternatives to Hormone Therapy for Breast Cancer, Alternatives to Tamoxifen, Anticancer diet, Anticancer foods, foods for colon cancer, foods for breast cancer, aromatase inhibitors, Bio-Identical Hormones, BPA and breast cancer, Breast Cancer, Cancer, Cancer Coach, Estrogen, Estrogen and Breast Cancer, Healing Cancer Naturally, Hormone Balance, infertility, insomnia, Integrative Oncology, Natural Alternatives to Aromatase Inhibitors, Natural Aromatase Inhibitors, Tamoxifen, Uncategorized on January 29, 2022 at 12:59 pm

Progesterone is vital to the female body, yet many women fear it. Progesterone is the key to many aspects of female health, and often thought of as one of the most important hormones. But most women have very low levels of progesterone which can result in estrogen dominance and can significantly increase one’s risk of breast cancer!

In short, estrogen and progesterone work in tandem. The former hormone helps cancerous cells flourish while the latter puts the brakes on cell growth and proliferation.

Why You NEED Progesterone

Progesterone is the precursor to other important hormones, including estrogen and testosterone. These hormones play a significant role in female health, influencing everything from cognitive function, menopause, fertility, helping the uterus to grow during pregnancy, normal breast development during puberty, and so much more, including breast cancer prevention. Importantly, the body depends on the right balance of these hormones in order to function properly.

“Estrogen can cause cells to grow or proliferate, but progesterone decreases proliferation/cell growth while encouraging cells to become more specialized or mature, so in effect, progesterone’s actions decrease cancer risk. When progesterone is present, its receptors make the estrogen receptor no longer able to cause breast cells to grow or proliferate.”[i] (The Centre for Menstrual Cycle and Ovulation Research). More on receptors below.

Natural progesterone is not to be feared. In fact, it is widely believed that estrogen can only fuel breast cancer in the absence of progesterone. In essence, progesterone puts the brakes on cell proliferation and growth. Estrogen should also not be feared and is actually essential for so many reasons (heart, bone, and eye health, etc.) The Important thing is to help your body metabolize estrogen properly so the body can use what it needs and excrete the excess ( a topic beyond the scope of this article).

The confusion about progesterone comes from studies using progestin (synthetic progesterone). Progestins are NOT the same thing as progesterone. But again, one of progesterone’s jobs is to decrease the risk for breast cancer. It does that by decreasing the proliferation often caused by excess estrogen.

Importantly, chemical estrogens (also known as xenoestrogens) such as BPA (bisphenol A) and other chemicals often found in home and personal care items are another story. They DO fuel breast cancer. For more information on the damages of BPA and BPS please read: BPA: The Bathroom Toxin that Fuels Breast Cancer.

Symptoms of Progesterone Deficiency Include:

  • Unexplained fatigue and low energy
  • Intense PMS symptoms such as cramps and moodiness
  • Dizziness
  • Difficultly sleeping
  • Irritability
  • Ovarian cysts
  • Fibrocystic breasts
  • Mood swings
  • Hot flashes
  • Low libido
  • Irregular menstrual cycles
  • Weight gain
  • Fibroids
  • Endometriosis
  • Thyroid dysfunction
  • Infertility and miscarriage
  • Uterine bleeding
  • Breast and other cancers

Some women have been progesterone-deficient most of their lives, whereas others find themselves in this predicament around age 45 or so, when the ovaries stop making the hormones estrogen and progesterone and turn the job over to the adrenals. Regardless, it is imperative that we increase progesterone if it is low and in turn, balance the hormones. Clearly the list above gives you enough reasons.

Raising Progesterone

Foods that can help raise progesterone include broccoli and other cruciferous vegetables, beans, and nuts. Supplements include magnesium, and vitamin E (mixed tocopherols). Chaste Tree (Vitex) can also stimulate progesterone. Activated B6 is necessary for the synthesis of progesterone and helps the liver to metabolize and break down estrogen (B6 can also available in food sources such as leafy greens, peppers, carrots, asparagus, broccoli, walnuts, eggs, sweet potatoes, and sunflower seeds. For the carnivores, you can find it in grass-fed beef and beef liver). Zinc supports the production and use of progesterone. A deficiency in zinc increases estrogen sensitivity and decreases the progesterone response.

Things that deplete progesterone are stress and excessive exercise (which cause the body to produce stress hormones instead of progesterone).

Importantly, too much zinc will deplete copper. While copper can promote cancer, the body does need just a bit. Cooper deficiency can cause extreme tiredness, elevated cholesterol, brittle bones, increase risk of infection, and more.

A Note About Bio-Identical Progesterone

It is important to understand the difference between progesterone that is made by the body or is molecularly similar to one’s own natural progesterone and synthetic progesterone, which has been molecularly altered. This is why many women opt for bio-identical progesterone.

However, as discussed in a previous article,  Could Aromatase Inhibitors Actually Increase One’s Risk for Breast Cancer prescription bio-identicals can be problematic. According to Dr Mache Seibel, M.D., author of The Estrogen Window, you must be careful with compounded bio-identicals. This is because sometimes the progesterone in compounded formulas can be 60-80% lower than ordered and estrogen 80-200% higher than ordered which can result in increased estrogen dominance. This could raise your risk of hormone-driven cancer.

Another option is bio-identical topical creams. There are a few good ones on the market, but one I use is Progesto-life. According to the instructions, you just rub a quarter teaspoon into your wrist or belly.

I strongly suggest you work with a qualified practitioner before beginning any type of bio-identical hormones. There is much we don’t know and some react differently than others. Please know that your oncologist might not be trained to discuss this with you.  

Importantly, please do not confuse hormone levels with receptor status!

Hormones are your body’s chemical messengers. They travel in your bloodstream to tissues or organs to help them do their work.

Estrogen and progesterone receptors are proteins in cells that bind hormones and switch genes on and off, changing the cell’s behavior. Hormone receptor-positive breast cancers have many receptors, and the tumor cells become overly sensitive to estrogen. When estrogen activates the estrogen receptor, it signals the genes that tell the cells to keep dividing, driving tumor growth. However, when breast cancer cells have working progesterone receptors, and there is sufficient progesterone available, progesterone will slow down estrogen fueled growth and division of these cells.

The late John Lee, MD, author of What Your Doctor May Not Tell You About Breast Cancer maintained that when activated by progesterone, its receptors attach themselves to estrogen receptors. This tells the genes that promote growth to pivot and instead promote the death of cancer cells.

A study published in the Dec 2016 edition of the journal Nature, led by Cambridge-based Cancer Research U.K. researcher Dr. Jason Carroll of the University of Adelaide in Australia found that progesterone –via the progesterone receptor– reprograms the estrogen receptor, causing the cells to stop growing as quickly. For more information, please read my article, Progesterone and Breast Cancer.

So, if you are ER and or PR positive it simply means you have receptors for these hormones. It does not mean you have high levels of either hormone. In fact, most doctors recommend tamoxifen or aromatase inhibitors without even testing hormone levels, which could be a big mistake (particularly in the case of aromatase inhibitors).

For those who have or have had TNBC (triple negative breast cancer), progesterone has been found to inhibit this type of cancer as well.

This article is a re-write from a previous article of mine published in January 2020.

In your everlasting good health,

Elyn

~~If you don’t know your options, you don’t have any~~

Elyn Jacobs is a breast cancer survivor and holistic cancer strategist who helps people make healthier, less-toxic choices for their healing. She emphasizes the importance of not just surviving cancer but surviving well and reducing the risk of recurrence. She is a Contributing Editor for The Truth About Cancer and is on the Medical Advisory Board for BeatCancer.Org and the Advisory Board to the Radical Remission Project. Elyn has written for numerous journals and publications. She was the former Executive Director of the Emerald Heart Cancer Foundation and the creator and host of the Survive and Live Well Radio Show. To contact Elyn, visit www.elynjacobs.com. Elyn offers consults via Skype, phone, or in-person. Elyn does not provide online advice.

