Many thanks for talking about this important topic! I am a keto advocate and while I am undergoing BC treatment, I can only confirm on my own experience that keto with intermittent fasting does not replace treatment, but supports and enhances it, while significantly reducing treatment side effects. I discuss this with my oncologist and have a blood test every 4 weeks over the past 1,5 years. I have no deficits, had no side effects at all during and after radiation, barely any side effects from abemaciclib and my false menopause symptoms from letrozole and very mild, also thanks to exercising 4 times per week. I do take some supplements: vitamins D, K2, C, calcium 3x per week, ashwagandha, Q10, black garlic, fish and oregano oil, iodine, spirulina/chlorella, r-alpha-lipoic acid and milk thistle. However! What is very important for BC patients is to reduce animal fat and protein and dairy in the keto diet and increase vegetable intake, pay attention to liver and GI health, reduce/eliminate snacking to avoid blood sugar spikes and generally do everything possible to eliminate inflammation to support treatment. With this approach I get all the nutrients I need, don't feel hungry at all and generally feel great, even though I'm supposed to feel terrible with all the medications. So, keto can be very healthy and be great support to treatment and general well being during treatment, just needs to be modified to BC patients' needs. My oncologist tells me to keep doing what I'm doing because it shows on my blood test results and I can continue and complete my abemaciclib treatment based on that.
That does sound good but it all depends on what chemotherapy treatment you are on ,some have worse side effects than others , I was on Herceptin and kadcyla, which has caused extreme bone pains so have found it difficult to do exercises, im hoping that will settle down and will definitely start then ,few times a week, how long do you fast for ?
I have been on a ketogenic diet for about 8-9 years. During radiation, I had almost no side effects. I also did well with chemo, I had AC x4, then Taxol x 12. I am now on AI and Verzenio. I am continuing my keto diet, but I do have joint pain from the AI and I have absolute neutrophil count depression on the Verzenio. I feel the diet really helps the standard treatments go better. It does not solve every problem, probably nothing does.
Thank you for broaching this subject. I appreciate that as a physician, you advise people not to use any type of diet in lieu of proven BC treatment. Certainly, reducing sugar intake has been shown to be beneficial in addressing many cancers. Perhaps that is a consideration in favor of a ketogenic nutritional approach...of course, with physician supervision during BC treatment.
That does speak to changing your diet, but if you are already on a ketogenic diet or general lower carb diet and your body is used to it and you generally feel better on it (my mental clarity, energy, and GI system seem to work better on low carb), wouldn't be better to keep going with what works for you in general?
Yes! I am on keto and just had to modify a bit to the BC situation (reduced animal fat and protein, excluded dairy except for a bit of butter, increased raw veg and olive oil) and prolonged intermittent fasting to 18 hours.
Hello Doc! What about going on a keto diet after all your treatment - to prevent recurrence? How helpful is it to go on a keto diet for that reason? thank you very much .
Thanks for the question. There are theoretical reasons to pursue a ketogenic diet but no trials showing that it lowers recurrence in people with breast cancer. Dietary studies are exceptionally difficult to perform as you can probably imagine. Thanks for watching!
@2:00 I'm surprised that a medical professional would not know that *you do not need carbs to supply glucose.* The liver can create glucose from protein, fat, and other non-carbohydrate sources to meet the body's needs. This is a process called *_gluconeogenesis_* There are many people who have gone full carnivore, who haven't had carb one in ten or more years, and they are thriving. I don't eat carbs, but do consume (whole, organic) milk, yoghurt, cottage cheese, etc., so all my glucose needs are satisfied by the breakdown of lactose into galactose and glucose. (Galactose, itself, is extremely important for brain health.)
That's correct. The body makes energy from all types of compounds, both exogenous and endogenous. All medical professionals receive extensive education about gluconeogenesis. The key thing is that people with cancer are in a catabolic state. A balance of compounds is recommended for optimal health.
What about a keto diet after breast cancer treatment (chemo., surgery, radiation) while on AI and CDK46 inhibitors? Or even more specifically what about a Meditteranean Keto diet with lots of plant based foods?
Yes, there is a chance of getting breast cancer during breastfeeding although it is relatively rare. Breastfeeding has protective benefits against breast cancer, but if you have any concerns or symptoms, it’s best to consult with a doctor.
@@yerbba I found I had breast cancer while breastfeeding my 8-month-old. I had to quit breastfeeding to start quimo+imunotherapy. I also thought it was impossible to have breast cancer since I breastfed my older daughter for 3 years and then my second one for 8 months.
