Natural Product | Complementary and Alternative Medicine | Group 1 BSPH2 | Mrs.
Daroy
Effective Doses:
Chemotherapy - The treatment of disease by the use of
chemical substances, especially the treatment of cancer
by cytotoxic and other drugs.
Common Side Effects of Chemotherapy
• Hair loss
• Nausea and vomiting
• Constipation
• Stomach pain
• Hair loss
• Appetite and weight changes
• Mouth sores
• Neuropathy, other nerve and muscle problems
How to Talk to Your Doctor
 Ask about nondrug ways to ease side effects.
 If she says that something you want to try can
cause problems with your cancer treatment, ask
for other options.
 Make a complete list of all supplements you
take -- even multivitamins. Ask the doctor if any
of them could have a bad effect on your
treatment.
 Ask her to help you spot products or practices
that don’t live up to their claims.
What Should I Try?
 Unlike medicines, supplements don’t have to be
tested to prove they’re safe or they work.
 Check up on their safety, risks, and benefits.
 Look for scientific evidence from reliable,
independent sources. Don't rely only on the
company that makes the product you want to
try.
 Know that “natural” doesn't mean safe.
 What’s the word on the street? Once experts
decide a treatment is safe and useful, they start
to recommend it.
Antioxidant pills like
(1)Vit. E (2) vitamin C (3) selenium (4) beta-carotene
do not interfere with how well chemotherapy and
radiation work.
Ginger can help you manage nausea and vomiting from
chemotherapy. But it may also thin your blood, so don’t
take any before surgery.
 American Cancer Society, the maximum daily
dose: 5 grams or less.
 In studies to date…
 Most effective dose of ginger 250-milligram
supplement given 2 to 4 times a day.
 Equivalent to roughly ¼ teaspoon of dried
ginger
 ½ teaspoon of fresh ginger daily.
 Crystallized ginger contains around 500
milligrams of ginger per square inch.
 Ginger tea - ¼ teaspoon of ginger contains
approximately 250 milligrams. Homemade
ginger ale has roughly 1 gram of ginger per 8
ounce glass.
 Note: “Real” Ginger is needed to get the anti-
nausea effects.
 X  Ginger ale purchased from a store may
contain “ginger flavoring” rather than real
ginger.
Zinc may help prevent taste changes, a side effect of
radiation, chemotherapy, and some pain medicines.
Glutamine could help reduce at least two side effects
from treatment: peripheral neuropathy (weakness,
numbness, or pain in your hands and feet) and mouth
sores and soreness. But we need more studies.
Ginseng, in high doses, was found in a Mayo Clinic-
led study to reduce cancer-related fatigue.
Integrative oncology is a patient-centered, evidence
informed field of cancer care that utilizes mind and body
practices, natural products, and/or lifestyle
modifications alongside conventional cancer treatments.
Integrative oncology aims to optimize health, quality of
life, and clinical outcomes across the cancer care
continuum, and to empower people to prevent cancer
and become active participants before, during, and
beyond cancer treatment.
MEDITERRAINEAN DIET
 Eat plant-based foods, vegetables, fruits, whole
grains, legumes, nuts.
 Replace butter with healthy fats—OLIVE OIL
 Use herbs and spices instead of salt
 Limit red meat no more than 1x/ week
Natural Product | Complementary and Alternative Medicine | Group 1 BSPH2 | Mrs. Daroy
 Enjoy meals with family and friends
 Exercise
Reduces OVARALL MORTALITY including reduced risk of
cancer, heart disease, diabetes, Parkinson’s and
Alzheimer’s disease.
(PALEO DIET X KETOGENIC DIET)
Hippocrates- let food be thy medicine and medicine be
thy food.
- the first doctor 3,500 years ago.
CRUCIFEROUS VEGETABLES
 Rich in vitamins C, E, K, folate, minerals and
fiber
 Phytonutrients: Glucosinolates—indole-3-
carbinol and sulforaphane.
 Provides antioxidant, anti-inflammatory
properties and detoxification of harmful
substances.
 High dietary intake cruciferous vegetables
associated with a lower risk of breast,
endometrial, ovarian, prostate, stomach, liver,
pancreas, colon, lung cancer.
 Bottom line: Eat cruciferous vegetables every
day.
DIETARY CARTINOID
 Pigments that give fruits and vegetables such as
carrots, cantaloupe, sweet potato, and kale
their vibrant orange, yellow, and green colors.
 Alpha-carotene, beta-carotene, lutein, lycopene
most studied.
 Antioxidants decrease oxidative damage, limit
cancer cell growth and increase cancer cell
death.
 Associated with a reduces risk of prostate,
breast, lung, cervical, bladder, mouth, larynx,
esophagus, skin cancers
 Bottom line: Get your carotenoids from food
NOT supplements
 Caution: Beta-carotene supplements have been
linked to higher risk of lung cancer in male
smokers and aggressive prostate cancer.
 A review of clinical trials showed that beta-
carotene supplement was associated with a
small increase in overall and cardiovascular
related death.
ANTHOCYANINS PTEROSTILBENE
 Pigments imparting a bright red, blue, and
purple color
 Lab and animals studies: stops the growth of
pre-malignant cell, increase cancer cell death
and inhibits the growth of new blood vessels
that nourish tumors
 Studies suggest a lower risk of esophagus,
colon, oral, and breast cancer in animal models
 Bottom line: Make berries a part of your daily
diet.
Reishi, Shiitake, Maitake
 Rich in medically active compounds
 Anti-inflammatory, antioxidant, antitumor
effects
 Enhanced immune response in cancer patients
 Improved QOL in cancer patients and alleviates
chemotherapy associated nausea.
 May enhance the therapeutic effects of
radiation therapy
 Caution: A few documented cases liver damage
 Bottom line: Asian mushrooms area a
superfood.
CURCUMINOIDS
Laboratory and animal studies
