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Breast Cancer Prevention

More is known about the causes and prevention of breast cancer than you may realize.  Keep in mind that ALL life begins and CONTINUES on the cellular level.  So therefore, we must be aware of what is happening on cellular and molecular level at all times.  The following information is not technical; it is practical.  These conclusions have been made based on scientific data that has first occurred on the cellular level, has been observed in animal studies and human studies.  All of the outcomes have been taken from statistics from the general population.  The goal in disease prevention is to protect our bodies from the cumulative effects of insults, which over time, may cause diseases of various kinds.  We live in a world that is virtually polluted.  We must be aware and take care as much as possible in order to protect ourselves and ultimately preserve our health.  I hope this guide is useful.  Please share the information with others and LIVE STRONG!

                                     The Dirty Dozen

Twelve Common but Unpublicized Risks for Breast Cancer

Knowing the “Twelve Common but Unpublicized Risks for Breast Cancer,” or the “Dirty Dozen” is your first step toward preventing breast cancer from developing.

Modern Medical Risks:

1.  Oral Contraceptives, with early and prolonged use
2.  Estrogen replacement therapy, with high doses and prolonged use
3.  Pre-menopausal mammography, with early and repeated expose
4.  Non-hormonal prescription drugs such as some anti-hypertensives
5.  Silicone gel breast implants, especially those wrapped in polyurethane foam

Dietary and Environmental Risks:

6.  Diet high in animal fat contaminated with undisclosed carcinogens and estrogenic chemicals
7.  Exposure in the home to household chemicals or pollution from neighboring chemical plants and hazardous waste sites.
8.  Workplace exposure to a wide range of carcinogens

Lifestyle Risks:

9.  Alcohol, with early or excessive use
10.  Tobacco, with early or excessive use
11.  Inactivity and sedentary life-style
12.  Dark hair dyes, with early or prolonged use

The current statistics about breast cancer are shocking:

*          Breast cancer is the leading cause of death in women between the ages of 35 and 54
*          Breast Cancer is the 2nd largest cause of cancer deaths (after lung cancer) among women of all ages.
*          In 1971, when President Richard Nixon declared the “War on Cancer,” a woman’s lifetime risk for contracting
            breast cancer was one in fourteen.  Today, it is one in seven.
*          American women are now twice as likely to develop breast cancer than they were a century ago, and most of
            this increase in incidence has occurred over the past thirty years.
*          From 1950 to 1992 the incidence of breast cancer among white women increased by 26 percent, and among
            black women increased by 30 percent.  As of 1995, rates have shown no decrease.
*          In 1996 alone, 186,000 women learned they had breast cancer and about 46,000 died.
*          Since 1960, more than 960,000 American women – double the number of Americans (male and female) who
           died in World Wars I and II and in the Korean, Vietnam, and Persian Gulf wars combined – have died from
           breast cancer.

Prevention

Because the human body is incredibly complex, there are a myriad of places where the system can break down.  One of the prominent trouble spots is the chromosome 17, a virtual cancer slum.  It contains not only the well-studied p53 gene, which plays a role in causing many cancers and is particularly prominent in breast cancer, but a number of other susceptible genes as well.

Researchers believe the p53 gene holds the key to events in the cycle of the cell.  It is because this gene’s protein helps govern ordinary cell division that it can cause cancer when something happens to make it misbehave.  It is now thought that p53 suppresses tumors by manufacturing a protein that goes to work in the cell’s nucleus, attaching itself to the DNA molecule and preventing inappropriate replication.  When mutated, however, it may produce a deformed protein, which, if it combines with a healthy protein manufactured by a normal p53 gene, starts a downward slide that has disastrous results. If it can’t find a rightful fit and job, instead of preventing cell division, causes rapid replication in the cell.  We all do, at any given time, have random cancer cells floating around in our body.  When the cells are healthy and in good working order, our T-cells, or natural killer cells, destroy the defective cells with abnormal genetic material and keep everything in good working order.  A very small cancerous tumor (less than 1 cm) is composed of some 3 trillion cancer cells and may have taken decades to form.  There are, of course, rapidly forming types of cancers.  But, usually, it takes years for a typical tumor to grow to a detectable size.  And the p53 gene alone cannot bring on cancer by itself; it needs the help of four or five other genes.  All this is to say is that there is a balance that must be maintained and cell health is of the utmost importance.  We must be aware of the constant bombardment that we experience daily and actively strive to eliminate as many adverse effects as possible. So let’s look at the most common stressors that we are exposed to on a daily basis and explore how we can reduce or eliminate them altogether.  We will also look at positive activities that we can engage in as a means of prevention.