DISCLAIMER:
Elyn Jacobs does not provide medical advice. The information provided is for general information only. No online site should be used as a substitute for personal medical attention.

This information is for educational purposes only and is not a recommendation to forgo medical advice and treatment.  This post is not intended to treat, cure, prevent, or diagnose any disease or condition. This post does not represent medical advice nor should it be considered to be medical advice or a replacement for medical advice.  I encourage you to discuss this information with your integrative oncologist, naturopathic doctor, or conventional oncologist. The information provided is from my research and not to be taken as scientific evidence.

Important Disclaimer: Elyn Jacobs Consulting, Inc. does not provide endorsement for the content, claims, or products discussed in this article. This information is for educational purposes only and is not a recommendation to forgo medical advice and treatment.

Affiliate Links Disclosure:

Some product links on some posts are affiliate links. This website is monetized in part through the use of affiliate links. This means that if you were to click on a link that is an affiliate link and purchase an item after clicking on that link, I may receive a small percentage of the sales price. I only recommend products that I love and use often. Thank you for your support!

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[i] https://www.cemcor.ca/resources/does-taking-progesterone-alone-or-estrogen-increase-women%E2%80%99s-risk-breast-cancer

Natural Ways to Balance and Manage Hormones for Breast Cancer

In Alternative Cancer Therapies, Alternatives Cancer Treatment, Alternatives to Anti-Hormone Therapy For Breast Cancer, Alternatives to Hormone Therapy for Breast Cancer, Alternatives to Tamoxifen, Anticancer diet, Anticancer foods, foods for colon cancer, foods for breast cancer, aromatase inhibitors, BPA and breast cancer, Breast Cancer, Cancer, Cancer Coach, Estrogen, Estrogen and Breast Cancer, Hormone Balance, Integrative Oncology, Natural Alternatives to Aromatase Inhibitors, Natural Aromatase Inhibitors, Uncategorized on August 4, 2020 at 7:17 am

Hormone imbalances occur when we have to much or too little of a hormone in your bloodstream. While your body secretes about 50 different hormones that control many critical functions, for the purpose of this article, I will be discussing only estrogen and progesterone. When estrogen is high and progesterone is low, we have a condition known as estrogen dominance. Estrogen dominance is often a strong risk factor for breast cancer. Fortunately, there are many natural ways to balance the hormones and manage risk of cancer.

Even small hormonal imbalances can create side effects, including increased risk of breast cancer. What women with breast cancer hear most from their doctors is that estrogen is the villain, the cause of our cancer. However, while estrogen can fuel breast cancer, there is more to the story. Estrogen can fuel a tumor’s growth, but progesterone may put the brakes on that growth.

To be clear, estrogen is not bad, and in many cases, should not be reduced without due care. Estrogen plays a major role in numerous processes including blood sugar balance, as well as bone, eye, and heart health. But it needs to be balanced by progesterone, something that drops dramatically with age and increased stress.

To recap an article I wrote for The Truth About Cancer, estrogen and progesterone receptors are proteins found within many of the cells of our bodies, including cells in the breasts. Both receptors are directly involved in switching genes on and off − some 470 different genes. When estrogen and progesterone are present, these hormones stick to their respective receptors. They can then attach to specific regions of our DNA and turn genes on or off, changing the cell’s behavior.

Hormone receptor-positive breast cancers have many hormone receptors. In the case of breast cancer, tumor cells become overly sensitive to estrogen. When estrogen activates its receptor, it turns on a panel of genes that tell cells to keep dividing, encouraging tumor growth. However, the body also has progesterone receptors. When breast cancer cells have working progesterone receptors, and when there is sufficient progesterone available, progesterone will slow down estrogen-fueled growth and division of these cells. According to the late John Lee, Md, author of What Your Doctor May Not Tell You About Breast Cancer, when progesterone receptors are activated by progesterone, they attach themselves to the estrogen receptors. This essentially puts the brakes on the estrogen receptors, telling them to stop turning on genes that promote the growth of cancer cells, and turning on genes that promote the death of these cells.

A 2016 study led by Cambridge-based Cancer Researcher Dr. Jason Caroll of the University of Adelaide in Australia found that progesterone, via the progesterone receptor, is affecting how the estrogen receptor works. He found that the progesterone receptor actually ‘reprograms’ the estrogen receptor, changing the genes that it influences.[i]

Importantly, Carroll found that progesterone seems to cause cancer cells to stop growing as quickly. That said, what I am referring to is natural progesterone. While natural progesterone has an anticancer effect, synthetic progesterone does not and can actually make cancers more aggressive and deadlier. Further, synthetic progesterone does not activate tumor suppressor gene p53 when it attaches to progesterone receptors. P53 is a repair gene, which protects cells from becoming cancerous.

Toxic Substances Act Like Estrogen

We are bombarded daily with chemicals in the air, our food, and the products we use in our home and on our bodies. These chemicals, also known as xenoestrogens, are considered endocrine or hormone disruptors because they interfere with the production of hormones. They cause wide-ranging damage in the body. For example, bisphenol A (BPA) and bisphenol S (BPS), found in plastics, can liners, cash register receipts and most paper products mimic estrogen and can disrupt multiple hormonal pathways. Unlike our own estrogen, chemical estrogens (xenoestrogens) are particularly harmful. Read more HERE.

Fortunately, there are many natural approaches to ease hormones back into balance and reduce your risk of breast cancer.

Natural Approaches for Balancing Hormones

Let’s take a look at some herbs and natural approaches to balancing hormones.

Phytoestrogens modulate estrogen levels. Phytoestrogens work similarly to tamoxifen, blocking the effects of estrogen in breast tissue.[ii]

They act more like estrogen blockers than like estrogen; they modulate the production, availability, and action of hormones and slow down cell division. This is important as many oncologists illogically warn women to avoid them.

Phytoestrogens bind preferentially to estrogen receptor sites in the body. However, they are 99% weaker than our own natural estrogen, which means that they have very little estrogenic effects in the body. It also means that by binding to the receptors, more aggressive natural estrogen or xenoestrogens from the environment will be less able to bind to the receptors. Therefore, phytoestrogens might limit the negative estrogenic impact of those estrogens. Instead of fueling estrogen-dependent cancers, phytoestrogens tend to reduce the risk of these cancers. Even the NCI (National Cancer Institute) acknowledges that the plant-based hormones may have anticancer effects.[iii]

Meanwhile, if you are post-menopausal with very low estrogen levels, phytoestrogens may help reduce the resulting effects, such as bone loss, eye damage, and heart damage. Soy and flaxseed are two of the most powerful phytoestrogens, but herbs such as red clover, sage, hops, and fenugreek are also helpful.

Soy blocks cancer-promoting estrogens from attaching to the estrogen receptors on breast cells. It has also been shown to stop tumor growth, prevent metastasis, and shut off new blood vessels in growing tumors.  Fermented soy, such as tempeh and miso are preferred over unfermented versions such as tofu. This is because the fermentation process increases free radical scavenging activity and removes the nutrient blocking effect that soy can have—the phytic acid in unfermented soy can block absorption of key minerals such as magnesium and zinc. Soy in a highly processed form (like soy protein isolate or soy protein concentrate) should be avoided as they have the greatest ability to block nutrient absorption. Due to the fact that most soy is genetically altered, it is highly recommended to consume only organic and non-GMO. (My only issue with tempeh is that it is commonly ‘shrink-wrapped’ in plastic’)

 Flaxseed modulates the production, availability, and action of hormones—and does so much more (flax –and sesame seeds– offer anti-cancer lignans which can significantly reduce tumor growth by increasing cell death and decreasing the growth of new blood vessels that allow cancer to advance). As for hormones, the lignans in flax lower the production of estrogen by blocking the aromatase enzyme (similar to aromatase inhibitors) and block the estrogen receptors (similar to Tamoxifen). When lignans are consumed, intestinal bacteria convert them into enterolactone and enterodiol, weak estrogens. They attach to estrogen receptors, stimulate them weakly and block estrogen binding. This prevents estradiol or estrone from attaching to the estrogen receptors and strongly stimulating them, and includes not just the estrogen we produce, but also environmental toxins, thus making breast tissue more resistant to these environmental toxins.  One long-term study reported that relatively high circulating enterolactone levels are associated with lower risk of death after an early-stage breast cancer diagnosis. Please read my articles — Flaxseed: Better Than Tamoxifen and Demystifying Flaxseed and Estrogen.