 Antioxidant, anti-inflammatory, inhibits tumor
blood supply
 Regulates tumor cell death
 Stimulates the immune system
 Prolongs cancer free survival mice
 May reduce chemotherapy drug resistance,
may enhance effects of radiation therapy
 Caution: chemotherapy-herb interactions,
blood thinning.
Bottom line:
 Curcumin in your diet is healthy
 Before using curcumin supplementation,
discuss with your medical team.
GREEN TEA (EGCG)
 Thought to protect against many potentially
carcinogenic oxidative triggers.
Natural Product | Complementary and Alternative Medicine | Group 1 BSPH2 | Mrs. Daroy
 Laboratory studies suggest cancer prevent 6. PEARS
effect: tumor cell death. Inhibits tumor blood 7. CHERRIES
supply. 8. GRAPES
 May have synergistic effect when combined 9. CELERY
with some conventional cancer therapies, 10. TOMATOES
human studies needed. 11. SWEET BELL PEPPERS
 Anti-inflammatory and antioxidant activities of 12. POTATOES
EGCG may reduce cancer therapy side effects.
CLEAN 15:
 Caution: Green tea extract liver function
abnormality. 1. SWEETCORN
 Bottom line: Enjoy green tea as a beverage 2. AVOCADOS
daily 3. PINEAPPLES
4. CABBAGE
WHOLE GRAINS 5. ONIONS
 Wide range protective substance 6. SWEER PEAS
 Antioxidant, hormonal effects, binds 7. PAPAYAS
carcinogens, improve gut microbiome 8. ASPARAGUS
 40 case control studies (20 different cancer) 9. MANGOES
high VS low grain intake = 34% risk reduction 10. EGGPLANT
 Reduces risk colorectal cancer; may protect 11. HONEYDEW
against gastric, breast, endometrial, and 12. KIWI
prostate cancer . 13. CANTALOUPE
14. CAULIFLOWER
 Bottom Line: Whole grains DON’T cause cancer
15. GRAPEFRUIT
and studies suggest grains reduce cancer.
MEAT AND CANCER
Example: SALMON, MACKEREL, and TROUT
HOW STRONG IS THE EVIDENCE?
FISH OMEGA-3
IARC CARCINOGENIC CLASSIFICATION GROUPS:
• Optimal level of omega-3 fatty acids have been
shown to reduce the risk of colon and breast GROUP 1: CAUSE CANCER
cancer and reduce risk of renal cell carcinoma
recurrence. • Processed meats have been given Group 1
• Fish oil improve chemotherapy efficacy, overall classification includes Salami, Bacon, and
survival, and maintains muscle mass NSCLC. Sausages and hot dogs.
• Caution:
• Increased prostate cancer risk with high blood
levels
• Blood thinning effect at high doses (>4000 mg)
• Bottom line: consume 2-3 serving of fatty
fish/week and discuss with your doctor if fish GROUP 2A: PROBABLY CAUSES CANCER
oil supplementation is right for you.
• Red meats have been given Group 2A
DIRTY 12: classification e.g. Pork, Beef, and Lamb (Does
not include chicken or fish)
1. STRAWBERRIES
2. SPINACH GROUP 2B: POSSIBLY CAUSES CANCER
3. NECTARINES
GROUP 3: NOT CLASSIFIABLE AS A CAUSE CANCER
4. APPLE
5. PEACHES GROUP 4: PROBABLY NOT A CAUSE CANCER
Natural Product | Complementary and Alternative Medicine | Group 1 BSPH2 | Mrs. Daroy
According to the World Health Organization…
 Eating 50g of processed meat a day- less than
two slices of bacon- increased the chance of
developing colorectal cancer by 18%.
Consumption of grilled meat increased risk of breast,
colon, prostate, pancreatic, and stomach, cancers.
• Polycyclic aromatic hydrocarbon
• Heterocyclic Amines
CAN YOUR SUGAR INTAKE AFFECT YOUR CANCER
RISK?
 Prostate, colorectal and pancreatic cancers may
be most influenced by sugar.
 One study showed a diet high in glycemic load
increased risk of cancer:
• Prostate cancer 26%
• Rectal cancer 44%
• Pancreatic 41%
PROMOTING A HEALTHY GUT MICROBIOME
 Three main food components are proposed to
benefit gut health
• Prebiotic- dietary fiber found in apples,
banana, onion, garlic asparagus, leeks,
yams
• Probiotics- yogurt, kefir, lacto
fermented product
• Flavonoids found in brightly colored
fruits and vegetables
 Probiotic supplementation
DIETARY SUPPLEMENTS?
 Aim to meet nutritional needs through diet
alone
 Not recommended for cancer prevention or
treatment unless a known deficiency is present
• Vitamin D3 cholecalciferol; aim for a 25-
Hydroxyvitamin D level od 35-50 ng/ml
 Caution:
• Unsubstantiated claims
• Interactions with chemotherapy,
radiation, and other prescription drugs.
 SITTINGS FOR MANY HOURS A DAY IS AN
INDEPENDENT RISK FACTOR FOR MANY
CANCERS.
 31.5% CANCER SURVIVORS HAVE NOT
EXERCISED DURING THE PAST 30 DAYS.
 30 MINUTES OF MODERATE INTENSITY
ACTIVITY > 6 DAYS A WEEK. (three hours of
exercise a week colon cancer 6 hours a week.)
DO YOU SNORE?
• Melatonin
• Sleep Hygiene
• Chamomile tea
DEFAULT MODE OF MIND WANDERING:
• Bills deadline, Groceries, Laundry
• Why did I say the thing? What is wrong with
me?
• Why didn’t my friends call? Is she mad?
(YOUR PHYSICIAN 47% OF OUR WAKING HOURS ARE
LIKE THIS WE’RE SO DISTRACTED WE.)
WHAT IS MINDFULNESS?
• “Mindfulness means paying attention, on
purpose and non- judgmentally to the present
moment. It wakes us up to the fact our lives
unfold only in moments.” –Jon Kabat-Zinn. 2004
• “Mindfulness is keeping one’s consciousness
alive to the present reality.” –Thich Nhat Hanh,
1976.
• “The ability to rest the mind in the moment,
focused on a specific object or task, and to
create a relaxed but alert state of mind.”—Andy
Puddicombe, 2012
THE NEUROSCIENCE BEHIND MINDFULNESS:
• Meditation changed the brain in places that are
important for focus, empathy and compassion,
and emotional regulation.
Learned skills that can easily be transferred to
ordinary activities……….
• Walking
• Sitting
• Eating
• Breathing
• Answering the phone
• Preparing for a meeting
Natural Product | Complementary and Alternative Medicine | Group 1 BSPH2 | Mrs. Daroy
DIET IN CANCER • BOTTLE GOURD
• RIDGE GOURD
MODERATE (MEDIUM ALKALINE) • ROUND GOURD
• BANANAS • CORIANDER LEAVES
• AVOCADOS
• CHERRIES (GRAIN AND CEREALS)
• MELONS AVOID (STRONG ACIDIC)

