Optimize Chemotherapy Part 1

Transcript

1. Holistic Support while on Cancer Treatment Presented by Katie Opalenik FNP Sutter Institute for Health and Healing
2. Cancer Treatment is a vulnerable place…
3. YOU have powerful treatment to compliment chemotherapy & radiation Part One Today’s discussion:  Healing food during treatment  Detoxing your Environment  Dealing with Side Effects of Chemo – sleep, nausea  Supplements safe to take  Resources for further support Part Two in 2 weeks:  Vitamin D levels  Side Effects discussion and tips  Resources and group classes available  Answering questions
4. What is Integrative Oncology? Evidenced based therapies Whole person healing Participate with your oncologist’s plan Reducing side effects
6. Supporting your body as best you can “Dirty dozen, Clean 15” The YUKA free app Bobby Approved app
7. Supporting our good bacteria 75% of our immune system Akkermansia foods: Pomegranates 30 grams fiber Fresh garlic & onion Cranberries, Pomegranate, Red grapes, Blueberries, Blackberries, Raspberries, Rhubarb, Cloves, Cocoa Powder, Very Dark Chocolate, Raw green bananas, onions, chicory root, garlic, raw asparagus, jicama, Jerusalem artichoke, leeks, dandelion root
8. Vitamins and Minerals are foundational Resources: https://anticancerlifestyle.org/ - free course Dr. William Li, MD’s youtube videos- anticancer foods Rebecca Katz recipe’s and tips: rebeccakatz.com
9. 95% Anti inflammatory diet… Limit carbohydrates – avoid nonorganic gluten & ½ your days food in vegetables/fruit, purple potatoes Colorful phytonutrients: berries, papaya, pomegranate, leafy greens 2 cups Cruciferous vegetables: broccoli, cauliflower, 1-2 raw garlic, brussels, etc. A little Fermented foods daily – caution sauerkraut/kimchi if White blood cells are low, chia seeds, pickles, olives, etc Healthy fats and oils – variety of nuts (soaked and dried if possible) Extra virgin olive, avocado, macadamia, MCT oil is great. Flax-seed meal – 2 Tbsp, organic non processed soy like tofu/tempe/nato/edemame ½-1 svg - Natto kinase (soy) reduce metastasis A variety of beans, nuts, seeds, mushrooms, peels Use many herbs and spices : cinnamon, turmeric, oregano, thyme, etc Organic Green tea, Essiac tea – 2 cups apoptosis (green tea not with Velcade chemo) Wild caught Fish, bone broths Grass fed animals/eggs/organ meats limited – (can build Insulin growth factor in some people) Cooked organ meats
10. Less than 10% food list Dairy Quality is key - eat is minimally – mixed research - increased IGF-1 Meat Quality is key – mixed opinions - increased IGF-1 - Expensive - Avoid grilled/blackened/ smoked meats & fish) - Unhealthy carbohydrates – ie: soaked old fashioned oats vs instant oats - GMO can be harmful for some bodies - juices Unhealthy Fats- use the YUKA app to discern - Avoid canola, corn, safflower, grape seed, vegetable oils Sugar – minimal is better and use the YUKA app and if you crave it your chemistry may be imbalanced. Ok Monk, stevia, Allulose, xylitol, erythritol - 100% avoid fake sugar like sucralose, aspartame, diet drinks Alcohol – less is better
11. Smoothies help you get protein! (a recipe will be in the notes or in the cookbook Cancer Fighting Kitchen by Rebecca Katz).  Vegetable soups  Eat very lightly the night prior to chemo  The day of chemo eat very lightly and lower protein and 50% fats-  Stay hydrated especially the day prior and day of and after chemo This Photo by Unknown Author is licensed under CC BY
12. Protein Powder & non-meat foods  Some good Brands:  Orgain, Svelte, Garden of Life, Trader Joes, Whole Foods, etc  NakedMass.com, Katefarms, Naken Whey, NorCal Organic Whey, Weight Gainer, Benecalories, Premier protein, Unjury, Fairlife, MRM, – to gain weight  PEA, HEMP, WHEY PROTEIN is good  1.2 grams per your ideal weight in Kilograms = how much you should consume/day when on chemotherapy  Aim for 20 to 30 grams of protein with each meal and 10 to 15 grams of protein with each snack depending on your weight  Meat and fish serving size of 25 grams/3 oz is about the size of the palm of an average person's hand.
