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Get Moving - How and Why
Improving Sleep
Survivorship- What to do after treatments?
Exceptional Patients - Lessons For You
Recommended Books
Resources and links
04/04/2017
Grounding beneficial effect
02/02/2017
Probiotics improves immunotherapy
01/02/2017
Soy might reduce breast cancer risk for recurrence
31/01/2017
Acupuncture and arthralgia due to aromatase inhibi
30/01/2017
Acupuncture helpful in cancer related fatigue
27/01/2017
Additive homeopathic treatment in cancer
05/07/2016
Stress reduction- Does it affect survival?
01/07/2016
Exceptional patients- updated link
29/06/2016
Acupuncture in cancer care
31/05/2016
Stress reduction can affect genes
31/05/2016
Acupuncture in cancer related pain
30/04/2016
Fish oil and breast cancer
31/03/2016
Fatigue affected by Biofield Healing
29/02/2016
Fasting and chemotherapy
12/11/2015
Meat consumption and breast cancer risk
15/09/2015
The evolving field of integrative oncology
02/06/2015
Do cancer survivors use CAM?
30/05/2015
Ginger might have a role in Colon Cancer
28/05/2015
Acupuncture is helpful with hot flushe in patients
06/05/2015
Chemobrain and complementary therapies
01/04/2015
Homeopathic remedies affect breast cancer cells
01/04/2015
The Value of Presence
04/03/2015
Fish oil may prevent weight loss during cancer tx
04/03/2015
Integrative Medicine in cancer care
02/06/2014
Lack of sleep and breast cancer
27/05/2014
Soy might reduce lung cancer risk
18/04/2014
Hot flushes relieved with magnesium
01/01/2014
Integrating Dietary Supplements into Cancer Care
24/12/2013
Social isolation can affect mortality
21/06/2013
Nutrition and reducing risk of death
08/05/2013
Social environment can affect survival
07/05/2013
Nutrition and reduced risk of breast cancer
03/01/2013
Stress reduction affect genes
02/01/2013
Exercise can reduce prostate cancer death
30/11/2012
Does diet affect colorectal cancer?
30/11/2012
Protective effects of control beliefs
06/11/2012
Ginseng eases cancer related fatigue
20/07/2012
Selenium and prostate cancer
15/06/2012
Additional studies show effect of homeopathy on ca
05/06/2012
Guidelines for nutrition - physical activity 2012
15/04/2012
Mindfulness and stress in cancer
08/03/2012
The Benefit of Exercise
20/01/2012
Massage in cancer care
15/01/2012
Mindfulness and stress reduction in breast cancer
19/11/2011
Stress and cancer progression
28/09/2011
Qigong, cognitive function and quality of life
29/08/2011
Phone consultation is helpful in managing symptoms
24/04/2011
Rye and breast cancer
21/04/2011
Mindfulness in cancer care
13/04/2011
Omega-3 Formulation Has Antineoplastic Activity
31/03/2011
Long term effects of acupuncture on hot flushes
07/01/2011
Guidelines for Integrative Oncology
28/07/2010
Is sugar and soft drinks good for you?
25/07/2010
Broccoli and bladder cancer
17/07/2010
Nutrition in the prevention of colorectal cancer
15/07/2010
Managing Radiation Therapy Side effects
Preparing for Surgery
Surgery and metastasis
The surgical removal of the primary tumor has been the cornerstone of treatment for the great majority of cancers. It presents the opportunity to eliminate cancer or stop its development.  An issue that raises concern in recent years among the medical community relates to the relationship between surgery and metastatic spread. This controversial issue is a source for anxiety and concern, and has lead to many discussions that have inspired research among leading scientists. The assumption is that during surgery there is some leakage of cancer cells into the blood stream that leads to the spread the cancer. The metastatic recurrence at times is far more serious than the original tumor and can be a cause of cancer-related deaths. The question that comes into mind is if by preventing those cells from leaking we can prevent further dissemination. Research is in its infancy addressing this issue. But early research has shown some possible actions that a patient can make to reduce this risk.
Stress Reduction and Surgery
During stress certain hormones have been shown to be elevated. These hormones have a negative effect on the immune system. A group of Israeli researchers have shown that be giving beta-blockers that inhibit the production of these hormones, they can significantly reduce the development of metastasis.
Stress and the surgery itself can increase hormones (catecholamines and prostaglandins) that suppress the immune system and increase the spread of cancer. The essential role the immune system plays in combating cancer cannot be overstated. Although there are many aspects of the immune system that come into account when fighting cancer, the role of the natural killer cell dominates. Natural killer (NK) cells are a type of white blood cell in charge of seeking out and destroying cancer cells. When NK cells are suppressed, metastases can develop. Animal studies have shown that by administrating beta-blockers that inhibit or decrease the release of these hormones preoperatively an improvement in 
the immune system and reduction of tumor metastasis was seen.
The same effect that is obtained by beta blockers can be obtained by stress reduction 
techniques.  Utilizing stress reduction techniques before and during surgical procedures can reduce complications of surgery, such as bleeding, reduce the length of the surgical procedure time and enhance quick recovery. 
Link
The fear of surgery, the waiting, and the surgical procedure itself can put stress on the body and the mind. The stronger you are physically and mentally, the better you’ll handle it. There are a few ways to reduce these stresses.  One way is to become as well informed as possible regarding the illness, the prescribed therapies, and the surgical treatment. An understanding of the procedure, why it is needed, and how it is performed can relieve a great deal of worry.  Other ways of reducing stress include reading a book or listening to music during the preoperative phase which can alleviate anxiety by taking the patient’s mind off of what is about to happen. Also a familiar stress reduction routine, such as taking a bath or a walk, can help with anxiety before surgery.
For more info on stress reduction visit the Mind and Body section of the website.
Modified Citrus Pectin (MCP)
One mechanism by which surgery increases the risk of metastasis is by enhancing cancer cell adhesion. Cancer cells that have broken away from the primary tumor make use of adhesion to increase their ability to form metastases in far away organs. These cancer cells must be able to cluster together and form satellites that can expand and grow in order to form metastases. A natural supplement called modified citrus pectin (MCP) extracted from citrus fruits found in the lab to prevent cancer cell adhesion. Modified citrus pectin can also inhibit circulating tumor cells from latching onto the lining of blood vessels, thus preventing angiogenisis (the building of new blood vessels that support the tumor).  Both of these processes inhibit cancer metastasis.
Link
Omega 3
Responses to stress before surgery can harm the immune system and prolong recovery after the surgery. One way to minimize these effects is to reduce inflammation. 
Omega-3 found in fish oil has been shown to have anti-inflammatory effects. 
A recent animal study showed that fish oil taken before surgery reduced harm to the immune system caused by surgery, reduced metastatic spread of cancer, and increased long term survival. 


Selenium
Selenium is a micronutrient important to human health, primarily through anti-oxidant, anti-inflammatory, and anti-viral mechanisms. Selenium is also credited with having high anticancer and chemopreventive properties. Selenium can be found in both organic forms (found in foods such as Brazilian nuts, seafood, organ meat as well as other cereal grains and dairy products)  and inorganic forms (usually found in soil).
  
NIH fact sheet - Selenium  
It is important to note that in its inorganic form (selenite) can have an adverse effect and can exasperate cancer mastitis. In a study using a mouse model, it is suggested that organic Selenium supplementation may reduce or delay breast cancer metastasis while selenite may exacerbate it.

© 2017 Moshe Frenkel MD

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