Thanks for this comment. You are correct that these are two distinct states. Ketoacidosis arises from a lack of insulin in people who have Type 1 diabetes.
I had lumpectomy, a lymph node removed, stage1. 20 radiation treatments, ended 8/30. Now I saw the oncologist this past week and was prescribed Anastrozole to decrease chances of breast cancer coming back. After reading the side effects I am afraid to take them. Has anyone here ever taken these. I read the eyes can be affected and I already have glaucoma. I’m 68 almost 69 and I am just scared of all this.
It's normal to be nervous about starting a medication with a long list of side effects! Most people tolerate anastrozole and the other aromatase inhibitors quite well. You may find a few of our videos on aromatase inhibitors to be helpful [ua-cam.com/video/ZkNwni7GYDU/v-deo.html] [ua-cam.com/video/LuI1mCJU2_U/v-deo.html]
Hi Dr i have pcos for the pass 18 years i have fatty liver and pre diabetic. Is keto fasting safe for me i fast twice a week for 19 hours . I been diagnosed with breast cancer last year i was grade 2 stange 3 her 2 positive after surgery her 2 negative stange 1 can i fast. Will keto work f f
Thanks for sharing your experience here. It would be prudent for you to see a registered dietician with expertise in cancer given your liver problems and other medical problems.
I tried keto ,found it to hard was just miserable, now I'm careful of what I eat limit sugar ,and eat organic veg and fruits No proccessed meats and no take away foods ,feel so much better also fasting 14 hour seems to help
Thanks for sharing your experience. Listening to your body and adjusting your diet to what feels right for you is key to maintaining well-being during and after treatment.
Many thanks for talking about this important topic! I am a keto advocate and while I am undergoing BC treatment, I can only confirm on my own experience that keto with intermittent fasting does not replace treatment, but supports and enhances it, while significantly reducing treatment side effects. I discuss this with my oncologist and have a blood test every 4 weeks over the past 1,5 years. I have no deficits, had no side effects at all during and after radiation, barely any side effects from abemaciclib and my false menopause symptoms from letrozole and very mild, also thanks to exercising 4 times per week. I do take some supplements: vitamins D, K2, C, calcium 3x per week, ashwagandha, Q10, black garlic, fish and oregano oil, iodine, spirulina/chlorella, r-alpha-lipoic acid and milk thistle. However! What is very important for BC patients is to reduce animal fat and protein and dairy in the keto diet and increase vegetable intake, pay attention to liver and GI health, reduce/eliminate snacking to avoid blood sugar spikes and generally do everything possible to eliminate inflammation to support treatment. With this approach I get all the nutrients I need, don't feel hungry at all and generally feel great, even though I'm supposed to feel terrible with all the medications. So, keto can be very healthy and be great support to treatment and general well being during treatment, just needs to be modified to BC patients' needs. My oncologist tells me to keep doing what I'm doing because it shows on my blood test results and I can continue and complete my abemaciclib treatment based on that.
Thank you for sharing your story here!
That does sound good but it all depends on what chemotherapy treatment you are on ,some have worse side effects than others , I was on Herceptin and kadcyla, which has caused extreme bone pains so have found it difficult to do exercises, im hoping that will settle down and will definitely start then ,few times a week, how long do you fast for ?
I have been on a ketogenic diet for about 8-9 years. During radiation, I had almost no side effects. I also did well with chemo, I had AC x4, then Taxol x 12. I am now on AI and Verzenio. I am continuing my keto diet, but I do have joint pain from the AI and I have absolute neutrophil count depression on the Verzenio. I feel the diet really helps the standard treatments go better. It does not solve every problem, probably nothing does.
Thank you for broaching this subject. I appreciate that as a physician, you advise people not to use any type of diet in lieu of proven BC treatment. Certainly, reducing sugar intake has been shown to be beneficial in addressing many cancers. Perhaps that is a consideration in favor of a ketogenic nutritional approach...of course, with physician supervision during BC treatment.
Thank you for your comment.
That does speak to changing your diet, but if you are already on a ketogenic diet or general lower carb diet and your body is used to it and you generally feel better on it (my mental clarity, energy, and GI system seem to work better on low carb), wouldn't be better to keep going with what works for you in general?
Yes! I am on keto and just had to modify a bit to the BC situation (reduced animal fat and protein, excluded dairy except for a bit of butter, increased raw veg and olive oil) and prolonged intermittent fasting to 18 hours.