13. Diet KEY Points  Reduce inflammatory foods and triggers (YUKA)  Use the YUKA app for sweetners  Eat a Variety of healthy foods  Alcohol and sugars keep at minimal and for celebrations  Do the best you can through chemo and afterwards you can focus even more
14.  Clean drinking water sources - RO system & drink ½ your body weight daily in ounces  Switch to low-tox home and cleaning products - avoid Teflon and use stainless steel pains or nontoxic pans  Using essential oils instead of synthetic fragrances  Avoiding BPA plastics  Healthy lotions and soaps – (YUKA app & EWG.org)  Cotton and linen clothes and bedding  Avoiding Roundup Do you best and don’t stress as we can’t avoid everything! Cleaning up our environment – YUKA & EWG.org
15. Dealing with Side Effects Naturally
16. Meals around chemotherapy  Finish dinner and just have clear liquids, then break-fast  Less to no food the night before and day of chemo  It reduces side effects of chemo  Cancer cells do not like it  The microbiome likes it  It helps the chemotherapy get into the cancer cells
17. Key Points on Eating/Fasting around Chemo Days  Eat a light meal the night before chemo  Bring a light, healthy meal with you during chemo  Keep hydrated the day prior and days after  It’s ok if you don’t eat much the day of, but eat higher fats such as avocado, MCT oil, nuts, chicken soup  Eat minimal protein the day BEFORE and OF and the day AFTER chemo but back to higher protein 2 days after chemo  Consider the fasting mimicking diet for 2-5 days using Dr. Long’s Prolon food and working with a nutritionist from createcures.org for those already implementing a healthy lifestyle and feel confident to do so.
18. What Supplements are ok during chemo? Low dose food-based vitamins ½ of recommended dose “Mary Ruth’s liquid multivitamin” is ok No synthetic multivitamin unless your oncologist ok’s. low dose DHA fish oil of 250 mg is ok but not higher Mgs Some oncologists are NOT ok with Probiotics, prebiotic powders ok Liquid minerals are ok “Ancient minerals” “Gut Ion” at Sunrise Natural Food store Melatonin is ok and helpful Sleep THC gummies for steroid Side effect Vitamin D3K2 based on your labs Magnesium, calcium, electrolytes, essential oils
19. When on anti PDL-1 “Keytruda” “Tecentriq” “Opdivo” Immunotherapy avoid: 1. Elderberry 2. Probiotics (ok prebiotics) 3. Cannabis/Rick Simpson oil 4. Capsules of Mushrooms > 550 mg 5. Astragalus more than 1000 mg/day 6. Herbs that modify the immune system
20. Good Sleep = More Healing
21. SLEEP SUPPLEMENTS ok during chemo MAGNESIUM •Forms in capsule/tab/powder drink •Causing loose stools: Magnesium CITRATE & OXIDE (CVS, COSTCO/SAMS) •NOT causing loose stool: Magnesium Glycinate, Taurate (heart), Chelate, Malate, L-Threanate (brain/mood) MELATONIN – improves apoptosis and reduces chemo side effects •Start low 1 mg and increase to up to 20 mg and some slow released Melatonin mixed with regular Melatonin (higher doses are possible) CBD/CBN/THC LOW doses •Start low 2 mg and go up to 10 mg of THC/CBD/CBN for sleep when on steroids but if on Keytruda/Opdivo, keep the cannabis doses less than 5 mg per day Valerian •Can help with sleep taken at bedtime if the above isn’t working and or in addition to the above LEMON BALM tonic small dose in 4 oz water •Can help when waking up with “What ifs?” •0.6 ml in 4 oz water is a small dose without interactions taken at bedtime •Can help with sleep taken at bedtime if the above isn’t working and or in addition to the above
22. Soothing mouth soreness  Marshmallow tea 1 tsp daily in 8 oz water and sip on it  Glutamine 2000 mg solution held in the mouth then spit out  Frozen pineapple chunks sucked on  Biotene  Aloe vera 1 tsp – 2 tsp in tea with honey (can cause loose stools)  Acupuncture for dry mouth  1/2 tsp of baking soda and 1/2 tsp salt, 1 capsule of N-Aceytyl choline in 1 cup of water swish and spit.  15-20 ml Manuka honey 15 minutes prior to Radiation therapy and then every 15 minutes for 6 hours.  Royal bee jelly  https://www.dentaly.org/us/oral-health/mouth-taping/#FAQs –  A healthy toothpaste: use YUKA or www.askthedentist.com  A mineral supplement without copper can help protect the tooth integrity and for radiation to the upper body
23. Chemotherapy Neuropathy – ok to take during chemo  Cold mits/sox – ask your infusion nurse- most think it helps  Topical CBD cream 3-4x a day, or Blue Emu cream, Topical capsaicin cream, topical Eucalyptus essential oil studies encouraging.  Eating sugar/white flour increases pain potentially  Homeopathic remedies such as sulphur 30c can help  Vitamin E 100 mg mixed tocopherols especially with Cisplatin chemo  https://ourcamwell.com/blog/coping-with-chemo-induced-neuropathy/  This site has a lot of resources  After chemotherapy options are: Alpha Lipoic acid, NerveRegen, Neuroregenex 3 tabs/day by Standard Process, PRF therapy