(FRUITS) • WHITE FLOUR

AVOID (STRONG ACIDIC) LIMIT (MEDIUM ACIDIC)
• PRUNES
• SOUR PLUMS • WHITE RICE
• BUCKWHEAT
• CANNED FRUITS AND JUICES
LIMITED (MEDIUM ACIDIC) MODERATE (MEDIUM ALKALINE)

• SOUR CHERRIES • BROWN RICE

• RHUBARB • BROWN BREAD
• DATES (SOAKED) (OILS)
• APPLES
• KIWI AVOIDS (STRONG ACIDIC)
• PAPAYA • SESAME OIL
• PEACHES • MUSTARD OIL

• CONSUMES (STRONG ALKALINE) LIMIT (MEDIUM ACIDIC)

• SUNFLOWER OIL
• WATE MELON • CORN OIL
• PINEAPPLE
• FIGS MODERATE (MEDIUM ALKALINE)
• BLUEBERRIES
• FLAX SEED OILS
• BLACKBERRIES(SWEET)
• HEMP SEED OIL
• PINTO BEANS
• NAVY BEANS CONSUME (STRONG ALKALINE)
• KIDNEY BEANS
• GARLIC • OLIVE OIL
• LETUCE (MEAT)
• ZUCCHINI
• SWEET POTATOES AVOID (STRONG ACIDIC)

MODERATE (MEDUIM ALKALINE) • PORK

• SHELLFISH
• SPINACH
• CARROT LIMIT (MEDIUM ACIDIC)
• MUSHROOMS
• TURKEY
• CABBAGE
• CHIKEN
CONSUME (STRONG ALKALINE) • COLD WATER FISH
• LAMB
• ASPARAGUS
• PASTA
• ONIONS
• PIZZA
• PARSLEY
• BROCCOLI • CHIPS
• RAW SPINACH • BURGER
• ASH GOURD • MAGGI