Licorice root and Vitex (also known a chaste tree berry), focus more on raising progesterone. Progesterone tends to fall sharply as we age and are no longer ovulating. While bio-identical progesterone supplement progesterone directly, licorice root and vitex are thought to lower estrogen levels while simultaneously raising progesterone, thus helping to relieve hormone imbalance and estrogen dominance. (use caution if you have elevated blood pressure)

Combining vitex with stress-reducing adaptogens such as ashwagandha or Schisandra can be helpful as stress tends to lower progesterone. Some people have reported that vitex worsens depression, so discontinue if that happens. (Do not take Schisandra with Tamoxifen).

Red clover can bind weakly to estrogen receptors, standing in for estrogen when levels are low and lowering high estrogen levels, helping to balance the hormones and correct estrogen dominance.

White peony root, something often used in traditional Chinese medicine, also supports progesterone. Black cohosh seems to support healthy estrogen levels not by actually boosting estrogen, but by improving brain-ovary communication and modulating cell receptors. This can help reduces menopausal symptoms and ease depression.

Adaptogens such as maca support hormone balance and may boost libido and mood while decreasing anxiety.

Vitamin E is crucial to maintaining a healthy balance between progesterone and estradiol. Vitamin C plays an important role in preventing the degradation of steroid hormones into toxic and cancer-promoting metabolites. It also regenerates estrone and significantly regenerates progesterone.

Vitamin B6 has been shown to help increase levels of progesterone in the blood naturally. Magnesium is another key nutrient for increasing progesterone levels, as it plays an important role in maintaining a healthy hormonal balance in the body.

Probiotics support gut bacteria and improve digestion, helping to prevent constipation. This is important because when poop remains in the bowel for extended periods of time, excess estrogen is re-absorbed and re-circulated into the bloodstream. Plus, immune function depends on healthy gut microflora—and gut flora effects cancer genes too!

Consume GLA (gamma-linoleic acid), which is found in evening primrose oil and in hemp seeds.  Research shows that this type of omega-6 may support healthy progesterone levels.

Get more sleep—lack of sleep disturbs hormone balance. Try to get to sleep by 10 pm as melatonin production peaks between 10 pm and 2 am. Melatonin stimulates tumor-suppressor genes and counteracts the effects of aggressive estrogens, including xenoestrogens.  Cell phone EMF exposure can suppress the production of melatonin—limit use before bed and do not keep near your bed, and preferably out of your room.

If you are overweight, lose weight. Fat cells increase estrogen production. Increased weight often means insulin resistance and this is a common cause of high estrogen levels. Insulin resistance leads to an up regulation of the aromatase enzyme leading to high estrogen. Plus, over-consumption of calories leads excessive free radical formation. Free radicals damage cells and cause genetic mutations, which ultimately can lead to cancer.

Your Liver and Estrogen

Be sure that your liver and gut are functionally efficiently as estrogen is metabolized in the liver and excreted out of the bowel. Think of your liver as a filter that neutralizes toxic substances so that they can safely be excreted from the body.  By enhancing liver function, more estrogen is broken down in the body, reducing the overall estrogen load.

When the liver and colon have become sluggish due to low thyroid function, stress, and an overburden of toxins, the body cannot break down and remove excess estrogen adequately from the system. The excess unbalanced estrogen gets stored in the fat cells of breast tissues when it is not properly eliminated. Nutrients derived from cruciferous vegetables (broccoli, cauliflower, Brussels sprouts as well as sulforaphane supplements  help with the detoxification of estrogen through the liver (Read about Sulforaphane HERE)

Supporting the liver with supplements such as N-acetylcysteine (NAC), Milk Thistle, and SAMe can be very helpful. DIM and Indole-3Carbinol,  two other extracts of cruciferous vegetables, can encourage proper metabolism of estrogens in the body and help to clear excesses and xenoestrogens from the system. Dandelion, herbal bitters, artichoke extract, also support the liver in detoxifying, metabolizing, and excreting hormones. Fiber binds to bile (liver’s waste) to support excretion.

For more on detoxification and liver function, please request my Estrogen and Detoxification Handouts or visit the Estrogen Management and Detoxification Sections on my supplement page.

Natural Aromatase Inhibitors:

Pumpkin seeds, button mushrooms, and supplements such as DIM, vitamin K2, calcium d-glucarate, zinc, gingko biloba, and  grapeseed extract (organic please)  are natural aromatase inhibitors. Research done at the State University of New Jersey demonstrated that a 2% concentration of rosemary extract was able to inactivate excess estrogen[iv] Apigenin – found in parsley, celery, and chamomile—is another aromatase inhibitor and is a potent estrogen metabolizing compound.

Read more on Natural Aromatase Inhibitors HERE.

Note: while herbs are powerful, it may take at least 4 months of use to begin to show benefits. Further, herbs can interact with one another or with various medications, so always consult your doctor before use.

Testing: If you are looking to lower your estrogen levels, you may want to test your hormone levels first. You can be low on estrogen and still be estrogen dominant, so it may be important to acquire this information. Also note that it is possible to have ‘normal’ estrogen levels when tested via blood or saliva, but still have high estrogen symptoms.  This can happen if your body is not detoxifying estrogen correctly.

In your everlasting good health,

Elyn

~~If you don’t know your options, you don’t have any~~

ej portrait 150resElyn Jacobs is a breast cancer survivor and holistic cancer strategist who helps people make healthier, less-toxic choices for their healing. She emphasizes the importance of not just surviving cancer, but surviving well and reducing the risk of recurrence. Elyn specializes in understanding the role of estrogen in breast cancer and debunks the myths associated. She is a Contributing Editor for The Truth About Cancer and is on the Medical Advisory Board for BeatCancer.Org and the Advisory Board to the Radical Remission Project. Elyn has written for numerous journals and publications. She was the former Executive Director of the Emerald Heart Cancer Foundation and the creator and host of the Survive and Live Well Radio Show. To contact Elyn, visit http://www.elynjacobs.com. Elyn offers consults via Skype, phone, or in-person. Elyn does not provide online advice.

DISCLAIMER:
Elyn Jacobs does not provide medical advice. The information provided is for general information only. No online site should be used as a substitute for personal medical attention.

This information is for educational purposes only and is not a recommendation to forgo medical advice and treatment. This post is not intended to treat, cure, prevent, or diagnose any disease or condition. This post does not represent medical advice nor should it be considered to be medical advice or a replacement for medical advice. I encourage you to discuss this information with your integrative oncologist, naturopathic doctor, or conventional oncologist. The information provided is from my research and not to be taken as scientific evidence.

Affiliate Links Disclosure:

Some product links on some posts are affiliate links. This website is monetized in part through the use of affiliate links. This means that if you were to click on a link that is an affiliate link and purchase an item after clicking on that link, I may receive a small percentage of the sales price. I only recommend products that I love and use often. Thank you for your support!