24. Supportive Supplements on chemo and Radiation ❑ NAUSEA ❑ Ginger tea/essential oil or 1 caps ❑ acupuncture - ask for a referral in the chat ❑ Peppermint and Peppermint essential oil ❑ Vaccaria seeds from Amazon on pressure points for nausea ❑ Zofran/ondansetron pills cause nausea- use Magnesium Oxide/citrate ❑ BUILDING NATURAL KILLER CELLS: ❑ Beta Glucans such as Turkey Tail, Reishi, Lions Mane mushrooms 1000 – 1500 mg twice a day (*not on Keytruda/OPDIVO anti PDL-1) ❑ Nutritional Yeast 2 tsp is a beta glucan – at the supermarket ❑ WHITE BLOOD CELLS: ❑ Eucalyptus oil under nose 4x/day or ❑ Astragalus tincture 1000 – 2000 mg twice daily (unless on Keytruda/Opdivo)
25. COMBATTING FATIGUE  Motion is lotion  Get enough hydration, protein  20 minutes of morning sunlight to wake cortisol  Allow friends/family to help you  Give them recipe’s you can freeze  Consider reducing work hours  Deep breathing apps/Calm app  Light weights/gentle exercise  Adaptogen teas- ginseng/mushrooms  A grounding mat while laying down  Healing frequencies
26. Let’s take a break
27. Relaxation “spiritual” resources  Daily Meditation and receptive Prayer  Journaling, support groups , ‘Wellness Within’ in Roseville  Grounding, nature, waterfalls  Creative fun and relaxing  Vasal Nerve Deck on amazon & breathing  Tai Chi, Lee Holden on youtube- Qi Gong, Yoga nidra, Dancing, CALM app  Sutter group visits available
28. Labs to do this week for me  Vitamin D – unless you have had one done in the past year  Optional: CrpHs inflammation marker
29. In Summary…  Focus on eating healing foods and protein fats and lower carbohydrates  Know what supplements you can and can’t take during treatment  Healthy Food and holistic health is your lifelong chemotherapy  Sleep is when we heal so guard your rest and sleep time  How we handle stress can improve our health  Taking time to relax our body, mind and spirit is healing  You are doing a great job– ONE DAY, ONE MOMENT at a time
30. Further Support is Available  Our medical providers & coaches at Institute of Health and Healing can to work with you one on one  Ask your Primary Doctor and or Oncologist for a referral to Integrative Medicine for 1:1 visits with medical providers, acupuncturist, coaches  Classes are available upon request for $50/class including stress relief, gluten free diet class ‘Mito food plan’, Elimination diet. Call 916-887-4660. for our Health Coaches and classes  Group visits in IHH are available. You can a referral from your PCP or oncologist- just send a MHO message asking, “Please refer me to IHH group visit for…..  Qi Gong for Cancer patients and Caregivers – on Sutter website  Integrative Psychotherapy 916-887-4660  Nutrition Class: Healthy eating During Cancer Treatment call Vanessa Quinn Nutritionist  Breast cancer support, Guidance for your Cancer Journey, Chronic Pain, Survivorship class in Sutter Palo Alto PPO/Medicare call for an appointment: 650-853-2250
31. What to expect on our next group visit  We will review your labs that I order today  We will go over any other side effects of treatment  We will review the potential pathway of cancer via inflammation  Further learn how to keep your self encouraged and healthy during your healing journey
32. Cancer Treatment is a vulnerable place… … and often an opportunity
33. References  Resources:  Preventable Cancers | The University of Kansas Cancer Center (kucancercenter.org)  Physical Activity and Cancer Fact Sheet – NCI  Study Suggests Link Between Stress, Cancer Returning – NCI  Does insulin resistance cause cancer? | MD Anderson Cancer Center  What are phytochemicals? (And why should you eat more of them?) | UCLA Health  Cancer Diet: Omega-3 Fatty Acids | Stanford Health Care  How Your Diet Can Affect Estrogen Levels (healthline.com)  Endocrine Disruptors (nih.gov)  Ways alcohol causes cancer – Cancer Council Victoria (cancervic.org.au)  Melatonin and Breast Cancer: What to Know (healthcentral.com)  Dr Jill Carnahan, MD who survived an aggressive Breast cancer 30 years ago: Unexpected: Finding Resilience Through Functional Medicine, Science, and Faith. Along with her podcasts/youtube channels with a lot of info
34. Resources to learn more  https://outsmartcancer.com/stage/just-diagnosed/ Dr. Chilcov, MD in SoCal  www.connersclinic.org  https://uniteforher.org/ - for breast and ovarian/uterine cancer ladies  https://foodforbreastcancer.com/recommended-foods.php - good for all cancers to review and find out what foods with which chemotherapies are helpful but is a bit too restrictive but informational  https://biomat.com/ or a similar grounding mat/sheets/pillow case on amazon  https://cancerchoices.org/
35. Thank you for participating today  Katie Opalenik, NP  Integrative Oncology @ Sutter Institute for Health and Healing in Roseville