SELF BREAST EXAM – 90% of all tumors that are detected are detected by the woman herself.  10% of all tumors detected are cancerous and 90% of those that are cancerous were also found by the woman.  So, Self Breast Exam is of the utmost importance! (American Cancer Society)

QUIT SMOKING – plenty of data is readily available about the risks linked with lung cancer and smoking.  The American Journal of Epidemiology sites increase in lifetime risk by 30%, while other studies showed a remarkable 80% increase.

EXERCISE – a 35 year old woman can DECREASE the risk of breast cancer by 1/3 (33%). 25-54 year old women who engage in vigorous exercise (enough to break a sweat) 4hrs. per week reduce their risk by 37% and if they are pre-menopausal it risk decreases by 50%

BREATHE – deep abdominal breathing of FRESH air also decreases risk as cancer cells are anaerobic (do not use oxygen), healthy cells are aerobic (require oxygen).  We can strengthen healthy cells and weaken cancer cells by a good supply of oxygen.  Breathe deeply often!

FOOD – what do you eat?  Refined sugar and sugar substitutes are unusable by normal healthy cells as fuel. They do set in motion the cycle of Insulin-dependency (another whole subject).  Cancer cells, however, thrive on refined sugar and flour.  There is absolutely no nutritional value in sugar and has been liken to a poison by many a nutritionist.  The body was never designed to deal with the explosive effects of sugar.  When you eat it, you stun and stress your organs and greatly increase your risk of developing every degenerative disease.  On average, every American eats 133 lbs. per year.  This is one of the major causes for the epidemic levels of heart disease, adult onset diabetes, immune dysfunction, premature aging, and even cancer.

Sugar has been shown to:

*   Increase the risk for BREAST CANCER
*   Double the risk for biliary tract CANCER
*   Deplete B vitamins and chromium
*   Interfere with the absorption of calcium and magnesium
*   Cause heart disease
*   Increase cholesterol and insulin levels
*   Raise blood pressure
*   Raise triglycerides
*   Weaken the immune system
*   Cause a deficiency of copper
*   Cause varicose veins
*   Damage the kidneys.
*   Cause or worsen arthritis
*   Cause migraine headaches
*   Increase the acidity of the stomach
*   Cause gallstones
*   Contribute to obesity
*  Sugar always stresses the body.  One tablespoon is enough to wipe out the immune system for the whole day!
*  Refined flour has no nutritional value and is rapidly converted to sugar in the body. 
*  The body chemistry is designed to be approximately ph7.0 alkaline.  Sugar causes that body chemistry to become acidic – which is cancer’s playground. 

Hydrogenated fats and oils, and trans-fatty acids are broken down into dangerous and poisonous by-products in the body.  Guess what ingredients are key for all our “handy” processed foods – cereals, crackers, cookies, “instant” foods and pre-prepared foods and packaged foods?  Oh!  They are also seasoned with a myriad of chemicals that also wreak havoc on every system of the body.  (Volumes have been written on the evils of the American diet, easy references are included.)  

So…..What do we do?

*    Avoid sugar in any form: white table sugar, concentrated fruit juice, barley malt, maple syrup, honey, etc.  If you use it at all, use it only for special occasions.
*    Read all labels and be aware of sugar’s many “aliases”.  Fructose, sucrose, corn syrup, HFCS.
*    Chromium picolinate and zinc picolinate help curb sugar craving
*    Eat at least two meals per day that have significant amounts of protein.  This helps keep blood sugar balanced, you will not have the cravings.