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[i] http://scienceblog.cancerresearchuk.org/2015/07/08/solving-a-breast-cancer-mystery-why-do-double-positive-women-do-better/

[ii]https://marylandoncology.com/disease-drug-info/glossary/P/P1080/

[iii]   https://marylandoncology.com/disease-drug-info/glossary/P/P1080/

[iv] https://pubmed.ncbi.nlm.nih.gov/9806165/

Could the Natural Alternative to Tamoxifen and Aromatase Inhibitors be in Your Refrigerator? Part I

In Alternative Cancer Therapies, Alternatives Cancer Treatment, Alternatives to Anti-Hormone Therapy For Breast Cancer, Alternatives to Hormone Therapy for Breast Cancer, Alternatives to Tamoxifen, Anticancer foods, foods for colon cancer, foods for breast cancer, aromatase inhibitors, Breast Cancer, Cancer, Cancer Coach, Emotional Healing, Estrogen, Estrogen and Breast Cancer, Uncategorized on November 14, 2019 at 9:59 am

Estrogen play an important role in overall health in humans—it protects your heart, lungs, eyes, brain, bones, skin, and hair, averts cognitive decline, and does so much more. Estrogen is also protective against adverse symptoms during the peri-and postmenopausal periods. But estrogens are known to stimulate cellular proliferation associated with certain cancers. Hence, if you have been diagnosed with a hormone-related cancer, your doctor may advise a synthetic selective estrogen receptor modulator (SERM) such as tamoxifen or a pharmaceutical aromatase inhibitor such as Femara (letrozole), Arimidex (anastrozole), or Aromasin (exemestane).

Of course, these pharmaceutical drugs come with a host of detrimental side effects. What’s a person to do?

Side Effects and Resulting Effects of Pharmaceutical Anti-Hormone Drugs

pills tamoxifenSome side effects of tamoxifen include severe muscle pain, weight gain, thickening of endometrial lining of the uterus, daytime sleepiness, nausea, edema, hot flashes, vaginal hemorrhage, increased risk of cataracts, acute glaucoma, and other eye issues. It is not recommended to take tamoxifen if you have impaired CYP2D6 enzyme, nor should you take medications that block the activity of CYP2D6, such as Benadryl, Prozac, Paxil, and Zoloft (these lists are not inclusive) during treatment. Tamoxifen has been declared a human carcinogen by the WHO, NIH and other authorities.

Side effects of aromatase inhibitors include damage to the heart, never-ending flu-like symptoms, hair thinning and loss, joint pain, stiffness and swelling, hot flashes, vaginal dryness, and headaches, a feeling of tiredness and lethargy, difficulty breathing, nails breaking down and peeling, memory fog, depression and mood swings, balance problems, sleep disorders, tightness of the chest, bone thinning, and more.

In the summer edition of Cure magazine, they spoke of a doctor who when asked why he didn’t tell his patient about the side effects of the prescribed hormonal therapy, replied “some women would not take the pill if they knew bout the side effects”. Incidentally, these were not listed on the medical paper that came with her bill.

Clinical trials have indicated that resistance develops with both tamoxifen and aromatase inhibitors. This is another major pharmaceutical problem and cause of serious concern to clinicians and patients.

So, again what exactly is a person to do?

The easiest and most logical answer is to eat copious amounts of phytoestrogens throughout the day.

Phytoestrogens are plant-derived naturally occurring compounds that have chemical structures similar to estrogens. Phytoestrogens have been found to decrease cancer risk by inhibiting aromatase activity and CYP19 gene expression (The aromatase enzyme is a product of the CYP19A1 gene).

Aromatase plays an important role in breast cancer as it converts androgens to estrogens in many human tissues, the result of which has been known to stimulate cellular proliferation in certain cancers. In the vast majority of breast cancers, estrogen levels play a role tumor growth and depend on the activity of CYP19.

Research performed in 2015 by the Department of Physiology and Developmental Biology and The Neuroscience Center at Brigham Young University, indicates that phytoestrogens act as aromatase inhibitors by decreasing aromatase gene expression and inhibiting the aromatase enzyme. Their findings emphasize that estrogens have a significant impact on health and that phytoestrogens (being of similar structure to 17β-estradiol) have strong potential as anticancer agents.[i]

The researchers concluded that phytoestrogens not only act as SERMs (as has been previously reported and I will get into in Part II of this post), but also have the ability to alter the activity of the aromatase enzyme. They go on to remind us that the inhibition of aromatase activity and gene expression represents a key mechanism of how phytoestrogens may contribute to decreased cancer risk and recurrence.

The important difference is that phytoestrogens do not initiate the cascade of negative effects of pharmaceutical drugs and as estrogen modulators, may stave off the negative effects of declining estrogen, making them effective in more ways than one. Further, unlike drugs, they offer significant cancer-fighting abilities. For example, the apigenin in parsley is known not only for its aromatase-inhibiting abilities, but also for promoting cancer cell death, including cancer stem cells. parsley

In Part II of this post I will discuss many different phytoestrogens—all of which play a significant roll in the management of hormone-related cancers. In the meantime, a few of my favorites are flax and sesame seeds, broccoli sprouts, including the seeds (sulforaphane), parsley (apigenin), and organic whole soy.

However, as a strong reminder, estrogen is not the biggest driver of cancer, at least not your own estrogen. Emotional and environmental toxins (including xenoestrogens such as BPA and BPS) are often at the root of it all, as well as the viral factor—it is imperative that you resolve these issues as well as anything that may have contributed to your cancerous environment.

Importantly, it is not always wise or even necessary to reduce estrogen (many post-menopausal women already suffer from low estrogen). This is especially true for very thin women as post-menopause, estrogen is no longer made in the ovaries, but rather from adipose tissue (fat, especially in the breasts and belly), of which they may have very little. (This is also why many doctors advise their patients to lose weight, if necessary). Thin women might benefit more by raising progesterone. Reminder that you have to be very careful with compounded bio-identicals; read more HERE.

Many of my followers have been asking about a safe  bio-identical progesterone cream (It is paraben-free, soy-free, and Non GMO). 

Read Part II HERE

Below are just some of the articles I have written on natural alternatives to tamoxifen and aromatase inhibitors:

Why You May Want to Reconsider Estrogen-Blocking Aromatase Inhibitors and Tamoxifen

Natural Alternatives to Hormone Therapy for Breast Cancer

What to Do if You Have Low Estrogen Levels and Your Doctor Prescribes an Aromatase Inhibitor

Potential Therapeutic Effects of Phytochemicals and Medicinal Herbs for Cancer Prevention and Treatment

Managing Estrogen Naturally

Flaxseed, Better than Tamoxifen for Breast Cancer

Flaxseed, the Anticancer Power Seed

Alternatives to Aromatase Inhibitors

 

Reminder: To get an additional $30 off on Marnie Clarks’ online course for breast cancer,  Toxic Free Me, enroll now and use this LINK. This course will also delve into alternatives for anti-hormonal therapies.

An online course not right for you? Know that I am always there for individual consultations.  To inquire about a consult, please visit me HERE.

Life is a journey, just be sure that journey is on-course for a healthy life.

In your everlasting good health,

Elyn

~~If you don’t know your options, you don’t have any~~

ej portrait 150res for PrueElyn Jacobs is a breast cancer survivor and holistic cancer strategist who helps people make healthier, less-toxic choices for their healing. She emphasizes the importance of not just surviving cancer, but surviving well and reducing the risk of recurrence. She is a Contributing Editor for The Truth About Cancer and is on the Medical Advisory Board for BeatCancer.Org and the Advisory Board to the Radical Remission Project. Elyn has written for numerous journals and publications. She was the former Executive Director of the Emerald Heart Cancer Foundation and the creator and host of the Survive and Live Well Radio Show. To contact Elyn, visit www.elynjacobs.com. Elyn offers consults via Skype, phone, or in-person. Elyn does not provide online advice.

DISCLAIMER:
Elyn Jacobs does not provide medical advice. The information provided is for general information only. No online site should be used as a substitute for personal medical attention.