Yes, each person is different. The goal is to avoid stressing an already stressed body and to avoid becoming deficient in micronutrients.
Hello Doc! What about going on a keto diet after all your treatment - to prevent recurrence?
How helpful is it to go on a keto diet for that reason? thank you very much .
Thanks for the question. There are theoretical reasons to pursue a ketogenic diet but no trials showing that it lowers recurrence in people with breast cancer. Dietary studies are exceptionally difficult to perform as you can probably imagine. Thanks for watching!
Thank you again Doctor! 💕
Thank you for watching!
@2:00 I'm surprised that a medical professional would not know that *you do not need carbs to supply glucose.* The liver can create glucose from protein, fat, and other non-carbohydrate sources to meet the body's needs. This is a process called *_gluconeogenesis_* There are many people who have gone full carnivore, who haven't had carb one in ten or more years, and they are thriving. I don't eat carbs, but do consume (whole, organic) milk, yoghurt, cottage cheese, etc., so all my glucose needs are satisfied by the breakdown of lactose into galactose and glucose. (Galactose, itself, is extremely important for brain health.)
That's correct. The body makes energy from all types of compounds, both exogenous and endogenous. All medical professionals receive extensive education about gluconeogenesis. The key thing is that people with cancer are in a catabolic state. A balance of compounds is recommended for optimal health.
thank you for this info
You're welcome! We're glad you found the information helpful.
What about a keto diet after breast cancer treatment (chemo., surgery, radiation) while on AI and CDK46 inhibitors? Or even more specifically what about a Meditteranean Keto diet with lots of plant based foods?
It makes sense to stay on this lifestyle for the rest of our lives to avoid recurrence.
Such an approach may be suitable. Please check with your medical team as they know your personal history.
Are Turkey Tail mushrooms or lions mane mushrooms helpful in beating cancer
These are not helpful in beating cancer, no. Turkey tail can help with side effects, however.
Thank you,Dr. Griggs, for nutritional advice in support of breast cancer patients.
Thanks for being an active member of our Yerbba community!
Hello mam is a chances of getting breast cancer during breastfeeding to a breast feeding mother
Yes, there is a chance of getting breast cancer during breastfeeding although it is relatively rare. Breastfeeding has protective benefits against breast cancer, but if you have any concerns or symptoms, it’s best to consult with a doctor.
@@yerbba I found I had breast cancer while breastfeeding my 8-month-old.
I had to quit breastfeeding to start quimo+imunotherapy.
I also thought it was impossible to have breast cancer since I breastfed my older daughter for 3 years and then my second one for 8 months.
Please do not conflate ketosis with diabetic ketoACIDosis.
Thanks for this comment. You are correct that these are two distinct states. Ketoacidosis arises from a lack of insulin in people who have Type 1 diabetes.
I had lumpectomy, a lymph node removed, stage1. 20 radiation treatments, ended 8/30.
Now I saw the oncologist this past week and was prescribed Anastrozole to decrease chances of breast cancer coming back. After reading the side effects I am afraid to take them. Has anyone here ever taken these. I read the eyes can be affected and I already have glaucoma. I’m 68 almost 69 and I am just scared of all this.
It's normal to be nervous about starting a medication with a long list of side effects! Most people tolerate anastrozole and the other aromatase inhibitors quite well. You may find a few of our videos on aromatase inhibitors to be helpful [ua-cam.com/video/ZkNwni7GYDU/v-deo.html] [ua-cam.com/video/LuI1mCJU2_U/v-deo.html]
Hi Dr i have pcos for the pass 18 years i have fatty liver and pre diabetic. Is keto fasting safe for me i fast twice a week for 19 hours .
I been diagnosed with breast cancer last year i was grade 2 stange 3 her 2 positive after surgery her 2 negative stange 1 can i fast.
Will keto work f f
Thanks for sharing your experience here. It would be prudent for you to see a registered dietician with expertise in cancer given your liver problems and other medical problems.
I tried keto ,found it to hard was just miserable, now I'm careful of what I eat limit sugar ,and eat organic veg and fruits No proccessed meats and no take away foods ,feel so much better also fasting 14 hour seems to help
Thanks for sharing your experience. Listening to your body and adjusting your diet to what feels right for you is key to maintaining well-being during and after treatment.
Thank you Doctor!
Thank you for watching!
Thank you
Thanks for watching!