LIMIT or ELIMINATE ALCOHOL – moderate alcohol consumption (1-2 glasses of wine, especially red wine, per day) has some cardiac benefit.  But, the Nurses Health study showed it can increase the risk of breast cancer by 37%.  A 1988 study in Cancer Research showed that women who did most of their drinking before age 30 had nearly twice the risk of those who started drinking later in life.

LIMIT or ELIMINATE EXPOSURE to TOXINS – many chemicals and by products that we are exposed to today have carcinogenic effects.  Become familiar and aware and eliminate:

- Pesticides|
- Car exhaust
- Gasoline fumes
- Chemicals in processed foods and animal products
- Hair dyes
- Household cleansers
- Chemical solvents
- Paints
  (This is the short list)

FILTER YOUR DRINKING WATER – chlorine is a powerful chemical and carcinogen.  OSHA standards are so stringent for people working around chlorine that they are required to take precautions comparable to that for radiation exposure.  Yet, we drink loads of it.  It has no positive effects in the body, only harmful.  Reverse osmosis is the best system of filtration, distillation is second and carbon filters are adequate.  Any of these systems will also filter out most other chemical toxicity that may be present in ground water or city water.  It is well worth the investment.

LIMIT YOUR EXPOSURE to X-RAY or RADIATION- mammograms are controversial at best.  Be salesrmed and make intelligent choices.  There is a 340 fold increase of exposure to radiation for a mammogram as there is for a chest x-ray.  And they do miss tumors.  There are alternatives:  Transillumination with Infrared Light Scanning, Thermography, Ultrasonography, MRI, to name a few.  Keep in mind that these are not the “standard”, may be met with resistance and may not be fully covered by your insurance plan.  (Also, be aware of nuclear sites and waste dumps in your area.)

LIMIT the use of HRT and the PILL – both forms of hormones are synthetic and that means the potency is about 200x that of natural estradiol.  Therefore, you may be getting more than your body needs.  “Natural” means biologically identical to the same chemical structure that your own body makes.  Natural hormone replacement is a much better fit for your body without the risks of further imbalance and other diseases.  JAMA discussed a risk of breast cancer that was predicted to rise by nearly 80% after 10 years use of synthetic estrogen-progesterone HRT and 160% after 20 years.  Dr. Keating has laboratory tests available to assess your hormone profile and bio-identical hormone replacement available.  There are many more hormones in your body that make up a delicate balance and affect many systems other than just reproductive.  If you have questions or concerns, the best approach is to make an appointment with him to discuss them and to get the necessary lab evaluations.

NUTRIENTS – There is a saying that goes, “You are what you ate”.  How true that is.  According to “Nutrition Made Simple”, no study of the American diet has ever shown that we get all the vitamins and minerals we need for optimal health through food.  Every study reveals deficiencies or suboptimal intakes of many micronutrients.  This is in large part the reason why we have so much heart disease, CANCER, osteoporosis, and other life-shortening degenerative diseases.  Diet and nutrient-deficiency related degenerative diseases kill more Americans than anything else.  Countless studies show Americans do not consume even RDA levels of B6, folic acid, magnesium, and zinc.  Fruits and vegetables lose many vitamins on their long voyage from the farm to your table, and lack minerals due to over farmed soils. 

The RDA’s were NOT established to help you achieve optimal health.  They are merely:

*   Amounts of nutrients needed to prevent deficiency plus a safety factor of two to three
*   Amounts needed by populations, not individuals
*   Amounts of nutrients for those who digest and metabolize food normally
*   Amounts for healthy persons, not for those who are sick.