This information is for educational purposes only and is not a recommendation to forgo medical advice and treatment.  This post is not intended to treat, cure, prevent, or diagnose any disease or condition. This post does not represent medical advice nor should it be considered to be medical advice or a replacement for medical advice.  I encourage you to discuss this information with your integrative oncologist, naturopathic doctor, or conventional oncologist. The information provided is from my research and not to be taken as scientific evidence.

Affiliate Links Disclosure:

Some product links on some posts are affiliate links. This website is monetized in part through the use of affiliate links. This means that if you were to click on a link that is an affiliate link and purchase an item after clicking on that link, I may receive a small percentage of the sales price. I only recommend products that I love and use often. Thank you for your support!

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[i] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699002/

Natural Alternatives to Hormone Therapy for Breast Cancer

In Alternative Cancer Therapies, Alternatives to Hormone Therapy for Breast Cancer, Alternatives to Tamoxifen, Anticancer foods, foods for colon cancer, foods for breast cancer, Breast Cancer, foods that target cancer stem cells, Healing Cancer Naturally, Hormone Balance, Natural Alternatives to Aromatase Inhibitors, Tamoxifen on April 14, 2017 at 9:29 am

Many women choose to skip hormone therapy for breast cancer in favor of natural alternatives. This is because many don’t believe that tamoxifen, for example, is actually the wonder drug it is claimed to be. Others are terrified about the harm that this drug  (and others) can do, and do not feel the purported benefits justify the risks. Importantly, many women have come to realize that the statistics provided just don’t add up.

Tamoxifen vs. Flaxseed

Tamoxifen vs. Nature, the Choice is Yours

The reality of the small absolute percentages is something to keep in mind when your oncologist is spewing statistics.  It’s frightening enough to be told you have breast cancer without having statistics thrown at us that are taken out of context. A statistic that is often quoted to women advised to take tamoxifen is that it will cut their recurrence risk in half. In reality, that half may only represent a single digit decrease.  For some excellent articles on this please see the resource section below. It is also important to know that many women who take tamoxifen have recurrences anyway, and also that there are indeed significant risks to taking this drug.

 Progesterone and the Hormonal Dance

When estrogen is too high and progesterone is too low, we have a condition known as estrogen dominance.  When estrogen dominates, we have an increased risk of breast cancer. However, we need estrogen, so the goal should not be to block it (with aromatase inhibitors), but rather to reduce it (if necessary) while increasing progesterone. Importantly, very few doctors actually test hormone levels before ordering tamoxifen or aromatase inhibitors.

Unfortunately, most women are deficient in progesterone. Stress is the number one reason for reduced progesterone. When we are stressed, adrenaline and cortisol rise and progesterone levels fall. This is because under stress, the body will always utilize the available pregnenolone to produce cortisol instead of progesterone.  One of the other main reasons for progesterone deficiency is the blocking of ovulation, which is done with oral contraceptives. Oral birth control pills suppress a woman’s own production of progesterone, which could result in a lifetime of progesterone deficiency. This topic will be explained further in my next post.

Making Progesterone…

The body uses cholesterol to make progesterone. In short, cholesterol makes the hormone pregnenolone, which is then converted into progesterone. (Pregnenolone is also the precursor for other hormones such as estrogen, cortisol, and testosterone). However, the body only makes so much pregnenolone, and the other hormones compete for this.

Many natural substances will help reduce estrogen dominance by managing estrogen and boosting progesterone levels. While no foods contain progesterone, certain micro-nutrients in them can help boost levels. For a more complete list, see below, but consider foods rich in zinc, magnesium, vitamin C, B6, and sulfur.

Sulfur-rich cruciferous vegetables (broccoli, kale, cauliflower, etc.) are rich in glucosinolates, which activate phase 2 detoxifications in the liver. This helps to remove estrogen from the body and prevents it from circulating too long, keeping estrogen levels high. The sulfur helps boost progesterone levels.  For more information on the anti-cancer power of crucifers, please Click Here.

For information on reducing estrogen levels, please refer to your Estrogen and Detoxification Handouts.  If you are not currently a client of mine, you can request these tools via my Contact Page (there is a $25 charge for this).

Many women are under the impression that progesterone supports the growth of breast cancer.  However, while synthetic progesterone does, in its natural form it is highly protective. For an in-depth discussion on this, please Click Here.

Recap of Natural Alternatives:

There are many things involved with ‘natural alternatives’. But again, one of the most important things with regards to estrogen is to raise progesterone (after all, we need estrogen for bone and heart health and over a hundred other necessary functions).  Below are some suggestions. Many of these things have already been recommended to you.  For more detail, please refer to your Estrogen and Detoxification Handouts as well as your overall protocol.

Try to include some of these items daily as well as throughout the day: (For supplement brand recommendations, please go to my Shop Page.  You should be able to find most items locally, but if not, there are links to Amazon.

  • Cruciferous vegetables and DIM—be sure you have adequate iodine in your diet as DIM and crucifers inhibit the uptake of iodine by the thyroid gland. For more detail on the importance of iodine, please refer to your Estrogen Handout.
  • Consume apples, onions, garlic, green tea, and other quercetin rich foods
  • Eat berries and pomegranate
  • Resveratrol –this is best gotten from red grapes and other foods, but fine to supplement if you prefer (do not take supplemental resveratrol with Salvestrols)
  • Herbs (fresh, dried, or essential oils) such as sage, rosemary, ginger, curcumin, thyme, basil, and ashwaganda
  • EFA’s from omega 3 fatty acids (please use caution with fish oil supplements as they can be toxic)
  • Licorice root –licorice root can lower estrogen while at the same time raising progesterone
  • Vitamin D
  • Vitamin K2
  • Vitamin E (mixed tocopherols or eat vitamin E-rich foods, such as nuts)
  • Selenium
  • Chrysin, a flavonoid found in passionflower and bee propolis helps to block estrogen and increase testosterone
  • Magnesium –reduces stress reactions and breaks down estrogen metabolites, reducing estrogen dominance
  • Vitamin C
  • Vitamin B6 (combats stress and helps the liver break down estrogen, reducing estrogen dominance) and helps increase blood levels of progesterone
  • Zeolites (for a discussion on this, please see my Shop Page)
  • Zinc
  • L-Arginine
  • Chinese Herbal Medicine
  • Healthy cholesterol (needed to make pregnenolone) from coconut oil, olive oil, eggs, avocado, and olives
  • Fiber-rich foods such as flax seed, quinoa, oats, and millet (see below for more on flax–just be sure to grind this fresh daily)
  • If you prefer, you might try this paraben-free cream.

You will also want to make sure that your liver and gut are functionally efficiently as estrogen is metabolized in the liver and excreted out of the bowel. By enhancing liver function, more estrogen is broken down in the body, reducing the overall estrogen load. Nutrients derived from cruciferous vegetables help with the detoxification of estrogen trough the liver (see more below).

When the liver and colon have become sluggish due to low thyroid function, stress, and an overburden of toxins, the body cannot break down and remove excess estrogen adequately from the system. The excess unbalanced estrogen gets stored in the fat cells of breast tissues when it is not properly eliminated. Supporting the liver with detoxifying foods such as cruciferous vegetables (broccoli sprouts, cauliflower, and Brussels sprouts), onions, whey powder, and supplements such as N-acetylcysteine (NAC), Milk Thistle, and SAMe can be very helpful.

Lifestyle Choices for Balancing Hormones and Inhibiting Cancer

Hormones become out of balance when we subject our bodies to a lifestyle that includes refined and processed foods, inadequate exercise, poor quality sleep, and exposure to xenoestrogens.  It is important to remember that contrary to what you may have been told, breast cancer (and other hormonal cancers) are not just about estrogen. Below are some suggestions to support hormone homeostasis as well as inhibit the development or progression of cancer.

  • Consume phytoestrogens -phytoestrogens act more like estrogen blockers than like estrogen; they modulate the production, availability, and action of hormones and slow down cell division. In fact, phytoestrogens are not really estrogens; they are anti-estrogens that reduce estrogen activity in the body. Plant estrogens protect us from the stronger estrogens our bodies produce as well as the xenoestrogens (chemical estrogen)  found in environmental chemicals, such as BPA and chemicals in personal care products. Phytoestrogens actually contain compounds that have been shown to reduce the growth and spread of cancer cells. Soy and flax are excellent sources of phytoestrogens.
  • Soy blocks cancer-promoting estrogens from attaching to the estrogen receptors on breast cells. It has also been shown to stop tumor growth, prevent metastasis, and shut off new blood vessels in growing tumors. Fermented soy, such as tempeh and miso are preferred over unfermented versions such as tofu as the fermentation process increases free radical scavenging activity and removes the nutrient blocking effect that soy can have—the phytic acid in unfermented soy can block absorption of key minerals such as magnesium and zinc. Soy in a highly-processed form (like soy protein isolate, soy protein concentrate, soy cheese) should be avoided. Due to the fact that most soy is genetically altered, it is highly recommended to consume only organic. (I do take issue with tempeh as it is commonly ‘shrink-wrapped’ in plastic.)
  •  Flaxseed modulates the production, availability, and action of hormones—and does so much more. The lignans in flax lower the production of estrogen by blocking the aromatase enzyme (similar to aromatase inhibitors) and block the estrogen receptors (similar to Tamoxifen). When lignans are consumed, intestinal bacteria convert them into enterolactone and enterodiol, weak estrogens. They attach to estrogen receptors, stimulate them weakly and block estrogen binding. This prevents estradiol or estrone from attaching to the estrogen receptors and strongly stimulating them, and includes not just the estrogen we produce, but also environmental toxins, thus making breast tissue more resistant to these environmental toxins. One long-term study reported that relatively high circulating enterolactone levels are associated with lower risk of death after an early-stage breast cancer diagnosis. A 2003 study conducted by Lilian Thompson PhD showed that daily consumption of ground flax seed significantly reduced breast cancer tumor size. Please read my articles — Flaxseed: Better Than Tamoxifen and Demystifying Flaxseed and Estrogen.
  • Eat good food—a diet rich in whole, primarily plant-based foods will support the adrenals and pretty much every function of the body.
  • Exercise—it reduces stress and positively effects gene expression; helps to balance hormones.
  • Clean out the closets—replace health, home and beauty products with non-toxic alternatives. A quick visit to the Environmental Working Group website will enable you to evaluate the products you use.
  • REDUCE STRESS—stress challenges adrenal function and makes direct physiological changes to DNA, not to mention that it significantly raises estrogen levels and depletes progesterone. Engage in yoga, meditation, and other mind-body therapies such as Psychotherapy, EFT, EMDR, the Emotion Code, and others that release negative emotions and past traumas.
  • Drink clean liquids. Choose filtered water (remove chlorine, fluoride, and other toxins in tap water).
  • Avoid alcohol, but if you do drink wine, make it organic–you wouldn’t eat conventional grapes, so don’t drink conventional wine. And, while red wine is somewhat protective against breast cancer as its resveratrol and other anti-cancer compounds help to metabolize estrogen and activate the P53 gene, don’t go overboard.  Your liver has to process that alcohol and if you drink too much, it won’t be able to metabolize estrogen efficiently. For more on the pros and cons of alcohol, please Click Here.
  • Get more sleep—lack of sleep disturbs hormone balance. Try to get to sleep by 10 pm as melatonin production peaks between 10 pm and 2 am. Melatonin stimulates tumor-suppressor genes and counteracts the effects of aggressive estrogens, including xenoestrogens. Cell phone EMF exposure can suppress the production of melatonin—limit use before bed (unplug 1-2 hours before going to bed) and do not keep them near your bed, and preferably out of your room.
  • Go with your gut, take a probiotic. Probiotics support gut bacteria and improve digestion, helping to prevent constipation. This is important because when stool remains in the bowel for extended periods of time, excess estrogen is re-absorbed and re-circulated into the bloodstream. Plus, immune function depends on healthy gut micro flora—and gut flora effects cancer genes too!
  • Consume GLA (gamma-linoleic acid), which is found in evening primrose oil and in hemp seeds. Research shows that this type of omega-6 may support healthy progesterone levels.
  • Eat turmeric or take supplements as turmeric effects estrogen receptor positive cancer cells.
  • Eat zinc-rich foods such as pastured eggs and meats and sprouted seeds. Shellfish such as oysters are abundant in zinc but should be eaten only in moderation.
  • Eat onions, garlic, chives, and scallions which are rich in sulfur-containing amino acids and the powerful anti-oxidant quercetin that help the liver detoxify at a higher level and reduce the production of estrogen.
  • avocado kale salad

    Avocado Kale Salad with Tomatoes and Spro

    Eat more vegetables. Aim for 10-15 servings a day (at least one pound daily). This will help excrete estrogen so it doesn’t keep circulating in the body. Also, aim for 35-45 grams of fiber per day, achieving this goal slowly to avoid gas or bloating. This will also help to keep weight in check—overweight or obese people tend to have higher circulating estrogen. Combining various vegetables in one meal can be especially helpful. For information on food synergy, please Click Here.

  • Eat raw carrots– When carrots are well chewed or grated, they help to stimulate the intestines and reduce the re-absorption of estrogen and the absorption of bacterial carrottoxins. The fiber in raw carrots binds to excess estrogen, helping to safely remove it from the body.
  • Essential oils can also be quite helpful in the management of estrogen-receptor positive breast cancer. Essential oils prevent angiogenesis, stop metastatic growth, increase apoptosis, and do so much more. Once you get started with essential oils, you will find that most, if not all, contain powerful anti-cancer properties, including the balancing of hormones.
    • Clove oil –Research has revealed that the eugenol in clove not only inhibits cancer growth and promotes apoptosis (cancer cell death), but it also acts as an antagonist to estrogen.
    • Lemon and other citrus oils can help reduce circulating estrogen. [On a side note, the D-Limonene in lemon oil has many other impressive anti-cancer abilities: it inhibits cellular proliferation and tumor growth, promotes apoptosis, supports immune function, and stimulates the liver’s detoxifying systems– and so much more].
    • Thyme oil supports progesterone levels. Evening primrose oil and thyme together are very beneficial to help balance levels of progesterone. (Please do not ingest thyme oil–better to get this from fresh thyme, which is delicious and safer.)
    • Clary Sage oil helps balance estrogen levels whether you have too much or too little estrogen. You can use it with a carrier oil on your skin or hair. It also initiates apoptosis (programmed cell death). Clary sage also contains phytoestrogens which, like flaxseed, can block estrogen receptors. I suggest you rub a few drops into the soles of your feet before bed. This will help to balance your hormones as well as promote healthy sleep.
    • Myrrh and fennel are strong phytoestrogens. Myrrh clears excess estrogen and detoxifies the liver.
    • Sandalwood stops DNA from repairing itself (cancer DNA). Note: Cedarwood can be just as effective and is cheaper.
    • Mint is effective against numerous types of cancer, such as acute T-cell leukemia, brain tumors, prostate, breast, cervical, bladder, colorectal and pancreatic cancers.

ej pink two

Lastly, and I cannot stress this enough — breast cancer is NOT just about estrogen.  Cancer is a symptom of a complex problem. It is a multi-factorial situation that presents to reveal dis-ease within the mind, body, and soul.  Therefore, in order to heal, one must correct the issues that caused the symptom we know as cancer.

Please also read:

https://elynjacobs.com/2016/10/26/natural-alternatives-to-aromatase-inhibitors-2/

https://elynjacobs.com/2012/01/15/natural-alternatives-to-tamoxifen/

Resources: Understanding Statistics

http://cancercompassalternateroute.com/breast-health/tamoxifen-and-the-manipulation-of-statistics/

http://www.greenmedinfo.com/blog/tamoxifen-praised-life-saving-still-causing-cancer

https://thetruthaboutcancer.com/truth-about-tamoxifen-part-1/

Tamoxifen: What Difference Does It Really Make? 