The RDA’s were designed to do little more than prevent deficiency.   Traditionally, the medical community has been very skeptical of the use of vitamin supplements.  However, this is starting to change, especially regarding antioxidant nutrients.  That is due to the overwhelming evidence that antioxidants may help prevent, slow, and even reverse serious diseases and conditions such as atherosclerosis, CANCER and cataracts.  Two large scale, ongoing Harvard based studies – the Health Professionals Follow-up Study and the Nurse’s Health Study – stand out as the turning point for many health professionals.  Dr. Anthony J. Verlangieri, director of the Atherosclerosis Research Laboratories and professor of Pharmacology and Toxicology at the University of Mississippi School of Pharmacy, states, “Yes, absolutely, everyone should take supplementary vitamins.  It is a myth that we all get the vitamins we need in our daily diets.”  In addition, he points out that there are absolutely no toxicities associated with these levels of antioxidant supplementation (200ieu vitamin E; 4,000mg vit. C; 2,500 ieu vit. A).

Supplementation is a huge subject and it is helpful to have guidance or at least someone who has “your whole picture” at his fingertips.  We at Serenity Medical Health and Beauty Spa and Dawsonville Family Medicine have researched the companies that have the highest manufacturing guidelines, the highest quality ingredients, AND are actively engaged in ongoing clinical research.  We also like to have access to the researchers themselves.  These are the criteria on which we choose a nutritional supplement company.  We then feel comfortable that we are bringing the highest quality available to you, the consumer.  Cost is also an issue, and therefore we look for companies that can deliver all the quality for a reasonable price.

Nutrition for most of us is still a confusing and complicated subject.  Most of us have never eaten properly, or have never been taught the importance of proper nutrition.  And our world and lifestyles are not conducive to healthy choices.  There is HOPE!  Guidance is available, and again, there are laboratory tests available that can assess your nutritional profile – your deficiencies in vitamins can be determined, as well as the areas where your nutritional requirements are being satisfied.  Dr. Keating will be happy to discuss these tests with you.  The results are invaluable in putting together not only a supplementation program, but also, an eating plan that will best meet your needs to enable you to perform at your optimal level.  Besides preserving health, I think we are all interested in optimal performance and longevity.

Significant Lab Tests:

*   Organix Test – provides the nutritional profile for general health and nutritional status
*   Hormone Modulating Tests – to determine Hormone replacement needs (with natural or biologically identical hormones) and which metabolite of estrogen your body is producing.  The inert metabolite has little or not effect on breast tissue.  The active metabolite causes excessive breast stimulation.

These are two valuable lab tests that available, but not commonly employed.  Dr. Keating is willing to discuss any of these with you.

We haven’t even discussed Breast Implants or Prescription or Non-Prescription Drugs that are listed on page 1 under Medical Risks.  This guide is meant to be just that – a GUIDE to get you thinking, and to give you direction.  There IS much, however, that you can do to reduce your risk of developing Breast Cancer.  It is a devastating diagnosis with potentially devastating outcome.  And contrary to popular message, it is a disease that a woman carries for the rest of her life.  It can reoccur at ANY time without warning.  The 5 year “Cure” rate is just an indicator and very few statistics are kept beyond the 5 year data collection.  Please keep this in mind as you are making your lifestyle assessments and “counting the cost” of change.  Choose to LIVE STRONG!

To make an appointment with Dr. Keating call Dawsonville Family Medicine at 706-265-4100.  Please visit our web site at www.serenity-spa.biz for complete information of all services available through Serenity Medical Health and Beauty Spa, or call Serenity at 706-265-6467 to make an appointment.

The preceding article is written by Sharon Keating, BSN.  Today, there is A LOT of excellent material available on nutrition and supplementation.  Following are some of Sharon’s personal favorite sources, and the main source for the preceding information.

The Breast Cancer Prevention Program, by Samuel S. Epstein, M.D. and David Steinman|
Robert Crayhon’s Nutrition Made Simple,
by Robert Crayhon
The Real Vitamin and Mineral Book
by Shari Lieberman, PhD., CNS, FACN and Nancy Bruning
Genetic Nutrition,
by Artemis P. Simopoulos, M.D., Victor Herbert, M.D., J.D., and Beverly Jacobson

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