Elyn

~~If you don’t know your options, you don’t have any~~

Elyn Jacobs is a breast cancer survivor and holistic cancer strategist who helps people make better, healthier, non-toxic choices. She emphasizes the critical nature of addressing the root cause of cancer and not just its presenting symptoms (such as the tumor). Elyn specializes in understanding the role of estrogen in breast cancer and debunks the myths associated. She is a Contributing Editor for The Truth About Cancer and was creator and host of the Survive and Live Well Radio Show on the Cancer Support Network. Elyn is on the Medical Advisory Board for BeatCancer.Org and is on the Advisory Board to the Radical Remission Project. Elyn was the Executive Director of the Emerald Heart Cancer Foundation. Contact Elyn via her website, www.elynjacobs.com. Elyn offers consults via Skype, phone or in person.

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Managing Estrogen Naturally

In Uncategorized on October 30, 2012 at 4:27 pm

Estrogen…it’s a matter of balance.

There are many factors that influence the body’s production and metabolism of estrogen. Environmental estrogens (such as BPA, pesticides, cleaning products and cosmetics) as well as the natural estrogen compounds we encounter on a daily basis need to be addressed. We can’t avoid all the triggers, but it’s important to consider lifestyle changes that reduce exposure and can help balance our estrogen.

Obesity increases estrogen (and limits the effectiveness of aromatase inhibitors).  If you are overweight, lose it as fat cells increase estrogen production. Over-consumption of calories also leads to increased metabolic activity in the body.  This in turn leads to excessive free radical formation.  Free radicals damage cells and cause genetic mutations, which ultimately can lead to cancer.  Studies have also shown that calorie restriction inhibits tumor growth.

Exercise can help balance hormones through the pre-menopausal years and beyond, and can help maintain a healthy weight.  Those who exercise regularly are usually happier, less depressed, and have a more optimistic outlook on life.  This results in increased life expectancy; statistically, life expectancy increases by two hours for every hour spent exercising. Exercise with a friend; double the pleasure!

Alcohol consumption increases estrogen levels, especially if taken along with estrogen replacement therapy.  Also, alcohol and drugs can damage the liver which will lead to an increase in estrogen due to the lack of estrogen breakdown; alcohol cconverts into DNA-destroying acetaldehyde, a carcinogen.  Dr Keith Block likes to say he is a vegan with a heart…I guess I am an educator with compassion; for suggestions to mitigate the risks of alcohol, please read: https://elynjacobs.wordpress.com/2012/10/27/wine-cheese-and-chocolate-anti-cancer-party/

Caffeine intake from all sources is linked with higher estrogen levels regardless of age, body mass index, smoking, and caloric and alcohol intake.  Green tea has some caffeine (decaf is not recommended as the process compromises the activity and can be carcinogenic), but its redeeming qualities make it well worth consuming a few cups a day. If you drink coffee…know that it too has some redeeming qualities (not nearly that of green tea), so enjoy a cup, but don’t overdo it. Those who consumed a t least 500mg of caffeine daily, the equivalent of four or five cups of coffee had nearly 70% more estrogen than women who consumed less than 100mg of caffeine daily.

What about that magic pill….

And no, I am not talking about Tamoxifen.

About twenty years ago, scientists discovered that when broccoli was added to the diets of animals, it could prevent certain forms of cancer.  Since then, numerous studies have shown the efficacy of crucifers as a cancer-crusher. Cruciferous vegetables (and their ability to produce sulforaphane) slow the development of cancer by detoxifying carcinogenic substances, preventing pre-cancerous cells from developing into malignant tumors, promoting the suicide of cancer cells (apoptosis), and starving tumors of their blood supply (angiogenesis.) And, you guessed it, they also help balance our estrogens, the good and the bad.

Yes, there’s “bad” and “good” estrogen! And, they’ve got to be balanced, just like good and bad cholesterol because estrogen can be metabolized in two different pathways in the liver, which results in two different kinds of estrogen, “good” and “bad”.  “Good” estrogen metabolites are released into the bloodstream where they provide benefits, such as prevention of heart disease, and the creation of strong, healthy bones. “Bad” estrogen, in large quantities, can result in many health problems including breast, ovarian, prostate, and uterine cancer.  It’s a big reason why some women are more prone to cancer than others. It’s the type of estrogen in your body that makes the difference.

13C—no, it’s not my apartment number.  13C is a natural compound the body produces when you eat cruciferous vegetables such as broccoli and Brussels sprouts.  It is the 13C that blocks the pathways of cancer and stops cancer cells from proliferating—and it helps metabolize and breakdown estrogen in the body balancing hormone levels.  Yes, we can get this nutrient in crucifers, but we would need to eat a lot–and I mean a lot, to influence the ratio of good to bad estrogen; you would have to eat about two pounds of raw or lightly cooked crucifers almost daily.  Here is when a good supplement becomes ideal.  13C is the natural precursor to DIM (diindolylmethane); if considering a supplement, DIM would be preferable over 13C as it is more readily available to the body, and 13C is more irritating to the stomach; I3C has also been shown to be a tumor promoter in chronic use studies of thyroid, colon, and liver health, something not found with DIM.  However, since crucifers contain a whole family of protective phytochemicals in addition to DIM, the best approach is to eat plenty of crucifers and take a supplement.  And, as always, brands matter when it comes to supplements; please do your research or consult with a trusted pharmacist, doctor or advocate.

The supplemental use of phytonutrients from cruciferous vegetables has great potential for the prevention of cancer; specifically the discovery that cruciferous indole — diindolylmethane and indole-3-carbinol (I3C) – may just be the magic pill to promote the healthy metabolism of estrogen.

Is DIM the only story in town; is it really the magic pill?  No, while it is big, there are a few other notable mentions.  Key players are Vitamins E and C,  B vitamins, such as B6, B12 and folate (B9), NAC, selenium, curcumin, green tea, D-Limonene, magnesium, flaxseed, pomegranate, probiotics, sufficient protein intake, complex carbs instead of simple sugars, and consuming only healthy fats.

Food matters; the concept of how what we eat strongly effects how our genes behave is firmly established; but, although it was discovered more than ten years ago, the connection between dietary ingredients and metabolism of estrogen is only recently recognized as important.  The consumption of specific phytochemicals can improve the adaptive responses that regulate hormonal metabolism.

I talk about DIM and foods supportive of estrogen balance in following posts:

https://elynjacobs.wordpress.com/2012/01/15/natural-alternatives-to-tamoxifen/

https://elynjacobs.wordpress.com/2012/09/20/natural-alternatives-to-aromatase-inhibitors/

http://elynjacobs.blogspot.com/2012/09/food-natural-alternative-for-tamoxifen.html

http://elynjacobs.blogspot.com/2010/12/eating-to-cheat-cancer.html

Give some DIM to your man too…. Estrogen metabolism slows as men age, especially when coupled with obesity and regular alcohol use. Too much estrogen plays havoc with a man’s sex life.  Avoiding overactive testosterone metabolism and reducing the conversion of testosterone into estrogen are goals of nutritional support in middle-aged and older men.

Elyn

www.elynjacobs.wordpress.com

Twitter@survivelivewell

Facebook @Elyn Jacobs Consulting

LinkedIn @Elyn Jacobs

Elyn Jacobs is a breast cancer survivor, professional cancer coach, radio talk show host, speaker, and the Executive Director for the Emerald Heart Cancer Foundation. Elyn is on the peer review board of the Natural Standard Database. Elyn empowers women to choose the path for treatment that best fits their own individual needs.  She is passionate about helping others move forward into a life of health and wellbeing. Elyn lives in New York with her husband and two young boys.

 

 

 

 

Light at Night and Breast Cancer

In Uncategorized on March 15, 2012 at 2:20 pm

About 18 months ago, I attended a lecture at Gildas Club on the prevention of cancer.  Dr Marisa Weiss, Founder and President of BreastCancer.org, gave a great talk, and one thing that struck me was light at night. This was the first I had heard of the perils of light at night and I must say, she was so convincing I went right home and ordered eye covers….and have been using them ever since.  Dr Keith Block talked a bit about this at the Annie Appleseed Project CAM conference a few weeks ago, and while I will blog more on his lecture, I was reminded of this important subject.

sleep maskI am sensitive to light. I remember when I first moved from the suburbs to the city.  My bedroom was so bright, I could not sleep.  My mother made black-out drapes for me and all was well.  15 years later, when I met my husband and moved in with him, I had long forgotten about the issue and found myself sleeping (or sleepless) in a very bright room…natural light from the moon and stars, as well as city lights lighting the night.  Then came the nite-lites and long nights when our children were babies.  While I certainly felt the misery of lack of sleep, I did not realize the effects on my long-term health; that I might be at higher risk of getting cancer.  Habitual light at night during sleep increases breast cancer incidence by 22% (Keith Block, Annie Appleseed CAM Conference, Feb, 2012).

Dr Richard Stevens, Cancer Epidemiologist and professor at the University of Connecticut Health Center, has done a number of studies on light at night (LAN).  In 1987 he was featured in American Journal of Epidemiology proposing a radical new theory that “the use of electric lighting, resulting in lighted nights, may produce circadian disruption,” which causes changes in the hormones, one hormone in particular is melatonin, known as the hormone of darkness because it is secreted in the dark.  In 2009 he studied women who work the night shift and found that these women appear to be at higher risk for breast cancer.   Melatonin reduces the production of estrogen in the body, so with light interrupting the release of melatonin, estrogen levels rise, and too much estrogen heightens the growth of breast cancer. The WHO actually lists the shift work (graveyard shift) as a “probable carcinogen”.light at night

Dr. David Spiegel, a psychiatrist and professor of Stanford University supports the LAN theory as well.  “There is evidence that women who do night time shift work are in increased risk of getting breast cancer.  Melatonin is an antioxidant. There is some thought that disruptive melatonin levels which happens when you don’t sleep well, may reduce the ability of the body to scavenge free radicals that can cause cancer,” said Dr. Spiegel.   Spiegel goes further, saying cortisol levels may also be connected to sleep and cancer.  Cortisol is a circadian hormone produced by the adrenal gland that is released in response to stress. Cortisol also helps to regulate the immune system and releases cells that fight off cancer cells. Cortisol increases in the late hours of sleep, and Spiegel believes Cortisol, like melatonin, lowers the production of estrogen.

Many others have studied and reported on this as well:

http://www.skykeepers.org/lan-health/lan-health.html; http://www.breastcancerfund.org/clear-science/chemicals-glossary/light-at-night-and-melatonin.html

So how do we lower our risk for getting cancer?  Eat well, exercise daily, turn off the computer and the cell phone and get some sleep.  Try to be in bed by 10pm, black shade your room or wear eye covers.  Melatonin release is at its strongest from about 10pm to 2am, although I have heard 10-1 as well as critical from 2-4am.  So, the best advice is likely to simply work on getting a good night’s sleep.

What can you do to improve sleep? The first step to easing insomnia and poor sleep quality is by recognizing it is a problem and then finding ways to resolve the problem.

  1.  Establish a regular bedtime and wake time.
  2. Reserve the bedroom for intimacy and sleep only; do not watch television, eat, talk on the phone, or work in your bedroom. Try reading something more technical than fictional to avoid staying up late ‘to see what happens next in the book’.
  3. Make your bedroom dark, quiet, and comfortable.
  4. Avoid caffeine and alcohol within six hours of bedtime; drink calming teas instead, such as roobios, chamomile and lemon balm, but not too close to bedtime as this may disrupt your sleep if you have to get up to use the bathroom.  It’s a good idea to limit alcohol usage in general as it is linked to cancer and is dehydrating, which may leave you thirsty during the night.
  5. Drink liquids daily to avoid dehydration, but again, not close to bedtime.
  6. Exercise daily, but preferably not right before bedtime.
  7. Avoid foods with additives and preservatives; some of these ingredients can act as stimulants and aren’t good for you anyway.
  8. To avoid nighttime awakening due to drops in blood sugar, eat 1-2 oz of a complex carbohydrate snack, such as oatmeal, whole-grain cereals, or whole-grain bread, one hour before bedtime, perhaps adding a bit of protein such as almond butter or nuts to further slow the glucose factor.

While proper sleep is the preferred source of melatonin, there is strong research suggesting that that low levels of melatonin stimulate the growth of certain types of breast cancer cells. So if levels are low, and cannot be corrected with sleep, supplementation may be the way to go. Melatonin may enhance the effectiveness of some chemotherapy drugs and may also help prevent the lowering of platelets in the blood during chemotherapy, a common complication that can lead to bleeding.  It is always advisable to discuss the use of supplements with a naturopath, integrative or functional medical doctor before use, as often supplements may interact positively or negatively with other drugs.

There are many natural substances that can be taken to enhance sleep, and in my coaching, I highly recommend the use of them.  Ashwaganda, for example, reduces stress and anxiety (do not take prior to surgery).  Rhodiola helps with anxiety, depression, sleep disturbances and insomnia. (Caution, Rhodiola is not advised for those with Bipolar or mania).  L-Theanine reduces stress and improves sleep quality.  Schisandra has a calming effect and may also help manage stress-induced insomnia. (Schisandra should not be taken with Tamoxifen). Magnolia can help calm nerves and alleviate anxiety; it is thought of as the herbal substitute for valium, and is actually better as it does not cause that embarrassing and debilitating muscle relaxation (sounds good until you can’t function).  By the way, several studies have tested magnolia extract on human cancer cells and found that it may inhibit the growth of cancer tumors.

Sleep Aids:

Herbs Etc Deep Sleep 120 Softgels

Natural Factors Stress-Relax Tranquil Sleep Enteric Softgels, 90-Count

THORNE RESEARCH – Rhodiola Rosea

Gaia Herbs Schisandra Berry

Gaia Herbs Ashwagandha Root Liquid Phyto-Capsules

Magnolia Extract

Melatonin 3mg 180c by Pure Encapsulations

Tranquility Therapeutic 100% Silk Sleep Mask; Eye Mask Hypoallergenic, Facial Eye Beauty; Black

Swissco Satin Sleep Mask Leopard Print

These recommendations do not represent medical advice, and I encourage you to discuss this information with your integrative oncologist or naturopathic doctor.  Supplements are intended to supplement a healthy diet–they are not a replacement, and may contain additional ingredients. It is always advisable to discuss the use of supplements with a naturopath, integrative or functional medical doctor before use, as often supplements may interact positively or negatively with other drugs.

For more information on LAN:

http://www.breastcancer.org/risk/factors/light_exp.jsp

http://www.breastcancerfund.org/clear-science/chemicals-glossary/light-at-night-and-melatonin.html

http://www.medicaldaily.com/news/20111011/7369/cancer-sleep-cancer-epidemiologist-steve-jobs-antioxidant-melatonin-cortisol-hydrocortisone.htm

http://www.skykeepers.org/lan-health/lan-health.html

http://www.sleepfoundation.org/article/sleep-topics/melatonin-and-sleep

http://www.betternutrition.com/sleep/features/featurearticles/714

Elyn

Elyn Jacobs is President of Elyn Jacobs Consulting, Executive Director for the Emerald Heart Cancer Foundation, a certified cancer coach and a breast cancer survivor.  Elyn helps women diagnosed with cancer to navigate the process of treatment and care, and educates to prevent recurrence and new cancers.  She is passionate about helping others get past their cancer and into a cancer-free life. To learn more about Elyn’s coaching services, please visit:  http://elynjacobs.com